Shoreline Care Center

In the surveyor’s words

From the most serious findings on record at Shoreline Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 27, 2025

  Based on observation, interview and record review, the facility failed to: Provide adequate supervision for one of two sampled residents (Resident 1) to prevent accidents. Additionally, the facility failed to: -Accurately assessed Resident 1's risk for elopement. -Follow interventions for the administration of anti-anxiety medications. -Call the physician/medical practitioner for change in condition (increased agitation) to seek appropriate care intervention for Resident 1. -Place Resident 1 in a room farther away from the fire exit door which opens to a busy street. These failures resulted in Resident 1 opening an exit door on 2/14/25 between 5:30 a.m. […]

• Actual harm, isolatedF658Feb 10, 2026

  Based on observation, interview and record review, the facility failed to transcribe and implement an x-ray as ordered by the physician in one out of three sampled residents (Resident 1) after Resident 1 sustained a fall.This failure resulted in a delay of treatment and care of a right hip fracture for Resident 1 that went unnoticed and untreated by the facility for 7 days. During a review of Resident 1's admission Record (AR) undated, the AR indicated Resident 1 was initially admitted to the facility on [DATE] with diagnoses including Anemia (condition where the body does not have enough healthy red blood cells), Dementia (a progressive state of decline in mental abilities), Depression (mood disorder that causes a persistent feeling of sadness and loss of interest), and Anxiety (mental… […]

• No harm, potential for more than minimal, widespreadF812Jan 16, 2025

  Based on observation, interview, and facility policy review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility's kitchen staff failed to maintain clean food preparation equipment, date and label leftovers, thaw raw meat properly, wear gloves when handling ready-to-eat (RTE) food, and ensure hair restraints were worn in the food preparation areas. This deficient practice had the potential to affect all residents who received food from the kitchen. Findings included: 1. A facility policy titled, Kitchen Sanitation & [and] Cleaning Schedules, effective in February 2009, indicated 2.0 POLICY Maintain a clean, sanitary, and safe kitchen. The policy indicated, 3.0 PROCEDURE 1. […]

• No harm, potential for more than minimal, widespreadF814Jan 16, 2025

  Based on observation, interview, and facility policy review, the facility failed to dispose of garbage and refuse properly affecting 3 of 3 dumpsters. Specifically, the trash and recycle dumpster lids were open with overflowing trash piled up over the top of the dumpsters and trash and debris was on the ground surrounding the base of the dumpsters. This had the potential to affect all 171 residents who resided in the facility at the time of the survey. Findings included: A facility policy titled, Garbage & Rubbish Disposal, effective in February 2009, indicated, 1.0 PURPOSE Maintain a sanitary and safe environment through effective disposal of garbage and rubbish. The policy indicated the section titled 3.0 PROCEDURE included 8. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2022

  Based on observation, interview, and record review, the facility failed to ensure: 1. The temperature was monitored in the dry food storage room; 2. The ice machine's preventative maintenance (PMs) and cleaning schedule was performed and documented according to the manufacturer's instruction for use (MIFU's) manual; 3. The ice machine floor drain was clean, free of debris, and trash. These failures had the potential to place residents at risk for developing foodborne illness. Findings: 1. During an observation on 6/14/22, at 9:20 a.m., in the dieticians office, the office was observed to also be used as the dry food storage room. The room was divided by a caged wall. One side of the room was the office, and the other side was food storage. The food was stored on shelves. […]