Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seabranch Health And Rehabilitation Center during CMS and state inspections, most recent first.
Kitchen food handling and sanitation deficiencies were observed, including butter being heated while still wrapped in its original packaging, a plate warmer with crumbs and residue, juice dispenser parts and a storage bin with debris and juice residue, and refrigerated sandwiches labeled only with the month and year instead of a full date. The DM acknowledged the improper preparation and labeling practices and could not provide a cleaning log for the plate warmer.
A resident with cancer and depression expressed concerns about her food being delivered on the wrong cart and alleged that people were spitting in her food. Despite voicing these grievances multiple times, the facility staff did not initiate a grievance process or address her concerns, leading to a deficiency in honoring the resident's right to voice grievances without discrimination or reprisal.
A resident did not receive restorative services as required, despite being cognitively intact and having a referral for daily Active Range of Motion (AROM) services. The Restorative CNA was reassigned to other duties, and there was no documentation of service refusal. The resident reported feeling weak and unable to walk.
A resident with a UTI was observed with a catheter bag on the floor, allegedly placed there by staff. During care, a CNA failed to follow proper hand hygiene protocols, including not removing soiled gloves before applying new ones, doubling gloves, and insufficient hand washing. The Infection Control Preventionist confirmed these findings.
A facility failed to maintain proper respiratory care for a resident by not adhering to its oxygen administration policy. The resident's oxygen tubing was not changed weekly as required, and the humidifier bottle was outdated and improperly connected. Staff interviews revealed confusion about the protocol, and the DON acknowledged the need for clearer orders and adherence to policy.
The facility failed to maintain proper infection control practices, as staff did not adhere to PPE protocols for residents on droplet and enhanced barrier precautions. A PTA used a surgical mask instead of an N95 while caring for a COVID-19 positive resident, and a CNA entered a droplet precaution room without proper PPE. Additionally, a CNA provided care to a resident on enhanced barrier precautions without wearing a gown. These actions were contrary to facility policies and CDC guidelines.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
Food was not stored, prepared, and maintained in accordance with professional standards in the kitchen. During observation, a metal container on the gas stove contained melted butter still inside its original wax/paper packaging. The Dietary Manager observed the container and agreed that this was not the correct method and that it would have to be thrown out. The same tour also found the plate warmer machine with crumbs on the base and a brownish orange residue down the sides, and the Dietary Manager stated it was cleaned monthly but was due for cleaning and could not provide a cleaning schedule or log showing when it was last cleaned. Additional observation showed juice dispenser parts, including tubing and a connector, stored in a large plastic bin under the coffee and juice machines. The bin contained black debris and the tubing had juice residue. The Dietary Manager stated the orange juice had been on backorder and the parts were cleaned only when orange juice was delivered, and agreed the parts and storage bin were not clean. Refrigerated peanut butter and jelly sandwiches were labeled only with the month and year, and later egg salad sandwiches were also found dated only with the month and year, rather than with the full required date.
Failure to Address Resident's Grievance Regarding Food Delivery
Penalty
Summary
The facility failed to respond to a verbal grievance regarding the delivery of food for a resident, identified as Resident #49, who was admitted with diagnoses including cancer and depression. The resident, who was cognitively intact, expressed concerns about her food being delivered on the wrong cart and alleged that people were spitting in her food. Despite voicing these grievances multiple times to the staff, including the attending nurse and the Food Service Manager, the facility did not initiate a grievance process or take steps to address her concerns. Interviews with staff members, including the Social Service Director and the Food Service Manager, revealed a lack of awareness and action regarding the resident's complaints. The Social Service staff were unaware of any grievances related to food, while the Food Service Manager acknowledged the resident's complaints but did not start a grievance process. The resident felt that her concerns were not being addressed due to racial discrimination, as she believed the issue would have been resolved if she were Caucasian. This inaction by the facility staff led to a deficiency in honoring the resident's right to voice grievances without discrimination or reprisal.
Failure to Provide Restorative Services
Penalty
Summary
The facility failed to provide restorative services to a resident, identified as Resident #92, who was admitted on 04/21/24. The resident was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. Despite a therapy referral dated 05/13/24 for Active Range of Motion (AROM) services to be provided once a day, the resident did not receive any restorative therapy services during the 7-day look-back period as documented in the Minimum Data Set (MDS) assessment. The current order for the Restorative Nursing Program (RNP) lacked specified frequency and duration for the AROM services. Interviews revealed that the Restorative Certified Nursing Assistant (R-CNA), Staff E, was not providing the required services due to being reassigned to other duties within the facility, such as working the floor, dining room, and attending doctor appointments. Staff D, an LPN covering for the Director of the RNP, mentioned that the resident had refused services once, but there was no documentation to support this claim. The Staffing Coordinator stated that Staff E had not been frequently pulled to other areas in the past month, contradicting Staff E's statement. This lack of consistent restorative care led to the resident feeling weak and unable to walk, as he reported during an interview.
Improper Hand Hygiene and Catheter Care
Penalty
Summary
The facility failed to provide appropriate care and services for a resident with a urinary tract infection (UTI). The resident, who was moderately cognitively impaired and diagnosed with neurogenic bladder, was observed with a catheter bag placed directly on the floor, which the resident claimed was done by staff after emptying it. This improper handling of the catheter bag could contribute to the spread of infection. During an observation of the bed bath, peri, and catheter care process, a CNA was seen not following proper hand hygiene protocols. The CNA did not remove soiled gloves before applying new ones, doubled gloves on each hand, and failed to perform hand hygiene between glove changes. Additionally, the CNA washed her hands for only about six seconds, which is below the recommended time, and handled items without proper hand hygiene. These actions were confirmed by the Infection Control Preventionist, who agreed with the findings.
Failure in Oxygen Therapy Maintenance
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, specifically in the administration and maintenance of oxygen therapy. The policy for oxygen administration required that oxygen be administered under a physician's order, with infection control measures such as changing the oxygen tubing and mask/cannula weekly, and changing the humidifier bottle every 72 hours or as needed. However, observations revealed that the oxygen tubing for the resident was not changed as per the policy, with the tubing dated 08/11/24 still in use on 08/19/24. Additionally, a bottle of sterile water used for humidity was dated 07/26/24 and was not properly connected to the oxygen concentrator. Interviews with staff indicated a lack of clarity and adherence to the facility's policy. A registered nurse stated that the tubing was typically changed every three days if contaminated, but otherwise thought the protocol was every five days, which contradicts the policy. The Director of Nursing acknowledged the discrepancy in the oxygen order and the lack of clarity regarding the frequency of changing the humidifier bottle. The DON agreed that the tubing should have been changed and that the oxygen order needed to be clearly written as either continuous or PRN (as needed).
Infection Control Deficiencies in PPE Usage
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by multiple instances of improper use of personal protective equipment (PPE) by staff members. Resident #309, who was on droplet precautions due to COVID-19, was visited by a Physical Therapy Assistant (PTA) who wore a general use surgical mask instead of the required N95 mask. The PTA did not change the mask after leaving the resident's room and continued to provide therapy to other residents, contrary to the facility's policy and CDC guidelines. The facility's management confirmed the oversight and noted an empty box of N95 masks outside the resident's room, indicating a lack of proper PPE availability or usage instructions. Another incident involved a Certified Nursing Assistant (CNA) who entered a droplet precaution room without wearing a gown or gloves and only a regular surgical mask. The CNA continued to pass trays to other residents without changing the mask, further breaching infection control protocols. This behavior was observed and reported to the Infection Control Preventionist (ICP), highlighting a pattern of non-compliance with established infection control measures. Additionally, Resident #55, who was on Enhanced Barrier Precautions due to a neurogenic bladder and the use of a Foley catheter, did not receive care in accordance with the facility's PPE policy. A CNA provided direct care without wearing a gown, despite the requirement for enhanced barrier precautions during high-contact activities. The CNA acknowledged the oversight upon reading the precaution sign above the resident's bed, indicating a lapse in adherence to infection control protocols. The ICP was informed of this deficiency, underscoring the need for consistent application of infection prevention measures.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Martin Coast Center For Rehabilitation And Healthc | 4.2 mi | ★★★★★ | 15 | 0 |
| Stuart Rehabilitation And Healthcare | 4.3 mi | ★★★★★ | 6 | 0 |
| Solaris Healthcare Parkway | 4.3 mi | ★★★★★ | 8 | 0 |
| Palm City Nursing & Rehab Center | 6.2 mi | ★★★★★ | 0 | 0 |
| Waters Edge Health And Rehabilitation | 6.3 mi | ★★★★★ | 0 | 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 July 2026) and official state health department websites.