Brookstone Retirement Center
Nursing Home · North Carolina, NC

Brookstone Retirement Center

Nursing Home · North Carolina, NC

Overview of 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.

(336) 243-2500
Bed community size
115-bed community Rank #69 / 397Bed count — State benchmarkedThis home is ranked 69th out of 397 homes in North Carolina. Shows this facility's certified or reported bed count compared to other North Carolina SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 73 / 100 Rank #21 / 572Walk Score — State benchmarkedThis home is ranked 21st out of 572 homes in North Carolina. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
24%
Rank #246 / 264Occupancy rate — State benchmarkedThis home is ranked 246th out of 264 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 264. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the North Carolina average: 76.4%
Occupied beds
28 / 115
Average occupied beds in North Carolina homes 85 beds

License Details

StatusActive
CountyDavidson
License NumberHAL-029-001

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Amenities & Lifestyle

Licensed As A Home For The Aged
In-House Registered Nurse
Physician
Medications Monitoring
Physical Therapy
Occupational Therapy
Speech Therapy
Transportation Services
Home Health Care
Telephone And Cable Services
On-Site Beauty Salon/Barber Services
Housekeeping Service
Laundry Service
Multi-Jet Whirlpool Bath
Planned Activities
In-House Religious Services
ActivitiesResidents are invited to participate in daily activities planned by our full-time activity coordinators. Favorite activities include quilting and craft classes, along with group excursions.
Specific ProgramsAlzheimer's Special Care Unit, Activities & Amenities
Religious ServicesYes
Operating HoursMon-Fri: 9:00 AM – 5:00 PM; Sat: Closed; Sun: Closed; Facility Open 24/7/365

Dining & Nutrition

Food DescriptionResidents are served three nutritious meals (and three snacks) every day in our dining room.

Contact Brookstone Retirement Center

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.

Since 2015 · 11 years of data 55 deficiencies 20 inspections 0 penalties 17 inspections with deficiencies

Inspection Scorecard Info 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
Overall vs. NC average 3 Worse Metrics worse than North Carolina 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)
Latest Inspection October 1, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility NC Average vs. NC Avg
Total deficiencies Info 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 Info 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 Info 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 Info State inspections evaluate whether the facility meets health and safety standards.

This Facility NC Average vs. NC Avg
Total inspections Info 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 Info 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 Info 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

Inspection Reports Summary Info 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 Reports

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
4 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 9th (tied) of 138 homes in North Carolina See full North Carolina ranking

Places of interest near Brookstone Retirement Center

Address 0.0 miles from city center Info Estimated distance in miles from Lexington's city center to Brookstone Retirement Center's address, calculated via Google Maps.

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Address

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.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

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.

4 facilities compared · CMS & NC Dept. of Health data

Filter by care type
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) 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
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 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
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 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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