Seabreeze Nursing and Rehabilitation

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-10-16 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-17

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-10-16 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-17

Provide care and assistance to perform activities of daily living for any resident who is unable.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-04-30 · Tag F0773 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-05-01

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-03-25 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-19

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-03-25 · Tag F0926 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-19

Have policies on smoking.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-07-23 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-14

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-07-23 · Tag F0610 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-14

Respond appropriately to all alleged violations.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity H — ACTUAL HARM

Survey 2024-10-16 · Tag F0684 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: Residents were actually harmed, in a repeated pattern rather than a one-off. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-03-05 · Tag F0602 · Complaint investigation · Deficient, Provider has plan of correction · Correction reported 2026-03-20

Protect each resident from the wrongful use of the resident's belongings or money.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-01-08 · Tag F0628 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-01-27

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-01-08 · Tag F0644 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-01-27

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-01-08 · Tag F0655 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-01-27

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-01-08 · Tag F0657 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-01-27

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2026-01-08 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-01-27

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-02-07 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-07

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-02-07 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-07

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-16 · Tag F0655 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2024-10-16 · Tag F0727 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-16 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-16 · Tag F0842 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2024-10-16 · Tag F0908 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-17

Keep all essential equipment working safely.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-16 · Tag F0909 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-17

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-25 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-19

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-25 · Tag F0726 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-19

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-25 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-19

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works