Average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seaview Rehabilitation & Wellness Center, Lp during CMS and state inspections, most recent first.
A resident with depression, cognitive decline, and severe cognitive impairment had an ordered psychology/psychiatry consult that was not completed for months despite ongoing agitation, refusal of care, yelling at staff, and other disruptive behaviors. The DON acknowledged the consult should have been arranged and completed, but the facility’s psych provider was on maternity leave and the covering provider did not appear, so no service was provided.
A resident with chronic AFib, cervical disc disorders, bilateral cystoid macular degeneration with blindness, and muscle weakness had a BIMS score of 14, indicating intact cognition. Facility IDT care conference notes documented attendance by RN/LVN, dietary, social work, and activities staff, but did not show that the resident or family were invited or present. The SSD said they were always invited and the resident always attended, but could not provide documentation, and the family member stated he had not attended any care conferences at this facility.
The facility failed to ensure RN coverage for at least 8 consecutive hours per day, 7 days a week for a census of 39. PBJ staffing data and daily staffing sheets showed multiple days with no RN coverage or RN scheduled, and the ADM confirmed there were several days when no RN worked 8 consecutive hours. The facility policy stated staffing was intended to ensure an adequate number of nursing personnel were available to meet resident needs.
Failure to Include Residents and RPs in Care Conferences: The facility did not consistently hold quarterly or initial care conferences or involve residents and their RPs in person-centered care planning. Record review showed multiple residents had missed care conferences, and some conferences were held without the resident or RP present. The SSD stated she was responsible for coordinating quarterly care conferences and that they had not been completed for about a year before she took the position.
Controlled medication records did not reconcile for two residents receiving PRN narcotics. Doses were signed out on the INR but not documented on the MAR, and one MAR entry did not match medication removal from the cart. In addition, the Controlled Substance Disposition Log for destroyed narcotics was missing from the binder, and the DON and RQMC confirmed the records could not be located.
Hand Hygiene and Plunger Storage Lapses: Staff failed to perform hand hygiene before offering meals or feeding residents, including a CNA who did not clean hands before donning PPE and assisted two residents without changing gloves or cleaning hands between contacts. Toilet plungers were also observed placed directly on bathroom floors in shared resident bathrooms without receptacles, and the IP and HS confirmed the plungers should not be stored that way.
A resident with chronic respiratory failure with hypercapnia and hypoxia had a physician order for PRN O2 at 2 L/min via NC, but the oxygen concentrator was observed set at 4 L/min. An LPN confirmed the setting did not match the order, and the DON also verified the discrepancy and stated nurses were responsible for ensuring the resident received oxygen as ordered.
A resident with a hip prosthesis-related diagnosis did not receive ordered RNA services three times per week and was not evaluated for proper wheelchair height. The resident stated he stayed in bed much of the time and would participate in more activities if his wheelchair were not too low to safely transfer and propel himself. Staff stated PT was responsible for determining safe wheelchair height, and RNA staff reported being pulled to CNA duties at times.
Staff lacked consistent knowledge of abuse reporting requirements, with several unable to identify the correct agencies or time frames for reporting. In one case, an allegation of abuse involving a resident was not reported to the Ombudsman and law enforcement within the required two-hour window, as confirmed by the administrator.
Staff did not wear gowns while changing the incontinence brief of a resident with an indwelling catheter, despite facility policy and posted instructions requiring gown and glove use for Enhanced Barrier Precautions. Both the staff and the resident confirmed that gowns were not used during these care activities, and interviews with clinical leadership verified that this was not in compliance with infection control protocols.
A resident with multicolored bruising on the left upper chest and armpit was not reported to the Department within the required two-hour timeframe, delaying the investigation of potential abuse. The bruising was first documented on a shower sheet but was not reported until days later. Staff interviews revealed inconsistencies in understanding the abuse reporting protocol, with some believing they had 24 hours to report, contrary to facility policy.
Delayed Psychology/Psychiatry Consult for Resident With Behavioral Symptoms
Penalty
Summary
The facility failed to ensure timely completion of a physician-ordered psychology/psychiatry consult for one resident with depression, age-related cognitive decline, and cognitive communication deficit. The resident’s MDS dated 2/25/26 indicated severe cognitive impairment and problematic behaviors directed toward others, including threatening, yelling at, or cursing at staff. An order dated 7/30/25 for a psychology/psychiatry consult with follow-up treatment as indicated was present in the order summary, but there was no evidence the consult was completed during the 11-month period reviewed. Facility progress notes documented ongoing behavioral and psychological concerns during that period, including increased evening agitation, multiple outbursts toward staff, fear of staff leaving the room, refusal of care, yelling and waving her hand aggressively at staff, calling police to complain that she was being held captive, and another episode of yelling during care. During interview, the resident stated one incident reported as abuse occurred because a CNA was rushing her. The DON stated the consult should have been arranged and completed and explained that the facility’s psychology/psychiatry provider had been on maternity leave and the covering provider failed to show up, resulting in no service being provided.
Failure to Invite Resident and Family to Care Conferences
Penalty
Summary
The facility failed to ensure a resident and the resident’s family members were notified and invited to participate in care conferences for one resident. Resident 1 was admitted with diagnoses including chronic atrial fibrillation, cervical disc disorders, bilateral cystoid macular degeneration with blindness in both eyes, and muscle weakness. The MDS dated 5/26/25 showed a BIMS score of 14, indicating intact thinking, remembering, and learning processes. Facility IDT care conference notes showed meetings held on 11/24/25, 2/16/26, and 5/16/26, with RN/LVN, dietary staff, social worker, and activity department in attendance. The notes did not indicate that Resident 1 or the resident’s family members were invited or attended any of the meetings. During interview, the SSD stated Resident 1 and her family were always invited and that Resident 1 always attended, but she was unable to provide documentation to verify attendance or invitations. The resident’s family member stated he had not attended any care conferences at this facility, although he had attended some at the resident’s previous facility. The facility policy stated the resident and representative must receive reasonable notice of care planning conferences and that the meeting will be documented in the resident’s clinical record.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure the services of an RN for at least eight consecutive hours per day, seven days a week for a census of 39. Review of the facility’s third quarter PBJ Staffing Data Report showed no RN coverage on 4/5/25, 5/16/25, 5/23/25, 5/26/25, and 6/20/25. Review of the Daily Staffing Sheets for those same dates also indicated that no RNs were scheduled. During an interview, the Administrator confirmed there had been several days when no RN had worked eight consecutive hours and stated it was important to have an RN for the supervision and clinical assessment of residents. The facility’s policy titled Nursing Department- Staffing, Scheduling & Postings stated that staffing was intended to ensure an adequate number of nursing personnel were available to meet resident needs.
Failure to Include Residents and RPs in Care Conferences
Penalty
Summary
The facility failed to ensure person-centered, comprehensive care planning for seven residents when the interdisciplinary team did not consistently hold quarterly or initial care conferences and did not involve residents and/or their responsible parties in the development and implementation of care plans. Record review showed that Resident 7 had a quarterly care conference on 9/10/24 without the RP present and no quarterly care conference in the 4th quarter of 2024. Resident 6 had a quarterly care conference on 10/23/24 without the resident or RP present, and the chart showed no quarterly care conferences in the first or second quarter of 2025. Resident 3 had a quarterly care conference on 3/4/25 without the resident or RP present, and no quarterly care conference was held in the 4th quarter of 2024. Additional record review and interviews showed Resident 39 had not had a care conference since 9/20/24, and the Social Services Director verified this during the survey. Resident 24 had no quarterly care conferences during the 2nd and 3rd quarters of 2025. Resident 34's chart showed no initial care conference, and Resident 10's chart also showed no initial care conference. The Ombudsman stated she had not attended any care conferences recently due to leadership turnover, and the Social Services Director stated she was responsible for coordinating quarterly care conferences and that, before she accepted the position, quarterly care conferences had not been completed for approximately one year. The facility policy stated the IDT will include the resident and the resident's representative(s), and that an explanation must be included in the medical record if participation is not practicable.
Controlled Medication Records and Disposition Logs Were Incomplete
Penalty
Summary
The facility failed to ensure accurate reconciliation and accountability of controlled medications for two residents receiving PRN narcotics. For one resident, the order summary showed hydrocodone-acetaminophen 5-325 mg every 6 hours as needed for pain, but the INR documented doses removed from the medication cart on multiple occasions without corresponding documentation on the MAR. For the second resident, the order summary showed oxycodone HCl 5 mg every 4 hours as needed, and the INR likewise showed multiple doses removed without matching MAR documentation. The MAR also showed one oxycodone dose was given to the resident on 9/21/25, but that medication was not removed from the medication cart. During interview and record review, the LN and DON confirmed the INR did not match the MAR, and the DON stated staff were expected to document the narcotic in the MAR and record what they did with it. The facility also failed to provide the Controlled Substance Disposition Log for narcotics destroyed on 7/17/25 and 8/21/25. During review of the narcotic disposition binder, the logs for July and August were not present, and the DON confirmed they were missing. The DON stated it was important to keep an accurate account of narcotics and to know what comes in and what goes out. The RQMC also confirmed the logs could not be located and stated the log should provide a chain of custody and be completed by the DON and co-signed by the pharmacist.
Hand Hygiene and Plunger Storage Lapses
Penalty
Summary
The facility failed to protect the health of nine residents when hand hygiene was not performed before dining or feeding. During observations, Resident 37 and Resident 38 were given lunch trays without being offered hand hygiene and no hand wipes were noted on their trays. In Resident 3's room, CNA 2 donned PPE without first performing hand hygiene before feeding Resident 3, then intermittently assisted Resident 3's roommate on three separate occasions without changing gloves or performing hand hygiene between interactions. In Resident 14's room, CNA 1 positioned Resident 14 in bed and began feeding without performing hand hygiene first. In Resident 34's room, the MDS Coordinator assisted Resident 34 to eat without offering hand hygiene prior. The Infection Preventionist stated hand hygiene should be performed for both residents and staff prior to eating or feeding, and the facility's hand hygiene policy identified hand hygiene as the primary means to prevent the spread of infection. The facility also failed to store toilet plungers appropriately in resident bathrooms. A toilet plunger was observed sitting directly on the floor in the bathroom used by Residents 21 and 22, and CNA 4 stated it should be stored in a container and that a receptacle was supposed to be used. Another plunger was observed sitting directly on the floor in the shared bathroom used by Residents 1 and 35 with no receptacle to catch toilet drippings. The Infection Preventionist verified the plunger should not be directly on the floor, and the Housekeeping Supervisor stated plungers should be covered with a fresh plastic bag to keep bacteria off the floor. The policy for storage of plungers in resident bathrooms was requested but not provided.
Failure to Follow Oxygen Order
Penalty
Summary
The facility failed to follow physician orders for oxygen therapy for one sampled resident who had diagnoses including chronic respiratory failure with hypercapnia and hypoxia. The resident had a physician order dated 7/17/25 for PRN oxygen at 2 L/min via nasal cannula, and the care plan also identified oxygen therapy with settings of 1-2 L PRN. During observation, the resident's oxygen concentrator was set to deliver 4 L/min instead of the ordered 2 L/min. A licensed nurse later confirmed the concentrator was set at 4 L/min and acknowledged staff were not following the physician order. The DON also reviewed the setting and confirmed the order was for 2 L/min, stating nurses were responsible for ensuring the resident received what was ordered. The facility policy stated oxygen should be administered per physician orders.
Failure to Provide Ordered Restorative Services and Wheelchair Assessment
Penalty
Summary
The facility failed to provide treatment and services to maintain or improve mobility for one resident when the resident did not receive Restorative Nurse Assistance (RNA) sessions as ordered and was not evaluated for proper wheelchair height. Resident 38 was admitted with a primary diagnosis of infection and inflammatory reaction due to an internal right hip prosthesis. The resident’s MDS indicated that participating in favorite activities, getting fresh air, and joining group activities were important to him. The resident’s RNA order called for active range of motion to both extremities and ambulation with a front rolling walker three times per week. However, RNA documentation from 7/31/25 through 9/23/25 showed the resident did not receive RNA services three times per week as ordered. During observation, the resident was in bed and stated he did not get out of bed much, but would participate in more activities if his wheelchair were not so low. He said the wheelchair belonged to his sister-in-law and was too low for him to safely transfer from bed and propel himself out of the room. The PT stated wheelchair height could be determined after assessing the resident’s weight, height, and cognitive impairment, and that an improperly sized wheelchair posed a safety hazard. The RNA stated she tried to work with the resident two or three times per week but was sometimes pulled away to perform CNA duties, and also stated the wheelchair was too low and only PT could determine a safe height.
Failure to Timely Report Suspected Abuse and Staff Knowledge Deficits
Penalty
Summary
Facility staff demonstrated a lack of knowledge regarding the correct abuse reporting guidelines, including whom to report abuse allegations to and the required time frames for reporting. Interviews with both licensed and unlicensed staff revealed inconsistent and incorrect understanding of the reporting process, with several staff members stating that abuse allegations should be reported within 24 hours, rather than the required two-hour window for incidents involving abuse or serious bodily injury. Some staff were also unclear about which agencies needed to be notified, with responses varying between the state, Ombudsman, law enforcement, and the facility administrator. A specific incident was identified in which an allegation of abuse occurred when a certified nursing assistant was observed holding a sheet over a resident's head and pushing her down. The report of suspected dependent adult/elder abuse was not faxed to the Ombudsman and law enforcement until the following day, exceeding the mandated two-hour reporting window. The administrator confirmed that the facility did not meet the required reporting time frame for this incident.
Failure to Follow Enhanced Barrier Precautions During Incontinence Care
Penalty
Summary
Staff failed to follow the facility's Enhanced Barrier Precautions (EBP) protocol for a resident with an indwelling catheter. During an observed care activity, two unlicensed staff members changed the resident's incontinence brief without wearing gowns, despite clear signage and facility policy requiring both gowns and gloves for such high-contact care activities. The resident's care plan indicated the presence of an indwelling catheter, and the EBP document posted at the room entrance specified the need for gown and glove use during incontinence care. Both unlicensed staff members confirmed in interviews that they did not wear gowns during the care activity and acknowledged that they should have done so according to EBP guidelines. The resident also verified that staff did not wear gowns and stated that this had been a consistent practice. Interviews with a licensed nurse and the facility's infection preventionist further confirmed that residents with indwelling catheters are placed on EBP and that staff are required to wear gowns and gloves during incontinence care, as outlined in both facility policy and state guidance.
Failure to Timely Report Suspected Abuse
Penalty
Summary
The facility failed to report an injury of unknown origin, potentially resulting from abuse, to the Department within the required two-hour timeframe. This delay hindered the Department's ability to promptly investigate the injury and potential abuse. The incident involved a resident who was found with multicolored bruising on the left upper chest and armpit, which was first documented on a shower sheet on 5/13/24. Despite the documentation, the bruising was not reported to the appropriate authorities until 5/17/24, when it was observed again by staff. The facility's policy mandates that such incidents be reported within two hours, but the report was only completed and faxed on 5/17/24. Interviews with various staff members revealed inconsistencies in the understanding and execution of the abuse reporting protocol. Unlicensed staff and licensed nurses provided conflicting accounts regarding the timing and responsibility of reporting the bruising. Some staff believed they had 24 hours to report suspected abuse, contrary to the facility's policy. Additionally, there was a lack of training for staff on the proper procedures for reporting abuse allegations, which contributed to the delay in reporting. This failure to adhere to the reporting policy placed residents at risk of abuse and delayed necessary investigations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 82 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Eureka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Granada Rehabilitation & Wellness Center, Lp | 4.6 mi | ★★★★★ | 21 | 0 |
| Eureka Rehabilitation & Wellness Center, Lp | 5 mi | ★★★★★ | 28 | 0 |
| Fortuna Rehabilitation And Wellness Center, Lp | 10.3 mi | ★★★★★ | 33 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Seaview Rehabilitation & Wellness Center, Lp.
100% money-back within 48 hours.
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.