Edgewood Place at the Village at Brookwood
1820 Brookwood Avenue, Burlington, NC 27215
Edgewood Place at the Village at Brookwood is a nursing home in Burlington, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJuly 24, 2025 (1 year ago)
- Health citations since March 3, 20238 (North Carolina average 18)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Staffing
Total nurse staffing reported to CMS went from 6.3 to 5.3 hours per resident per day.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on July 24, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 15, 2025.
CMS update of April 30, 2025
Staffing
Total nurse staffing reported to CMS went from 6.6 to 5.4 hours per resident per day.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Fire safety inspection on May 10, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 20, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.4 to 5.6 hours per resident per day.
Health inspection on March 3, 2023
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 24, 2023.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on March 24, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 24, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 24, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 24, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 24, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on March 24, 2023.
Fire safety inspection on March 3, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 28, 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 28, 2023.
Fire safety inspection on December 19, 2019
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 28, 2020.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 28, 2020.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (336) 570-8400
- Last standard health inspection
- July 24, 2025 (1 year ago)
- Certified beds
- 51
- Residents per day, on average
- 22.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Alamance Extended Care, INC.
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (8 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WELL SPRING RETIREMENT COMMUNITY5% or greater direct ownership interest · 100% · since 07/01/2022
- MAYBERRY, APRILOperational/managerial control · not applicable · since 09/03/2019
Questions
When was Edgewood Place at the Village at Brookwood last inspected?
CMS lists July 24, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Edgewood Place at the Village at Brookwood have?
CMS lists 8 health citations since March 3, 2023. CMS also calls these deficiencies.
Has Edgewood Place at the Village at Brookwood been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Edgewood Place at the Village at Brookwood?
Its CMS overall star rating is 5 of 5.
Is Edgewood Place at the Village at Brookwood a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.