Deficiency Records for Seaview Rehabilitation and Wellness Center, LP
Updated as of March 01, 2024
A list of the most recent deficiencies for Seaview Rehabilitation and Wellness Center, LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-12 | 2024-02-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-12 | 2024-02-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-12 | 2024-02-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-12 | 2024-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-12 | 2024-02-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-12 | 2024-02-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-12 | 2024-02-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-12 | 2024-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-12 | 2024-02-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-01-12 | 2024-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-12 | 2024-02-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-17 | 2023-11-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-31 | 2023-08-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-17 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-02-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-08-04 | 2022-10-13 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-05-09 | 2022-07-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-09 | 2022-07-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-09 | 2022-07-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-09 | 2022-07-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-09 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-09 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-09 | 2022-07-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-09 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-07-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-09 | 2022-07-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-09 | 2022-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-09 | 2022-07-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-11-24 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-18 | 2020-12-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-18 | 2020-12-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-18 | 2020-12-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-18 | 2020-12-09 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-02-18 | 2020-12-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-18 | 2020-12-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-18 | 2020-12-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-18 | 2020-12-09 | N |
| 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. | Health | 2020-02-18 | 2020-12-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-02-18 | 2020-12-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-18 | 2020-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-12-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-25 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-25 | Not Fixed | N |
