The Bluefields
The Bluefields is a 78-bed memory care and assisted living community at 1935 Lincoln Road, Leland, Brunswick County, North Carolina,, rated 3 out of 5 overall by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, and ranked 40th (tied) among 138 homes statewide. A secured Special Care Unit serves residents with Alzheimer’s and dementia; 24-hour staffing and secured living are confirmed. Medicaid is accepted; Medicare is not. Occupancy stood at 50 of 78 beds (64 percent) as of October 2020, below the North Carolina average of 76.4 percent, with census having declined from 74 residents at the August 2019 inspection.
Amenities include restaurant-style dining, housekeeping, transportation, maintenance, a library, an entertainment room, and an outdoor common area.
The regulatory record here requires serious attention before any placement decision. Thirteen inspections from August 2015 through August 2021 average 7.7 deficiencies per year, 48 percent above the North Carolina benchmark of 5.2.
The most consequential finding is a substantiated April 2016 complaint investigation in which inadequate supervision during the assisted living dining room supper meal resulted in the injury and death of Resident 2. That same investigation found failure to notify Resident 2’s physician of health care needs and psychotherapist recommendations, and a staff member refusing to change a resident’s soiled bed linen while speaking to her disrespectfully.
The October 2020 complaint and COVID-19 infection control survey produced 11 deficiencies, including Memory Care Unit staffing shortages across multiple shifts, a vacant Memory Care Manager position that had gone unfilled for months, failure to call EMS or perform CPR on an unresponsive resident without a DNR, delayed health care referral leading to a second resident’s hospitalization and death, personal care failures, COVID-19 isolation and screening failures, and meal service dignity violations. The August 2019 annual inspection added 10 deficiencies: a 35 percent medication error rate, absent third-shift CPR certification on 14 of 15 sampled shifts, supervisor absent for 19 of 24 sampled shifts, and missed or delayed medical appointments for 5 residents.
Subsequent 2019 and 2020 follow-up surveys documented a 12 percent medication error rate and a 25-day delay in urological care for a resident passing blood in her urine. The August 2021 annual inspection found 5 deficiencies, including a staff member hired without required North Carolina Health Care Personnel Registry verification and a total-care resident transferred without the required two-person assist. Earlier substantiated complaints cover bed bug infestations in approximately 20 rooms in 2015, mold growth in 8 rooms from roof leaks and faulty HVAC equipment in 2017, and recurring physical plant failures.
No fines or license suspensions appear in the available record.
Leland sits roughly 10 miles west of Wilmington in Brunswick County; Novant Health Brunswick Medical Center is the primary nearby acute-care resource.
Families should ask administrators directly about corrective actions following the 2016 dining supervision death, current Memory Care Unit staffing levels, and medication administration audit protocols.
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 (17% above)
• Deficiencies per year (17% above)
• Total inspections (67% above)
• Inspections with deficiencies (42% above) 2 Better Metrics better than North Carolina average:
• Deficiencies per inspection (32% below)
• Inspection deficiency rate (14% below)
Deficiencies
|
This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
|
54 | 46 | This facility has 17% more total deficiencies than a typical North Carolina nursing home (54 vs. NC avg 46).↑ 17% worse |
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Deficiencies per year
|
4.9 | 4.2 | This facility has 17% more deficiencies per year than a typical North Carolina nursing home (4.9 vs. NC avg 4.2).↑ 17% worse |
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Deficiencies per inspection
|
1.5 | 2.2 | This facility has 32% fewer deficiencies per inspection than a typical North Carolina nursing home (1.5 vs. NC avg 2.2).↓ 32% better |
Inspections
|
This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
|
35 | 21 | This facility has 67% more total inspections than a typical North Carolina nursing home (35 vs. NC avg 21).↑ 67% worse |
|
Inspections with deficiencies
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27 | 19 | This facility has 42% more inspections with deficiencies than a typical North Carolina nursing home (27 vs. NC avg 19).↑ 42% worse |
|
Inspection deficiency rate
|
77% | 90% | This facility has 13 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (77% vs. NC avg 90%).↓ 13% 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 August 13, 2021, identified deficiencies related to staff qualifications, personal care, health care follow-up, resident privacy, and COVID-19 screening procedures. Earlier inspections showed a pattern of issues including inadequate staffing, delayed or missed medical care, medication administration errors, and infection control challenges. Complaint investigations substantiated concerns about resident care, supervision, and facility cleanliness, including a prior incident involving resident neglect resulting in death and ongoing bed bug infestations. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history indicates persistent challenges with care coordination and staffing, with no clear trend of sustained improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near The Bluefields
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Financial Assistance for
Nursing Home in North Carolina
The Bluefields is located in Leland, 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.
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Frequently Asked Questions about The Bluefields
Is The Bluefields in a walkable area?
The Bluefields has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of The Bluefields?
According to NC state health department records, The Bluefields's license number is HAL-010-007.
What is the occupancy rate at The Bluefields?
The Bluefields's occupancy is 64%.
What is the overall rating for The Bluefields?
The Bluefields received a 3-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 The Bluefields have?
The Bluefields has 78 beds.
Are there photos of The Bluefields?
Yes — there are 9 photos of The Bluefields in the photo gallery on this page.
What is the address of The Bluefields?
The Bluefields is located at 1935 Lincoln Road Leland, NC 28451.
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