Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Shoreside Health And Rehabilitation Center during CMS and state inspections, most recent first.
Delayed oxygen order documentation and improper oxygen delivery: A resident with COPD was observed receiving oxygen by NC with the tubing positioned on the forehead, and the RN repositioned it into place after being called to the room. Record review showed the resident had been receiving oxygen before the order was entered into the EMAR, and the DON stated the oxygen orders were not entered into the electronic record until several days after the resident had already been placed on oxygen therapy.
Two LPNs left medication carts unattended with unlocked EMAR screens displaying residents' information on Unit C. The DON intervened in one case, and both LPNs acknowledged their mistakes.
A facility failed to follow its pharmacy procedures when an LPN administered 15 units of Lantus insulin instead of the prescribed 16 units to a resident with Type 2 diabetes. The error was reported to the DON, who instructed the LPN to administer the additional unit. The resident was moderately impaired cognitively and had clear physician's orders for the correct dosage.
The facility failed to ensure the medication error rate was below five percent. An LPN administered an incorrect dose of insulin to a resident, and an RN failed to administer a scheduled RETACRIT injection to another resident. Both residents had specific medical conditions requiring precise medication administration.
Delayed Oxygen Order Documentation and Improper Oxygen Delivery
Penalty
Summary
The facility did not document a prescribed order for oxygen therapy on time and did not ensure oxygen therapy was delivered as prescribed for a resident with COPD. During an initial observation, the resident was found in bed receiving oxygen at 2 Lpm via nasal cannula, but the tubing was positioned on the resident’s forehead. When the RN was asked to assess the resident, she repositioned the tubing into the resident’s nostrils. Additional observations on subsequent days noted the resident in bed receiving oxygen at 2 Lpm via nasal cannula, with no signs of distress. Record review showed the resident had diagnoses including COPD and was dependent for care. The physician’s orders sheet showed an oxygen order beginning on 09/24/25 for oxygen at 2 Lpm via nasal cannula continuously every shift for shortness of breath, but the DON later stated that the resident had actually been on oxygen therapy since 09/19/25 after a physician order for 8 Lpm during a respiratory crisis and a later order for 2 Lpm via nasal cannula. The DON stated the orders were not entered into the electronic medical record system until 09/24/25. The facility policy for Oxygen Therapy states that staff are to verify there is a physician’s order for oxygen administration and review the order or facility protocol before providing oxygen.
Unattended Medication Carts with Unlocked EMAR Screens
Penalty
Summary
The facility failed to ensure the security of residents' confidential medical records. On Unit C, two medication carts were observed unattended with the Electronic Medication Administration Records (EMAR) screens unlocked, displaying residents' information. The first incident involved Medication Cart #2, which was left unattended by an LPN (Staff A). The Director of Nursing (DON) noticed the open EMAR screen and covered it with a sheet of paper. Staff A acknowledged the mistake, citing stress due to the presence of state surveyors. The second incident involved Medication Cart #1, which was left unattended by another LPN (Staff D) during medication administration. Staff D admitted to forgetting to close the screen when leaving the cart to enter a resident's room. These observations occurred in the presence of 136 residents residing in the facility at the time of the survey. Both LPNs acknowledged their mistakes and the DON provided immediate feedback to Staff A. However, the incidents highlight a failure to maintain the confidentiality and security of residents' medical records, as required by regulations.
Incorrect Insulin Dosage Administered
Penalty
Summary
The facility failed to follow its policy regarding pharmacy procedures, as evidenced by an incident during medication administration on Unit C. A Licensed Practical Nurse (LPN) administered an incorrect dosage of insulin to a resident. Specifically, the LPN administered 15 units of Lantus insulin instead of the prescribed 16 units. Upon realizing the error, the LPN reported it to the Director of Nursing (DON), who instructed the LPN to administer the additional 1 unit of insulin. The resident involved had a diagnosis of Type 2 diabetes mellitus with hyperglycemia and was moderately impaired cognitively, as indicated by a Brief Interview for Mental Status Score of 10 on a 0-15 scale. The resident's physician's orders clearly stated the requirement for 16 units of Lantus insulin to be administered subcutaneously twice a day. The facility's policy on administering medications, revised in April 2019, mandates that medications be administered in a safe and timely manner, as prescribed. The policy also requires that medication errors be documented, reported, and reviewed by the Quality Assurance and Performance Improvement (QAPI) committee to inform process changes and additional staff training. In this case, the LPN did not adhere to the prescribed dosage, leading to a medication error that was subsequently reported but not initially prevented. This incident highlights a lapse in following established procedures for medication administration within the facility.
Medication Administration Errors
Penalty
Summary
The facility failed to ensure the medication error rate was not five percent or greater. During a medication administration observation, an LPN administered 15 units of Lantus insulin to a resident who had an order for 16 units. The LPN acknowledged the error and reported it to the DON, who instructed the LPN to administer the additional 1 unit of insulin. The resident had a diagnosis of Type 2 diabetes mellitus with hyperglycemia and was admitted to the facility with specific orders for insulin administration that were not followed correctly. In another instance, a resident did not receive a prescribed RETACRIT injection for anemia at the scheduled time. The RN responsible for administering the injection admitted to the surveyor that time got away from her, and she had not administered the medication. The resident had a diagnosis of anemia and was scheduled to receive the injection every Monday, Wednesday, and Friday at 8:00 AM. The DON informed the resident's PCP about the medication omission, and a new order was received to administer the injection later that day.
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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 Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pines Nursing Home | 1.3 mi | ★★★★★ | 0 | 0 |
| Villa Maria Nursing Center | 1.4 mi | ★★★★★ | 4 | 2 |
| Fountain Manor Health & Rehabilitation Center | 1.5 mi | ★★★★★ | 1 | 0 |
| Miami Shores Nursing And Rehab Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Pinecrest Center For Rehabilitation And Healing | 1.6 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.