Brookstone Retirement Center
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.
About this community
Occupancy
Inspection History
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.
Inspection Scorecard
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.
Since 2015 vs. North Carolina state average
• Total deficiencies (20% above)
• Deficiencies per year (19% above)
• Deficiencies per inspection (27% above) 3 Better Metrics better than North Carolina average:
• Total inspections (5% below)
• Inspections with deficiencies (11% below)
• Inspection deficiency rate (6% below)
Deficiencies
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This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
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Total deficiencies
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55 | 46 | This facility has 20% more total deficiencies than a typical North Carolina nursing home (55 vs. NC avg 46).↑ 20% worse |
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Deficiencies per year
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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 |
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Deficiencies per inspection
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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
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This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
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Total inspections
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20 | 21 | This facility has 5% fewer total inspections than a typical North Carolina nursing home (20 vs. NC avg 21).↓ 5% better |
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Inspections with deficiencies
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17 | 19 | This facility has 11% fewer inspections with deficiencies than a typical North Carolina nursing home (17 vs. NC avg 19).↓ 11% better |
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Inspection deficiency rate
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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 |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 1, 2025, found deficiencies related to hot water temperatures exceeding the allowed maximum in resident bathroom sinks. Earlier inspections identified issues with nutrition services, medication administration, resident supervision, and physical plant safety, including multiple life safety and maintenance concerns. Deficiencies mainly involved resident care aspects such as feeding assistance and medication errors, as well as ongoing physical plant and safety maintenance problems like fire safety equipment and oxygen storage. Complaint investigations were not listed in the available reports. The facility’s inspection history shows persistent challenges in both care and environmental safety, with no clear pattern of sustained improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near Brookstone Retirement Center
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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Financial Assistance for
Nursing Home in North Carolina
Brookstone Retirement Center is located in Lexington, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Compare Nursing Home around North Carolina
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
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| Carol Woods |
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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) | 119 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | A+ | 13 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Brookdale Carriage Club Providence |
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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 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
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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 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 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 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
Frequently Asked Questions about Brookstone Retirement Center
Is Brookstone Retirement Center in a walkable area?
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.
What is the license number of Brookstone Retirement Center?
According to NC state health department records, Brookstone Retirement Center's license number is HAL-029-001.
What is the occupancy rate at Brookstone Retirement Center?
Brookstone Retirement Center's occupancy is 24%.
What is the overall rating for Brookstone Retirement Center?
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.
How many beds does Brookstone Retirement Center have?
Brookstone Retirement Center has 115 beds.
Are there photos of Brookstone Retirement Center?
Yes — there are 4 photos of Brookstone Retirement Center in the photo gallery on this page.
What is the address of Brookstone Retirement Center?
Brookstone Retirement Center is located at 2968 Old Salisbury Road Lexington, NC 27295.
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