Seaside Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Seaside Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 11, 2021

  Based on observation and interview, the facility failed to maintain the ice machine in the facility kitchen to prevent the spread of foodborne illness and ensure the safety of the 138 residents that resided at the facility. The findings include: During a tour of the facility kitchen on 2/08/2021 at 11:09 AM, the interior of the ice machine was observed. The metal running across the interior top of the ice machine was covered with spots of a brown substance that ran the length of the metal. There was water condensation on the metal that could drop into the ice below. (Photographic evidence obtained) The Certified Dietary Manager (CDM) was asked at the time of observation if she could wipe the substance off. […]

• No harm, potential for more than minimal, patternF925May 14, 2026

  Based on observations, interviews and record review, the facility failed to maintain an effective past control program to ensure that the facility was free of pests. This failure affected the facility's kitchen, room [ROOM NUMBER] and the adjoining hallway. The findings include: 1.On 5/11/2026 at 10:50 AM, during the initial kitchen tour, two live insects were observed crawling behind the dishwasher machine near the water drainage pipe. (Photographic evidence obtained) On 5/13/2026 at 11:32 AM, during a follow-up tour of the kitchen, food items were being delivered by the vendor. The facility's back door remained open during the delivery. There was no device in place to help keep pests and flying insects from entering through the doorway into the kitchen. […]

• No harm, potential for more than minimal, isolatedF550May 14, 2026

  Based on observations, interviews, record review and a review of the facility's policies and procedures, the facility failed to ensure each resident a dignified experience and self-determination, by failing to ensure adequate communication interventions were available for one (Resident #38) of 30 residents whose care plans were reviewed. This failure contributed to Resident #38's expression of feeling ignored and forgotten by staff. The findings include:On 05/11/2026 at 12:37 PM, an observation of Resident #38's room revealed no communication board, dry erase board, iPad/tablet, or other communication aid present, despite the resident exhibiting difficulty verbally communicating.On 05/11/2026 at 12:37 PM, an interview with Resident #38 revealed he felt staff often could not understand him,… […]

• No harm, potential for more than minimal, isolatedF693May 14, 2026

  Based on observations, record review, interview and a review of the facility's policies and procedures, the facility failed to ensure that a resident who was fed by enteral means received appropriate treatment and services to prevent complications of enteral feeding by failing to ensure that enteral nutrition was administered in accordance with the physician's orders for one (Resident #123) of two residents reviewed for enteral nutrition services from a total of three residents receiving enteral nutrition. Resident #123 was ordered an enteral nutritional formula to be administered at 65 ml per hour and instead was receiving her enteral nutrition at 75 ml per hour. […]

• No harm, potential for more than minimal, isolatedF695May 14, 2026

  Based on observations, record review, staff interview and a review of the facility's policies and procedures, the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice for one (Resident #145) of one resident reviewed for respiratory care from a total survey sample of 40 residents. The facility failed to obtain a physician's order for oxygen prior to its administration, and Resident #145's oxygen flow rate was inconsistent with what the physician stated in his 5/8/2026 progress note and what LPN B stated during a 5/13/2026 interview.The findings include:On 5/12/2026 at 10:09 AM, an observation was made of Resident #145 in bed wearing a nasal cannula with oxygen infusing. […]