Shoreline Health and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF700Apr 7, 2022

  Based on observation, interview, and record review, the facility failed to evaluate resident equipment for safety hazards and risks, failed to implement written policies and procedures for bed safety and use of side rails, and failed to comprehensively assess the risk for entrapment prior to the use of side rails for 5 of 6 residents (Residents 1, 2, 3, 4 and 5) reviewed for side rails. The facility's failure to assess the residents' risk of bed and side rails entrapment, lack of an effective system to monitor and evaluate the safety risk of side rails prior to use and the facility's failure to recognize the risk of entrapment, injury or death related to an incompatible side rails and wrong size bed/mattress constituted an Immediate Jeopardy (IJ) situation on 04/06/2022. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2022

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the freezer, refrigerator, and dry storage, were labeled, and dated when opened. The facility also failed to make sure food in the refrigerator was covered properly and items sealed closed and to air dry all pans and baking sheets. These failures had the potential to affect all 82 residents in the facility who consumed food from the kitchen. Findings included . Review of the facility's undated policy, Date and Label, stated, Shoreline Health and Rehabilitation Center will use prepared date for dating all food preparations and food items once opened and label all food with a use by date. […]

• No harm, potential for more than minimal, patternF679Mar 24, 2026

  Based on observation, interview, and record review, the facility failed to provide an ongoing program of activities for 3 of 4 residents (Residents 8, 55 & 71), reviewed for activities. This failure placed the residents at risk for dissatisfaction with their activity choices, poor psychosocial well-being, and boredom.Findings included . Review of the facility's policy titled, Activities Programming, revised in April 2025 showed, it is the policy of this facility to ensure that activities are available to meet resident needs and interests that support the physical, mental, and psychosocial well-being of the resident. […]

• No harm, potential for more than minimal, patternF812Mar 24, 2026

  Based on observation, interview, and record review, the facility failed to ensure food stored were handled appropriately in accordance with professional standards of food safety for 1 of 1 kitchen refrigerator (Kitchen Walk-in refrigerator) and 1 of 8 staff (Staff T), reviewed for food services. The failure to discard food items and perform hand hygiene when assisting residents with their meals, placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross-contamination, and a diminished quality of life.Findings included.Review of the facility's policy titled, Food Procurement, Storage and Distribution, updated on 07/08/2022, showed, The facility, store, prepare, distribute and serve food in accordance with professional standards for… […]

• No harm, potential for more than minimal, patternF880Mar 24, 2026

  Based on observation, interview, and record review, the facility failed to ensure the water management program included an Infection Preventionist and an appropriate agency to report an outbreak. Additionally, the facility failed to follow infection control practices for disinfection of shared medical equipment and/or hand hygiene by 2 of 8 staff (Staff I and Staff S) and ensure hand hygiene products and supplies were readily available and accessible for 1 of 1 medication room (Second Floor Medication Room), reviewed for infection control. […]