Federal inspection record · CMS data as of October 1, 2026
Bolivia Rehabilitation and Healthcare Center
1070 Old Ocean Highway, Bolivia, NC · (910) 755-5955
- Certified beds
- 90
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Yad Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 6, 2010
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Bolivia Rehabilitation and Healthcare Center carries 111.5 inspection points. That is fewer than 11% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service6E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
Nursing and Physician Services5F
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- B
Post nurse staffing information every day.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Administration4E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control3F
- F
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-05-05
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-03-05
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-27
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 31 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 31 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 79% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$94,140 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-11 | Fine | $94,140 |
| 2023-12-11 | Payment Denial · 34 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 98.5% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 94.8% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6.2 pts worse | 9.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts worse | 17.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight11.8 pts worse | 18.9% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts worse | 25.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts worse | 16.4% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.7 pts worse | 26.3% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 15.2% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.8% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 25.3% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts worse | 8.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 91.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse | 14.0% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 3.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts worse | 75.6% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 26.5% | 22.2% | 23.4% |
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Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Brunswick Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 1070 Old Ocean Highway, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alter, Tzvi | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 23 facilities |
| Lellock, Ty | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lellock, Ty | Adp Of The SNF · Individual | 0% | 1 facilities |
| West Nc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have an alternate power supply for its alarm system.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Gas, Vacuum, and Electrical Systems3F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the installation and maintenance of electrical systems.
- D
Have proper medical gas storage and administration areas.
Egress2E
- E
Have properly located and lighted "Exit" signs.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
-
Autumn Care of Shallotte
Shallotte, NC · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $16,452
-
Liberty Commons Nursing & Rehab Center of Southpor
Southport, NC · Liberty Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Brunswick Health & Rehab Center
Ash, NC · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $216,532