Sea Cliff Healthcare Center

In the surveyor’s words

From the most serious findings on record at Sea Cliff Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF605Jan 14, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure four of five final sampled residents (Residents 1, 2, 3, and 4) reviewed for unnecessary medications were free from unnecessary psychotropic medications. * The facility failed to ensure Resident 1's nonpharmacological interventions for quetiapine (antipsychotic medication) and risperidone medications were separately monitored. * Resident 2 was receiving Risperdal (risperidone, antipsychotic medication) 1.5 mg, when the order was for Risperdal 1 mg. In addition, the facility failed to ensure Resident 2's nonpharmacological interventions for Risperdal, citalopram (antidepressant medication), and Remeron (antidepressant medication) medications were separately monitored. […]

• No harm, potential for more than minimal, patternF695Jan 14, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the necessary care and services were provided for five of five final sampled residents (Residents 24, 95, 99, 132, and 161) and one nonsampled resident (Resident 113) reviewed for respiratory care * The facility failed to ensure Resident 24 was provided with continuous oxygen at 2 LPM via nasal cannula as per the physician's order. In addition, the facility failed to ensure only the licensed nurse administered oxygen to Resident 24. Moreover, the facility failed to ensure Resident 24's nebulizer mask was not stored in a set bag when not in use. * The facility failed to ensure Resident 95's nebulizer mask was dated and stored in a set-up bag when not in use. […]

• No harm, potential for more than minimal, patternF757Jan 14, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure four of five final sampled residents (Residents 1, 2, 3, and 6) reviewed for unnecessary medications were free from the unnecessary medications. * The facility failed to monitor Resident 1's SBP prior to administering the midodrine (medication to treat low blood pressure) medication as ordered by the physician. In addition, the facility failed to follow the physician's order to hold the midodrine medication when Resident 1's SBP was greater than 120 mmHg. * The facility failed to follow the physician's order to hold the midodrine medication when Resident 2's SBP was greater than 130 mmHg. […]

• No harm, potential for more than minimal, patternF761Jan 14, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary pharmacy services to ensure proper medication storage for two of three medication rooms inspected (Medication Room A and Central Supply Room) and two of five medication carts inspected (Medication Carts A and B). * The facility failed to ensure the expired medication was removed from Medication Cart A. * The facility failed to ensure the medications were stored in a proper room temperature in Medication Room A. * The facility failed to ensure the expired supplies were removed from Medication Cart B. * The facility failed to ensure the externally used medications were stored separately from the orally used medications in the central supply room. […]

• No harm, potential for more than minimal, patternF812Jan 14, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitary requirements were met in the kitchen. * The facility failed to ensure food preparation utensils and equipment were in good, sanitary, and cleanable working conditions. * The facility failed to ensure food items were discarded by the best by or use by date. * The facility failed to ensure fruits with tough rinds or peels like cantaloupes were washed with a brush. These failures had the potential to cause foodborne illnesses to the medically vulnerable resident population who consumed food prepared in the kitchen. […]