Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brook Stone Living Center during CMS and state inspections, most recent first.
A resident with a mood disorder diagnosis did not receive a required staff mood assessment on their annual MDS because the responsible Social Worker overlooked the need for staff assessment when the resident was rarely or never understood, resulting in inaccurate MDS coding.
The designated smoking area, used by a resident and staff, was observed to lack a fire extinguisher and fire blanket despite being equipped with ashtrays and trash receptacles. The Administrator confirmed the area was for both residents and staff and was unaware of the requirement for fire safety equipment.
A PTAC unit in a resident's room was found dislodged from the wall, creating holes that allowed the outside courtyard to be seen from inside. The Maintenance Director was unaware of the extent of the issue, and there was no formal work order or communication system in place for reporting repairs. The Administrator confirmed that such gaps should not be present.
The facility failed to remove expired medications from the refrigerators in two medication rooms. Five expired antibiotics were found in one room, including doses for a resident no longer in the facility, and two opened, undated vials of PPD were found in another room. The DON confirmed that the pharmacy technician inspects medications monthly, and nursing staff are responsible for dating and removing expired medications. The administrator stated that unused medications must be removed immediately and opened medications must be dated.
The facility's QAA Committee failed to maintain and monitor interventions, resulting in repeated deficiencies in assessment accuracy, care plan development, and medication storage. The facility experienced a period without an MDS coordinator, and the new coordinator lacked experience, contributing to the ineffective QAA program.
The facility failed to maintain shared resident bathrooms in good repair and cleanliness. Bathrooms for two sets of rooms had issues such as missing drywall, potential mold, and buildup of substances around the toilet caulking. Maintenance and housekeeping managers were unaware of these issues, indicating a lack of communication and oversight.
The facility failed to accurately code a resident's tobacco use status on the MDS Assessment. The resident, who was cognitively intact, was observed smoking and confirmed being a long-term smoker, but the MDS incorrectly indicated no current tobacco use. The MDS Coordinator and the Director of Nursing acknowledged the error.
The facility failed to develop a comprehensive care plan for a resident who smoked. Despite being cognitively intact and nursing progress notes indicating smoking, the resident's care plan was not updated to include smoking interventions. Observations confirmed unsupervised smoking, and interviews with staff revealed that the resident should have had a care plan reflecting his smoking status.
A facility failed to assess a resident's ability to smoke independently and retain smoking materials. Despite being cognitively intact and a current smoker, the resident was not care planned for smoking, and no smoking assessment was completed. Observations and interviews confirmed the resident smoked unsupervised and kept smoking supplies on his person.
The facility failed to administer oxygen as prescribed and did not have cautionary signage for a resident with chronic respiratory failure. The resident was observed receiving oxygen at 4.5 lpm instead of the prescribed 6 lpm, and required signage was missing from the resident's environment. Staff interviews revealed a lack of awareness and adherence to the physician's orders.
A resident with chronic respiratory failure was observed receiving oxygen at 4.5 lpm instead of the prescribed 6 lpm. Despite this, the MAR indicated that the resident was receiving the correct amount. The DON and Administrator confirmed that staff should document correct oxygen assessments.
Failure to Accurately Code Mood Assessment on MDS
Penalty
Summary
The facility failed to accurately code the mood section of the Minimum Data Set (MDS) assessment for one resident who had a diagnosis of mood disorder. The resident was admitted with this diagnosis and, according to the annual MDS assessment, was rarely or never understood, which required a staff assessment for mood to be conducted. However, the staff assessment for mood was not completed as required. The Social Worker responsible for this section of the MDS acknowledged during an interview that the staff assessment should have been done but was missed due to oversight. The Administrator also confirmed that the assessment for mood should have been completed to ensure the MDS was accurate.
Lack of Fire Safety Equipment in Designated Smoking Area
Penalty
Summary
The facility failed to equip the designated resident smoking area with a fire extinguisher and fire blanket. Observations showed that the smoking area, located in the courtyard and used by both residents and staff, contained multiple ashtrays, metal tables and chairs, and both metal and plastic trash receptacles, but lacked any fire safety equipment such as a fire extinguisher or fire blanket. On two separate occasions, individuals were observed smoking in this area without the presence of required fire safety devices. During an interview, the Administrator confirmed that the area was intended for both residents and staff and stated that residents who smoked had been assessed as independent safe smokers. The Administrator was unaware of the requirement to have a fire extinguisher and fire blanket in the smoking area.
Failure to Maintain PTAC Unit Resulting in Gaps to Outside
Penalty
Summary
A deficiency was identified when a packaged terminal air conditioner (PTAC) unit in one resident room was found to be dislodged from the wall, creating approximately four dime-sized holes at the insertion site. These gaps allowed the courtyard outside to be visible from inside the room, compromising the room's environment. The issue was observed on two separate occasions, with the PTAC unit remaining dislodged during both observations. Interviews with facility staff revealed that the Maintenance Director relied on direct staff communication for repair needs and did not utilize a work order log or communication book at the nurse's station. The Maintenance Director reported that the resident in the affected room frequently hit the PTAC unit with his wheelchair, which may have caused the dislodgement, but he was unaware of the holes that allowed visibility to the outside. The Administrator confirmed awareness of the dislodged PTAC unit and stated that the outside should not be visible through gaps around the unit.
Expired Medications Found in Refrigerators
Penalty
Summary
The facility failed to remove expired medications from the refrigerator in two medication rooms. During an observation, five expired antibiotics were found in the refrigerator of the 100 hall medication room, including two expired IV antibiotic infusion doses for a resident no longer in the facility and three expired IV antibiotic infusion doses for another resident. Additionally, two multidose vials of Tuberculin Purified Protein Derivative (PPD) were found opened and not dated in the refrigerator of the 300 hall medication room. The Director of Nursing (DON) confirmed that the facility pharmacy technician is responsible for inspecting medications monthly, and nursing staff are supposed to date opened medications and remove expired ones. The administrator stated that medications no longer in use must be removed from storage immediately and that all opened medications must be dated before storage.
Repeated Deficiencies in QAA Program
Penalty
Summary
The facility's Quality Assessment and Assurance (QAA) Committee failed to maintain and monitor the interventions put into place following previous surveys. This resulted in repeated deficiencies in three areas: accuracy of assessment (F641), development/implementation of comprehensive care plans (F656), and proper labeling/storage of drugs and biologicals (F761). Specifically, the facility failed to accurately code the Minimum Data Set (MDS) for a resident's tobacco use status, weight loss, anticoagulant use, and indwelling catheter. Additionally, the facility did not develop a comprehensive person-centered care plan for a resident who smoked, and failed to remove expired medications from the refrigerator in two medication rooms. The Administrator acknowledged that the QAA committee met both monthly and quarterly, and included various department managers. However, the facility experienced a period without an MDS coordinator, during which the Administrator temporarily covered the role. A new MDS/Care Plan Coordinator was hired but lacked experience in both MDS and care planning, and was being trained on the job. This lack of experienced personnel contributed to the facility's inability to sustain an effective QAA program, as evidenced by the repeated deficiencies over three federal surveys.
Facility Fails to Maintain Clean and Safe Shared Resident Bathrooms
Penalty
Summary
The facility failed to maintain shared resident bathrooms in good repair and cleanliness for two of the twelve shared bathrooms reviewed. Specifically, the shared bathroom for Rooms #112 and #114 had missing drywall around the plumbing behind the toilet, with a black, brown, and green substance observed around the missing drywall. The baseboard behind the toilet was also pulled back from the wall, exposing more missing drywall. These issues were observed on two separate occasions, and the Maintenance Manager was unaware of these problems, indicating a lack of communication and oversight in maintenance rounds. The Maintenance Manager suggested that moisture might be causing what appeared to be mold, and he acknowledged that he should have been notified about these issues earlier. In the shared bathroom for Rooms #308 and #310, a brown and black substance was observed around the caulking at the base of the toilet. This substance was removable with light friction, indicating it was likely a buildup of excess water from mopping. The Housekeeping Manager stated that housekeeping staff should scrape around caulked areas to remove such buildup, and the Maintenance Manager added that the toilet needed re-caulking. The Administrator confirmed that staff should notify the Maintenance Manager of any maintenance concerns and that housekeeping staff were responsible for ensuring the cleanliness of resident bathrooms.
Inaccurate Coding of Tobacco Use on MDS Assessment
Penalty
Summary
The facility failed to accurately code the current tobacco use status on the Minimum Data Set (MDS) Assessment for a resident reviewed for smoking. The resident, who was cognitively intact, was admitted to the facility and his MDS assessment incorrectly indicated no current tobacco use. However, the resident was observed smoking a cigarette unsupervised in the designated smoking area and confirmed during an interview that he had been a smoker for many years. The MDS Coordinator acknowledged the error, and the Director of Nursing indicated that the floor nurses should have assessed the resident's smoking status correctly at the time of admission. The Administrator also confirmed that the MDS should have reflected the resident's smoking status accurately.
Failure to Develop Comprehensive Care Plan for Resident Who Smokes
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident who smoked. Resident #50, who was cognitively intact, was admitted to the facility and initially coded for no tobacco use. However, nursing progress notes indicated that the resident was a current smoker. Despite this, the resident's care plan was not updated to include smoking interventions. Observations confirmed that the resident was smoking unsupervised in the facility's smoking area. Interviews with the MDS Coordinator, MDS Corporate Consultant, and the Administrator revealed that the resident should have had a care plan reflecting his smoking status, and nursing should have reassessed the resident as soon as they realized he was smoking.
Failure to Assess Resident's Smoking Ability and Supervision
Penalty
Summary
The facility failed to assess a resident's ability to smoke independently and retain smoking materials. Resident #50, who was admitted with unspecified dementia and other behavioral disturbances, was not care planned for smoking despite being cognitively intact and a current smoker. The admission Minimum Data Set (MDS) assessment did not indicate tobacco use, and no smoking assessment was completed for the resident. Progress notes from the Administrator and Assistant Director of Nursing (ADON) indicated that Resident #50 was alert, oriented, and a current smoker, yet no formal assessment or care plan was in place to address his smoking habits. Observations revealed that Resident #50 smoked unsupervised in the designated smoking area and kept his smoking supplies on his person. Interviews with the Director of Nursing (DON), ADON, and the Administrator confirmed that the floor nurse was responsible for smoking assessments upon admission, but this was not completed for Resident #50. The Administrator acknowledged that the smoking assessment was missed and should have been conducted once it was known that Resident #50 was a smoker.
Failure to Administer Oxygen as Prescribed and Lack of Cautionary Signage
Penalty
Summary
The facility failed to administer oxygen in accordance with the physician's order and did not have cautionary signage for oxygen use for a resident with chronic respiratory failure. Resident #35, who was severely cognitively impaired and had a tracheostomy, was observed multiple times receiving oxygen at 4.5 liters per minute (lpm) instead of the prescribed 6 lpm. Interviews with nursing staff revealed that they were unaware of the discrepancy and did not consistently check the resident's oxygen settings against the physician's orders. The Director of Nursing and the Administrator confirmed that staff should follow the doctor's orders for oxygen administration. Additionally, the facility did not have the required cautionary signage for oxygen use in Resident #35's room or surrounding environment. Multiple observations confirmed the absence of such signage, and interviews with nursing staff and the Director of Nursing indicated that oxygen in use signage should have been present. The Administrator acknowledged that the signage had been placed on the incorrect resident's door.
Inaccurate Documentation of Oxygen Therapy
Penalty
Summary
The facility failed to ensure medical records were complete and accurate for a resident receiving respiratory services. Resident #35, who was admitted with chronic respiratory failure and was severely cognitively impaired, had a physician's order to receive oxygen by tracheostomy collar at 6 liters per minute (lpm). However, observations on two separate days revealed that the resident was receiving oxygen at 4.5 lpm instead. Despite this discrepancy, the Medication Administration Record (MAR) for April 2024 showed that nurses had documented the resident was receiving oxygen at the prescribed 6 lpm on both days. Nurse #1 admitted to not checking the chart orders every shift and did not notice the incorrect oxygen setting during her shifts on those days. Nurse #2 could not be reached for an interview during the survey. The Director of Nursing (DON) confirmed that staff should document correct oxygen assessments, and the Administrator also stated that staff should document correct oxygen assessments. The failure to ensure accurate documentation and adherence to the physician's order for oxygen delivery led to the deficiency identified during the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 18 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pollocksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth-neuse | 11.8 mi | — | 2 | 0 |
| Pruitthealth-trent | 11.8 mi | — | 5 | 2 |
| Bayview Nursing & Rehabilitation Center | 11.9 mi | — | 2 | 0 |
| Riverpoint Crest Nursing And Rehabilitation Center | 12.6 mi | — | 9 | 0 |
| Premier Nursing And Rehabilitation Center | 19 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Brook Stone Living Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.