Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Seaside Health And Rehabilitation Center during CMS and state inspections, most recent first.
Pest control was ineffective in the kitchen and resident area. Surveyors observed live insects behind the dishwasher, flies entering through an open back door during vendor deliveries, holes and other pest entry points near the food serving area, and a live roach on the tray line while food was being plated. Residents in one room reported multiple roaches at night, and a live roach was also seen in the hallway outside that room. Staff reported ongoing bug issues and acknowledged there was no bug zapper and that the back door was often left open during deliveries.
Failure to Provide Effective Communication Supports: A resident with impaired speech and intact cognition reported that staff often could not understand him and that he felt ignored and forgotten. Although his care plan noted use of alternative communication tools and he previously used an iPad mini to type messages, the device was no longer available, and his room lacked effective communication aids at the time of observation. Staff interviews showed inconsistent awareness of his communication needs, and a dry erase board was present without a marker.
Enteral Feeding Rate Not Administered as Ordered: A resident with a PEG tube, anoxic brain damage, GERD, and aphasia was ordered Jevity 1.5 at 65 mL/hr, but observations showed the enteral feeding bag labeled for 75 mL/hr on two occasions. An LPN confirmed that nursing staff were responsible for setting and labeling enteral nutrition and acknowledged the resident’s feeding was labeled at the higher rate despite the physician’s order.
A resident with congenital tracheomalacia and recent acute hypoxic respiratory failure was observed receiving O2 via nasal cannula at 2.5 LPM even though no physician order was in the EMR at the time. An LPN stated the resident was supposed to be on 2.0 LPM and confirmed the resident was receiving oxygen without an order, while a physician progress note documented 2 L NC and guidance to wean O2 if saturation stayed above 92%.
A resident with multiple health issues, including dementia and impaired mobility, was found with long and soiled fingernails, indicating a failure by the facility to provide necessary ADL care. Despite being dependent on staff for personal hygiene, the resident did not receive appropriate nail care, as confirmed by staff interviews and observations.
A resident with COPD did not receive oxygen therapy as per the physician's order, which specified a flow rate of 2 L/min. Observations showed the oxygen concentrator set at 1.5 L/min. Staff interviews confirmed the discrepancy, with the CNA and LPN acknowledging the correct order but failing to ensure compliance.
A resident with hemiplegia was unable to reach her call bell due to its placement on the left side of her bed, despite her inability to use her left side. This oversight left her unable to summon help when experiencing severe pain. The facility's policy requires call bells to be within reach, but this was not adhered to, as confirmed by observations and staff interviews.
Pest Control Program Ineffective With Roaches and Flying Insects Observed
Penalty
Summary
The facility failed to maintain an effective pest control program to keep the kitchen free of pests. During an initial kitchen tour, two live insects were observed crawling behind the dishwasher near the water drainage pipe. On a follow-up tour, the back door remained open during vendor delivery, and there was no device in place to prevent pests and flying insects from entering through the doorway; flies and other flying insects were observed coming into the kitchen through the open doors. Holes were also observed in the walls and ceiling near the food serving station, including holes over the frame of the back door and several potential pest entry points over and behind kitchen equipment and service areas. A live roach was later observed crawling on the metal serving station while food was being plated, and the Dietary Director used a napkin to remove it and discard it into a nearby garbage can. Residents in room [ROOM NUMBER] reported multiple roaches coming out at night in their room, and a live roach was observed crawling on a picture and then going behind the picture in the hallway outside that room. Staff interviews confirmed ongoing issues with bugs, flies entering through the back door during deliveries, and no bug zapper in place. The Maintenance Director and Administrator stated the facility had a pest control contract and that staff documented maintenance and pest issues, but they also acknowledged broken tiles, loose tiles, holes, and other areas needing repair in the kitchen and facility areas.
Failure to Provide Effective Communication Supports
Penalty
Summary
The facility failed to ensure a dignified experience and self-determination for one resident by not making adequate communication interventions available. The resident had difficulty verbally communicating and reported that staff often could not understand him, which made it hard to communicate his needs. He also stated that he felt ignored and forgotten by staff. During an observation of his room, no communication board, dry erase board, iPad/tablet, or other communication aid was present, despite his communication limitations. The resident had an admission diagnosis history including hemiplegia/hemiparesis following cerebrovascular disease affecting the left non-dominant side, hereditary and idiopathic neuropathy, and neurosyphilis. His MDS showed a BIMS score of 15, indicating intact cognition, and he required partial to total assistance with most ADLs. The care plan identified communication problems related to slow, low-tone speech and noted that he could type messages on an iPad, with interventions to use alternative communication tools as needed. The resident stated he previously used an iPad tablet to communicate with staff but no longer had access to it, and he could not write on the dry erase board in his room, which was observed without a marker. A family member confirmed the iPad mini had been provided for communication and worked well because the resident had difficulty speaking and was unable to write. Staff interviews showed inconsistent awareness of the resident's communication needs and tools, and one LPN stated a communication board had been placed in the room after the issue was identified.
Enteral Feeding Rate Not Administered as Ordered
Penalty
Summary
The facility failed to ensure that a resident receiving enteral nutrition was treated and serviced in accordance with the physician’s order. Resident #123, who had diagnoses including anoxic brain damage, gastrostomy status, gastroesophageal reflux disease, and aphasia, was ordered Jevity 1.5 via PEG at 65 mL per hour until the total daily volume of 1300 mL was infused. During observation, the resident’s enteral nutrition bag at bedside was labeled for administration at 75 mL per hour, and a follow-up observation showed a new bag labeled at the same rate. The resident was admitted on 2/21/2017 and was nonverbal and totally dependent on staff for ADL care, according to an LPN interview. The LPN stated that nursing staff were responsible for monitoring, setting, administering, and labeling enteral nutrition and acknowledged that the resident’s feeding was labeled at 75 mL per hour even though the physician’s order specified 65 mL per hour. The facility policy stated that physician orders should be followed as prescribed and, if not followed, this should be recorded in the resident’s medical record during that shift and the physician notified.
Oxygen provided without an order and at an inconsistent flow rate
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for Resident #145 by administering oxygen without a physician's order and by using an oxygen flow rate that did not match the physician's documented direction. On 5/12/2026 and again on 5/13/2026, the resident was observed in bed wearing a nasal cannula with oxygen infusing at 2.5 LPM. During an interview on 5/13/2026, LPN B stated the resident's oxygen was supposed to be set at 2.0 LPM, but when asked to verify the order in the EMR, she stated there was no oxygen order in the record and confirmed the resident was receiving oxygen without a physician's order. Resident #145 was admitted on 10/3/2024 and had diagnoses including congenital tracheomalacia and extrapyramidal and movement disorder. A progress note dated 5/8/2026 documented recent acute hypoxic respiratory failure, concern for pneumonia versus pulmonary edema, mild leukocytosis, mild hypercarbia, and suspicion of aspiration. The note stated the patient was on 2 L nasal cannula and that it was okay to wean off supplemental O2 as long as saturation remained above 92%. The record showed an active oxygen order for 2 liters via nasal cannula continuously for hypoxia with a start date of 5/14/2026, and no oxygen orders were found in the medical record prior to that date.
Failure to Maintain Resident's Personal Hygiene
Penalty
Summary
The facility failed to provide necessary care and services for a resident who was unable to perform activities of daily living independently, specifically in maintaining good grooming and personal hygiene. Observations on two separate occasions revealed that the resident's fingernails were long and soiled. The resident, who has diagnoses including osteoarthritis, cataracts, major depressive disorder, dementia, and anxiety, was documented as dependent on staff for personal hygiene. The resident's care plan indicated a need for assistance with ADLs due to general weakness and impaired mobility, and the facility's policy required that residents unable to carry out ADLs independently receive appropriate support and assistance. Interviews with facility staff, including a CNA and an LPN, confirmed that CNAs were responsible for nail care as part of daily care and on residents' shower days. Despite this, the resident's fingernails were not maintained, indicating a failure to adhere to the facility's policy and the resident's care plan. The facility's policy outlined that residents should receive services necessary to maintain good grooming and personal hygiene, which was not provided in this case.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to ensure that a resident received oxygen therapy according to the physician's order. Observations on multiple occasions revealed that the resident's oxygen concentrator was set at 1.5 liters per minute, despite the physician's order specifying a flow rate of 2 liters per minute. The resident, who has a history of chronic obstructive pulmonary disease (COPD) and other medical conditions, was not physically capable of adjusting the oxygen flow rate herself. The resident's medical record and care plan indicated the need for continuous oxygen therapy via nasal cannula, with specific instructions to administer oxygen as ordered and monitor oxygen saturations. Interviews with facility staff, including a CNA and an LPN, confirmed the discrepancy between the physician's order and the actual oxygen flow rate. The CNA, who had been with the facility for over eight years, acknowledged the resident's order for 2 liters per minute and described the standard process for checking oxygen flow rates. The LPN, an agency nurse, also confirmed the physician's order after checking the electronic medical record but could not initially recall the specific order for the resident. This oversight in ensuring the correct oxygen flow rate was maintained led to the deficiency identified during the survey.
Inaccessible Call Bell for Resident with Hemiplegia
Penalty
Summary
The facility failed to ensure that a resident had a means of directly contacting caregivers, as required by their policy. During observations, it was noted that the call bell for a resident was placed out of reach on the left side of the bed, despite the resident's inability to use her left side due to hemiplegia following a cerebrovascular accident. The resident, who was alert and able to express her needs, reported severe pain and was unable to reach the call bell to summon assistance. Photographic evidence confirmed the call bell's placement out of reach. The resident's medical records indicated she had multiple diagnoses, including hemiplegia and contractures on her left side, and was receiving hospice care. Her care plan noted her dependency on staff for all activities of daily living and her chronic pain issues. Despite these documented needs, the call bell was not positioned to accommodate her physical limitations. Interviews with staff revealed that the call bell was typically placed on the right side, but during the survey, it was found on the left, inaccessible to the resident.
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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 Daytona Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beach Street Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Carlton Shores Healthcare And Rehabilitation Cente | 1.2 mi | ★★★★★ | 4 | 0 |
| Blue Palms Health And Rehabilitation Center Of Day | 1.3 mi | ★★★★★ | 6 | 0 |
| Aviata At South Daytona | 2.1 mi | ★★★★★ | 2 | 2 |
| Solaris Healthcare Daytona | 3.2 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 August 2026) and official state health department websites.