Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seacrest Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with Parkinson's Disease and Alzheimer's Disease sustained a femur fracture after being pushed in a wheelchair without leg rests by a CNA, resulting in the resident's legs becoming trapped under the chair. The incident was not reported to nursing staff at the time, and the injury was only discovered later when the resident exhibited pain and swelling, leading to a diagnosis of a complex femur fracture requiring surgery. Staff interviews confirmed that leg rests should have been used and that the facility lacked a specific wheelchair safety policy.
The facility did not provide current COVID-19 vaccine educational materials to residents or their representatives, resulting in no residents being offered or administered the vaccine. Interviews with the IP, Medical Director, and DON confirmed the lack of updated materials and absence of outreach to obtain them, despite policy requiring education and informed consent prior to vaccination.
Nurses failed to properly count and document controlled substances for three residents, resulting in discrepancies in lorazepam, tramadol, and hydrocodone counts. An LPN admitted to not performing required counts, signing out medications for one resident but administering to another, and destroying medication without a witness. The DON confirmed that staff did not follow policy for narcotic accountability, and some signed off on counts they did not actually perform.
The facility failed to handle potentially hazardous foods safely, as observed by a surveyor. Expired raw fish, pork, and corned beef were found in the refrigerator and freezer, and unlabeled salad plates and iced tea were in the prep refrigerator. The Regional Food Service Director acknowledged these issues and removed the items. The facility's policy requires all foods to be covered, labeled, and dated, which was not followed.
A facility failed to document a resident's skin cancer diagnosis on the MDS, despite the presence of visible lesions and a known diagnosis for three years. The MDS inaccurately recorded the absence of open lesions, which was inconsistent with weekly skin checks. The MDS Coordinator acknowledged the oversight, highlighting a lapse in the assessment process.
A resident with hypertension and atherosclerotic heart disease was found nonresponsive and later pronounced dead. The facility failed to complete and transmit the required MDS assessment for the resident's death, as acknowledged by the MDS Coordinator. The facility's policy requires timely submission of assessments, but this was not adhered to.
A facility failed to provide appropriate care for a resident's leg splint, which was observed multiple times without a corresponding physician's order or care plan intervention. The resident, with a history of stroke and hemiplegia, chose to wear the splint from a prior hospital stay, but the facility did not document or plan for its use upon the resident's arrival, contrary to facility policy.
A resident with an indwelling urinary catheter experienced improper care as the drainage bag was found on the floor and unsecured to the bed frame, violating infection control policies. Additionally, the facility failed to document the resident's urinary outputs as ordered, with multiple instances of missing entries in the Treatment Administration Record. These deficiencies were confirmed during a surveyor's inspection and an interview with the DON.
A resident with COPD, dementia, and pneumonia was observed with improper storage and use of their oxygen delivery system. The nasal cannula was not stored in a protective container, and the oxygen concentration was set incorrectly. The facility's policy requires the cannula to be kept in a plastic bag when not in use, but this was not followed, leading to a deficiency in respiratory care.
The facility failed to consistently monitor and document the behaviors of two residents on psychotropic medications as per physician's orders and care plans. Observations revealed incomplete documentation in the MAR and TAR, with unrecognized codes and blank areas. The facility's policies on charting and behavioral assessment were not followed, leading to inadequate documentation and communication regarding the residents' conditions.
The facility failed to monitor and document side effects of psychotropic medications for two residents, as required by physician's orders and care plans. Observations and record reviews revealed numerous undocumented shifts and improper use of an 'X' in place of approved documentation codes. Interviews with the DON and ADON confirmed the documentation was incomplete, violating facility policies.
Failure to Prevent Accident Hazard During Wheelchair Transport
Penalty
Summary
A deficiency occurred when a certified nurse aide (CNA) pushed a resident in a wheelchair without using leg rests, resulting in the resident's legs becoming trapped underneath the wheelchair. The resident, who had diagnoses of Parkinson's Disease and Alzheimer's Disease and was non-ambulatory, complained of pain after the incident. The CNA did not report the incident to nursing staff, despite the resident expressing discomfort. The resident was later found to have a swollen and bruised left leg, and subsequent medical evaluation revealed a complex comminuted fracture of the distal femur, requiring surgical intervention. The resident's care plan indicated a self-care performance deficit related to cognitive impairment and impaired balance, with interventions to encourage participation in activities of daily living and a note that the resident was non-ambulatory. The incident occurred when the CNA, who was aware that the resident typically self-propelled the wheelchair, chose not to use the leg rests while pushing the resident. The CNA acknowledged that the resident said "ouch" during the transfer but did not inform the nurse, as the resident stated they were okay. Other staff members were not made aware of the incident at the time, and the change in the resident's condition was only noticed later during routine care. Interviews with facility staff, including the assistant director of nursing (ADON), director of nursing (DON), and other CNAs and nurses, confirmed that the use of leg rests is expected when propelling residents in wheelchairs to prevent accidents. The facility did not have a specific policy on wheelchair safety beyond a general falls risk management policy. The lack of immediate reporting and assessment following the incident contributed to a delay in identifying the injury and providing appropriate care.
Failure to Provide COVID-19 Vaccine Education and Offer Vaccination
Penalty
Summary
The facility failed to provide educational materials regarding the COVID-19 vaccine to residents and/or their representatives, preventing them from making informed decisions about vaccination. Interviews with the Infection Preventionist (IP), Medical Director, and Director of Nursing (DON) confirmed that no residents had been offered or administered the COVID-19 vaccine due to the lack of current educational materials for the 2025-2026 year. The IP stated that only outdated materials were available and had not reached out to the facility's pharmacy or local health department to obtain updated information. The Medical Director was unaware of the issue and emphasized the importance of providing educational materials for informed consent. The DON indicated that while vaccination status is checked on admission, residents must receive education materials to make an informed choice. The Health Department confirmed that the facility had not requested educational materials, and the facility's policy required that residents be provided with the most current vaccine information statement (VIS) before vaccine administration. The policy also specified that education regarding benefits, risks, and potential side effects must be given prior to offering the vaccine. As a result of these actions and inactions, none of the 145 residents, who are considered a vulnerable population, were offered or given the COVID-19 vaccine, and their vaccination status was not properly documented in accordance with policy and regulatory requirements.
Failure to Maintain Accountability for Controlled Substances
Penalty
Summary
Nurses at the facility failed to properly complete narcotic medication counts and maintain accountability for controlled substances for three out of four sampled residents. Facility policy required that controlled substances be counted and documented by two licensed nurses at each shift change, with specific procedures for liquid narcotics and storage. However, documentation and interviews revealed that nurses did not consistently count or document narcotics as required, and in some cases, signed off on counts they did not actually perform. For one resident with an order for lorazepam, discrepancies were found in the medication count, with a 2.5 ml deficit noted and no documentation of administration for the missing amount. Statements from LPNs indicated that the refrigerated lorazepam was not always counted during shift changes, and one LPN admitted to not completing the count due to time constraints and habitually delaying documentation. Another resident with an order for tramadol had a missing medication card, and the nurse involved admitted to signing out the medication for one resident but administering it to another, as well as not knowing the whereabouts of the missing card. For a third resident, hydrocodone was reportedly destroyed by a nurse after the order was discontinued, but this was done without a witness and the medication card was not located. Interviews with the Director of Nursing confirmed that nurses did not follow policy regarding narcotic counts and documentation, and that some staff signed off on counts they did not actually perform. The investigation determined that narcotics were diverted by a nurse, and that other staff failed to properly verify and document controlled substance counts as required by facility policy and regulations.
Deficient Food Handling and Storage Practices
Penalty
Summary
The facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner, as observed by a surveyor. During an inspection of the kitchen, several issues were identified. In the walk-in refrigerator, raw fish was found wrapped in plastic wrap with a use-by date that had already passed. Similarly, in the walk-in freezer, a bag of frozen pork and three bags of frozen corned beef were discovered, all with expired use-by dates. Additionally, in the prep refrigerator, there were 11 salad plates on two trays and two pitchers of iced tea, all without labels or dates. The Regional Food Service Director acknowledged these oversights and removed the items. The facility's policy on food receiving and storage, revised in November 2022, mandates that all foods stored in the refrigerator or freezer must be covered, labeled, and dated. However, the facility did not adhere to these guidelines, as evidenced by the expired and unlabeled food items found during the survey. The Licensed Nursing Home Administrator confirmed that food past its use-by date should not be present in the freezer or refrigerator.
Failure to Document Skin Cancer on MDS
Penalty
Summary
The facility failed to accurately document and transmit a resident's diagnosis of skin cancer on the Minimum Data Set (MDS), an essential assessment tool for resident care. This deficiency was identified for one resident who had been diagnosed with skin cancer and had visible lesions on their face. Despite the resident's known diagnosis and the presence of skin cancer lesions for three years, the MDS inaccurately recorded the absence of open lesions other than ulcers, rashes, or cuts. This discrepancy was noted in multiple MDS assessments, where the resident's skin cancer lesions were not documented, despite being observed and recorded in weekly skin checks. The MDS Coordinator, responsible for ensuring the accuracy and completeness of resident assessments, acknowledged that the skin cancer should have been documented on the MDS. The coordinator typically gathered resident information from progress notes, staff, medication and treatment records, and skin checks. However, the failure to accurately reflect the resident's condition on the MDS indicates a lapse in the assessment process. The facility's administrative team was informed of the concern but did not provide additional information regarding the resident's MDS inaccuracies.
Failure to Transmit MDS Assessment for Deceased Resident
Penalty
Summary
The facility failed to complete and transmit a Minimum Data Set (MDS) assessment for a resident who died in the facility. The resident, who had been admitted with diagnoses including hypertension and atherosclerotic heart disease, was found nonresponsive in their wheelchair and later pronounced dead. Despite the resident's death, the MDS assessment, which is required to be completed and transmitted within seven days of assessment, was not conducted or submitted. During an interview, the MDS Coordinator acknowledged the oversight, confirming that the assessment should have been completed and transmitted in a timely manner. The facility's policy, revised in October 2023, mandates that resident assessments be conducted and submitted according to federal and state guidelines. However, the facility did not provide any additional information or justification for the failure to comply with these requirements.
Failure to Document and Care Plan for Resident's Leg Splint
Penalty
Summary
The facility failed to provide appropriate treatment and care for a resident's positioning needs, specifically regarding the use of a leg splint. The deficiency was identified when a surveyor observed the resident in a wheelchair with a leg splint on multiple occasions, but there was no physician's order or care plan intervention for the splint in the resident's electronic medical record. The resident had a history of cerebral vascular accident and hemiplegia affecting the left side, which necessitated the use of the splint. However, the care plan did not initially include any focus or intervention for the splint, and the physician's order for its use was only added after the surveyor's review. Interviews with facility staff, including an LPN and the Director of Nursing, revealed that the resident chose to wear the splint from a prior hospital admission, but there was no immediate documentation or care planning upon the resident's arrival at the facility. The facility's policy required that a comprehensive, person-centered care plan be developed within a specific timeframe and that any range of motion devices be included in the care plan with specific physician orders. The lack of timely documentation and care planning for the resident's leg splint constituted a failure to meet professional standards of practice.
Improper Catheter Care and Documentation Lapses
Penalty
Summary
The facility failed to provide appropriate care for a resident with an indwelling urinary catheter, as evidenced by improper handling and documentation practices. The urinary catheter drainage bag was observed in contact with the floor and unsecured to the bed frame, contrary to the facility's policy and standard infection control practices. This observation was made during a surveyor's tour of the unit, highlighting a lapse in maintaining hygiene and safety standards for catheter care. Additionally, the facility did not document the resident's urinary outputs as ordered by the physician. The Treatment Administration Record (TAR) showed multiple instances where urinary output measurements were not recorded, despite the resident having a physician's order to measure and document urinary outputs every shift. This lack of documentation was confirmed during an interview with the Director of Nursing, who acknowledged that a blank TAR does not indicate that the order was administered. These deficiencies were identified for a resident diagnosed with muscle wasting, atrophy, and a urinary tract infection.
Improper Storage and Use of Oxygen Delivery System
Penalty
Summary
The facility failed to ensure the proper storage and use of a resident's oxygen delivery system, leading to a deficiency in respiratory care. The deficiency was identified for a resident with a history of Chronic Obstructive Pulmonary Disease (COPD), dementia, and pneumonia, who was observed using a portable oxygen tank with a nasal cannula (n/c) as an oxygen delivery system. On multiple occasions, the surveyor noted that the n/c was not stored in a protective container when not in use, leaving it exposed to the environment. Additionally, the oxygen concentration was set incorrectly at 0.5 L/minute instead of the prescribed 2 L/minute, as observed by the Registered Nurse Unit Manager (RN UM). The facility's policy on oxygen and nebulizer use, adopted in August 2021, specifies that the oxygen cannula and tubing should be kept in a plastic bag when not in use to prevent infection. However, the RN UM acknowledged that the n/c was not stored correctly and that the oxygen tank was set at the wrong concentration. Despite being informed of these observations, the facility did not provide any additional information or corrective actions to the surveyor. This oversight in following the facility's infection control policy and ensuring the correct oxygen concentration contributed to the identified deficiency.
Failure to Monitor and Document Resident Behaviors on Psychotropic Medications
Penalty
Summary
The facility failed to consistently monitor and document the behaviors of residents on psychotropic medications as per physician's orders and the resident-centered Care Plan. This deficiency was identified for two residents. For the first resident, the surveyor observed the resident in the day room, unresponsive to greetings, and later learned from the CNA that the resident often yelled at staff during care. The RN Unit Manager confirmed that behavior charting should be documented every shift, yet the Medication Administration Record (MAR) and Treatment Administration Record (TAR) showed multiple instances of incomplete documentation, with blank areas and unrecognized codes like 'NO' and 'X'. The resident's care plan included monitoring for changes in behavior every shift, with specific interventions for paranoia, delusions, and other symptoms. However, the TARs for several months showed numerous shifts where monitoring was not documented, and interventions were not recorded despite documented behaviors. The facility's policy on charting and documentation emphasized the importance of consistent and approved abbreviations, which was not adhered to in this case. For the second resident, similar issues were observed. The resident was noted to be easy to redirect when upset, yet the TARs revealed numerous shifts with incomplete behavior monitoring documentation. The facility's Director of Nursing and Assistant Director of Nursing acknowledged the documentation failures, noting that the use of 'X' and 'N' was not in accordance with the facility's approved codes. The facility's policies on behavioral assessment and monitoring were not followed, leading to a lack of proper documentation and communication regarding the residents' conditions and responses to care.
Failure to Monitor and Document Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to adequately monitor and document potential side effects of psychotropic medications for two residents, as per physician's orders and the resident-centered care plan. Resident #105 was observed unresponsive in the day room, and a review of their records showed multiple psychotropic medications prescribed for mood disorders and depression. Despite orders to monitor for side effects every shift, the Treatment Administration Records (TAR) revealed numerous shifts left blank and undocumented side effects, with an unexplained 'X' used in place of proper documentation. Similarly, Resident #117, who was observed interacting with a stuffed dog and being easily redirected by staff, was also on multiple psychotropic medications for anxiety and mood disorders. The TARs for this resident showed significant gaps in documentation, with many shifts left blank and the same unexplained 'X' used. The facility's policy on charting and documentation was not followed, as only approved abbreviations and symbols should be used, and the 'X' was not listed as an approved abbreviation. Interviews with the Director of Nursing (DON) and Assistant Director of Nursing (ADON) confirmed that the documentation was incomplete and not in accordance with the facility's policies. The ADON acknowledged that the 'X' indicated that monitoring was not done, which was contrary to the physician's orders and the facility's policy on behavior assessment and monitoring. This lack of proper documentation and monitoring could potentially impact the residents' care and safety.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Little Egg Harbor Tw
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mystic Meadows Rehabilitation And Nursing Center | 3.4 mi | — | 24 | 0 |
| Manahawkin Health And Rehabilitation Center | 10.6 mi | — | 13 | 3 |
| Southern Ocean Center | 10.6 mi | — | 13 | 0 |
| Atlas Healthcare At Seashore Gardens | 10.9 mi | — | 0 | 0 |
| Health Center At Galloway, The | 11.1 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.