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Brookstone Retirement Center is a 115-bed, home for the aged licensed facility at 2968 Old Salisbury Road, Lexington, Davidson County, North Carolina. It provides 24-hour staffing with on-site registered nurse and physician, rehabilitation services, home health care, Alzheimer’s special care unit, activities, and on-site beauty salon with a 3-star state rating.
Nutrition, medication administration, and environmental control failures characterize Brookstone’s seven-year regulatory history. Over seven years, the facility averaged 7.9 deficiencies annually, 52 percent above North Carolina’s 5.2-deficiency benchmark. October 2025 annual survey found one deficiency: hot water temperatures at two of seven resident bathroom sinks exceeded the maximum allowed 116 degrees Fahrenheit, with readings reaching 122 degrees despite monthly maintenance checks and thermostat adjustments. July 2024 documented one deficiency when six of 28 Special Care Unit residents did not receive required eight ounces of milk three times daily, with milk available in 17 unopened and 2 opened gallons plus six crates of individual milk cartons.
December 2022 annual survey identified three critical deficiencies in resident care. One resident lacked follow-up for portable oxygen, resulting in no portable oxygen available despite physician orders, potentially compromising respiratory support. Special Care Unit residents requiring feeding assistance were not consistently assisted in unhurried manner; staff frequently stood rather than sat while feeding residents, raising dignity and proper nutrition concerns. One resident received duplicate diabetic medications due to pharmacy and facility communication errors.
Earlier inspections reveal recurring medication administration, resident supervision, and physical plant safety maintenance gaps across years with no clear improvement trajectory. No fines or license suspensions appear in the record.
Families should ask about corrective actions for hot water temperature management, protocols for special care unit meal service and feeding assistance, and medication error preventions.
Lower than the North Carolina average: 76.4%In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 55 | 46 | This facility has 20% more total deficiencies than a typical North Carolina nursing home (55 vs. NC avg 46).↑ 20% worse |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 5 | 4.2 | This facility has 19% more deficiencies per year than a typical North Carolina nursing home (5 vs. NC avg 4.2).↑ 19% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.8 | 2.2 | This facility has 27% more deficiencies per inspection than a typical North Carolina nursing home (2.8 vs. NC avg 2.2).↑ 27% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 21 | This facility has 5% fewer total inspections than a typical North Carolina nursing home (20 vs. NC avg 21).↓ 5% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 17 | 19 | This facility has 11% fewer inspections with deficiencies than a typical North Carolina nursing home (17 vs. NC avg 19).↓ 11% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 85% | 90% | This facility has 5 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (85% vs. NC avg 90%).↓ 5% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
0.0 miles from city center
Estimated distance in miles from Lexington's city center to Brookstone Retirement Center's address, calculated via Google Maps.
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Brookstone Retirement Center is located in Lexington, North Carolina.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 30
Facility
30
NC AVG
72
Rank
#329 / 390 |
76.7%
Facility
76.7%
NC AVG
76.4%
Rank
#120 / 264 | 0% | 5.94
Facility
5.94
NC AVG
3.98
Rank
#10 / 90 | +239% | +49% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 97 | 7
Facility
7
NC AVG
20.9
Rank
#23 / 95 | 3.5
Facility
3.5
NC AVG
5.0
Rank
#36 / 95 | - | 22 | - |
13
Facility
13
NC AVG
33
Rank
#432 / 572 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M
Facility
$46.7M
NC AVG
$13.2M
Rank
#7 / 97 | $18.0M
Facility
$18.0M
NC AVG
$4.9M
Rank
#7 / 97 | 38.5%
Facility
38.5%
NC AVG
39.8%
Rank
#78 / 97 | 345199 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
72
Rank
#168 / 390 |
71.5%
Facility
71.5%
NC AVG
76.4%
Rank
#140 / 264 | -6% | 8.12
Facility
8.12
NC AVG
3.98
Rank
#3 / 90 | +78% | +104% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 97 | 11
Facility
11
NC AVG
20.9
Rank
#35 / 95 | 3.7
Facility
3.7
NC AVG
5.0
Rank
#38 / 95 | - | 7 | A+ |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Bkd Fm Holding Company LLC | $7.1M
Facility
$7.1M
NC AVG
$13.2M
Rank
#92 / 97 | $8.1M
Facility
$8.1M
NC AVG
$4.9M
Rank
#38 / 97 | 114.8%
Facility
114.8%
NC AVG
39.8%
Rank
#1 / 97 | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106
Facility
106
NC AVG
72
Rank
#68 / 390 | - | - | 3.96
Facility
3.96
NC AVG
3.98
Rank
#39 / 90 | +39% | 0% | $15.5k
Facility
$15.5k
NC AVG
$74.6k
Rank
#85 / 97 | 45
Facility
45
NC AVG
20.9
Rank
#89 / 95 | 9.0
Facility
9.0
NC AVG
5.0
Rank
#91 / 95 | 3 | 96 | A+ |
25
Facility
25
NC AVG
33
Rank
#346 / 572 | Ncnh Holdings LLC | $12.1M
Facility
$12.1M
NC AVG
$13.2M
Rank
#67 / 97 | $5.7M
Facility
$5.7M
NC AVG
$4.9M
Rank
#69 / 97 | 47%
Facility
47%
NC AVG
39.8%
Rank
#39 / 97 | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63
Facility
63
NC AVG
72
Rank
#224 / 390 |
100.0%
Facility
100.0%
NC AVG
76.4%
Rank
#1 / 264 | +31% | 3.12
Facility
3.12
NC AVG
3.98
Rank
#87 / 90 | -50% | -22% | $40.1k
Facility
$40.1k
NC AVG
$74.6k
Rank
#77 / 97 | 23
Facility
23
NC AVG
20.9
Rank
#67 / 95 | 4.6
Facility
4.6
NC AVG
5.0
Rank
#52 / 95 | 3 | 63 | A+ |
50
Facility
50
NC AVG
33
Rank
#149 / 572 | Nita Davis | $12.9M
Facility
$12.9M
NC AVG
$13.2M
Rank
#62 / 97 | $3.9M
Facility
$3.9M
NC AVG
$4.9M
Rank
#90 / 97 | 29.9%
Facility
29.9%
NC AVG
39.8%
Rank
#93 / 97 | 345089 |
Brookstone Retirement Center has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NC state health department records, Brookstone Retirement Center's license number is HAL-029-014.
Brookstone Retirement Center's occupancy is 24%.
Brookstone Retirement Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Brookstone Retirement Center has 115 beds.
Brookstone Retirement Center is located at 2968 Old Salisbury Road Lexington, NC 27295.
(336) 243-2500 will put you in contact with the team at Brookstone Retirement Center.
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