Atlantic Shores Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Atlantic Shores Nursing and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jun 11, 2026

  Based on observation, and interview, the facility failed to maintain a clean and homelike environment for 6 out of 12 resident rooms on the South wing, resulting in an environment that did not promote resident comfort and safety.Findings:During environmental tours conducted between 6/08/26 and 6/11/26 on the South wing of the facility, the following observations were made:1. In room [ROOM NUMBER]-B, a hole on the wall above the baseboard with crumbling dry wall between beds A and B was observed on 6/08/26 at 9:30 AM, on 6/09/26 at 2:30 PM, and on 6/10/26 at 11:10 AM. On 6/08/26 at 9:30 AM, the resident in room [ROOM NUMBER] bed B said she did not recall how long the hole in the wall above the baseboard was there, but she did not like to see the hole on the wall. 2. […]

• No harm, potential for more than minimal, patternF880Jun 11, 2026

  Based on observation, and interview, the facility failed to maintain an effective infection prevention and control program to prevent the spread of infection by ensuring staff performed hand hygiene while assisting the residents in the dining room before, during and after lunch, in one of two dining rooms of the facility, (South wing). Findings:On 6/08/26 at 11:30 AM, residents were sitting in the South wing dining room in their wheelchairs waiting for the lunch meal service. On 6/08/26 at 11:52 AM, two Certified Nursing Assistants (CNA)s and the Infection Prevention nurse (IP) were in the dining room providing beverages to the residents, setting up the residents' lunches in preparation for them to eat their meal. […]

• No harm, potential for more than minimal, patternF657Dec 22, 2022

  Based on record review, and interview, the facility failed to involve residents and/or their representatives in the care planning process for 3 of 3 residents reviewed for care planning of a total sample of 42 residents, (#19, #44, #67). Findings: 1. Review of resident #19's medical record revealed she was admitted to the facility on [DATE] with diagnoses that included dementia, depression, and anxiety. Review of resident #19's Minimum Data Set (MDS) Change in Status assessment with Assessment Reference Date (ARD) 9/08/22 revealed she had a Brief Interview for Mental Status score of 0 which indicated she was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF695Dec 22, 2022

  Based on observation, interview and record review, the facility failed to obtain a physician order for 1 of 1 resident receiving oxygen, failed to follow physician ordered dosage for oxygen administration for 2 of 2 residents, and failed to monitor water in the oxygen humidifier for 1 of 1 resident out of 8 residents reviewed for oxygen therapy of a total sample size of 42 residents, ( 89, 551, 76, 38). Findings: 1. Resident #89 was admitted to the facility on [DATE] with diagnoses of anxiety disorder, vascular dementia, and transient ischemic attack. Review of the resident's medical record showed a Minimum Data Set (MDS) admission assessment dated [DATE] that did not show oxygen therapy. Review of the care plan dated 9/26/22 showed no focus, goals, or interventions for oxygen. […]

• No harm, potential for more than minimal, patternF888May 6, 2022

  Based on observation, interview and record review, the facility failed to ensure all staff were fully vaccinated, implement their additional precautions for personal protective equipment (PPE) of their COVID-19 staff vaccination policy, and identify an appropriate clinical reason for the contraindication of the COVID-19 vaccine for two of five staff reviewed. This deficient practice has the potential to affect residents that reside on one of two units. Findings include: 1. Failed to ensure all staff were fully vaccinated: According to the facility COVID-19 Vaccine - Staff policy effective 1/27/2022 each staff will be educated and vaccinated unless medically contraindicated or already immunized. […]