Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Seaside Healthcare Llc during CMS and state inspections, most recent first.
A resident with MDD, anxiety, PTSD, and intact cognition, who was primarily bedbound and usually received bed baths, experienced bowel incontinence and declined a shower, requesting a bed bath and to speak with the unit manager. The unit manager was not informed of this request. After the charge nurse confirmed with leadership that there were no contraindications to a shower, the charge nurse and a CNA used a mechanical lift to place the resident on a shower chair, covered the resident with bath blankets, and transported the resident to the shower room. Despite the resident expressing fear, stating they did not feel like a shower, and later reporting crying and repeatedly saying they did not want a shower, staff proceeded with the shower. This conflicted with the resident’s expressed wishes and the facility’s policy on the right to refuse treatment, dignity, and reasonable accommodation of individual needs and preferences.
Missing Transfer, Discharge, and Bed Hold Notices: The facility failed to document hospital transfers and returns and failed to provide required transfer, discharge, and bed hold notices to three residents or their representatives. Records for the residents showed hospital transfers, ER visits, and readmissions, but surveyors could not find the required notices or related nursing documentation, and the DON, SNM, and Administrator confirmed the omissions.
Care plans were not developed or updated to address a resident’s unsafe smoking status, another resident’s MDRO/UTI precautions, or a third resident’s psychotropic and anticoagulant medication use. Records showed one resident had balance problems and could not safely handle tobacco, another had hemorrhagic cystitis with ESBL/VRE/MRSA history and was on PPE precautions, and a third received multiple meds including an opioid, antipsychotic, and anticoagulant, yet these needs were not reflected in the care plans.
Delayed physician orders for wound treatment. A resident was admitted with a pre-existing stage II coccyx wound and a small open area over the gluteal cleft documented in the hospital record. Wound treatment orders were not written until 14 days after admission, and the wound nurse confirmed the delay after reviewing photos of the wound.
Meal Service Not Provided in a Dignified, Homelike Manner: During breakfast observation on a unit dining area, residents were served meals on trays left in front of them with dishes not removed, and a CNA was observed standing over a resident while feeding them. When asked, the CNA stated residents always had their dishes left on the trays and that she had never asked whether this was the residents' choice. The Nurse Manager confirmed the observation.
A resident admitted with acute cystitis and a fall did not have a baseline care plan initiated within 48 hours of admission. The family member reported they were not invited to the interdisciplinary meeting, did not receive the care plan until later, and said there had never been a formal meeting with the family and the whole team. The DON confirmed the baseline care plan was not started within the required timeframe.
Resident’s Refusal of Shower and Preference for Bed Bath Not Honored
Penalty
Summary
The deficiency involves the facility’s failure to honor a cognitively intact resident’s right to refuse care and choose their preferred method of bathing. After an episode of bowel incontinence, staff asked the resident if they wanted a shower, and the resident declined, requesting a bed bath and to speak with the unit manager. The unit manager was in a clinical meeting and was not made aware of the resident’s request. The charge nurse interrupted the meeting, asked leadership if there was any reason the resident could not have a shower, and was told there were no known contraindications. The charge nurse then informed the resident that management was okay with the resident having a shower, and staff proceeded with preparations for a shower despite the resident’s prior refusal and request for alternative care. The resident, who had diagnoses including Major Depressive Disorder, Anxiety, and PTSD and a BIMS score indicating intact cognition, was primarily bedbound and typically received bed baths, with the care plan later revised to specify bed baths only per request. A CNA and the charge nurse used a mechanical lift to transfer the resident onto a shower chair, covered the resident with bath blankets, and transported the resident down the hall to the shower room. According to the CNA, the resident expressed fear and said not to push or take them down, and again said they did not feel like a shower, but the CNA encouraged the shower as being quick. The resident reported being placed naked on a sheet, transported down the hall, and bathed while crying, yelling, and repeatedly stating they did not want a shower, and later described hating the experience and continuing to have nightmares. The facility’s own policy states that residents have the right to refuse treatment, to have their dignity maintained, and to have their needs and preferences reasonably accommodated, which was not followed in this incident.
Missing Transfer, Discharge, and Bed Hold Notices
Penalty
Summary
The facility failed to ensure resident records contained information regarding transfers or discharges to the hospital, and failed to provide transfer, discharge, and bed hold notices to the resident or designated representative for three residents reviewed for hospitalization. For one resident, the record showed an admission on 8/29/25 and discharge home on 9/30/25, with a discharge summary noting an emergency department visit on 9/27/25 at the resident’s request due to vomiting, but the surveyor could not locate nursing progress notes, assessments, transfer/discharge/bed hold notices, or any documentation of the resident’s return or the outcome of the ER visit. The DON confirmed the record lacked documentation of the circumstances surrounding the transfer and return, as well as evidence that the required notices were provided. For another resident, the record showed a hospital discharge on 9/22/25 and readmission to the facility on 9/26/25, but the surveyor could not locate evidence that transfer, discharge, or bed hold notices had been provided to the resident or designated representative. The SNM reviewed the record and confirmed the notices had not been provided. For a third resident, the medical record showed an emergency transfer to the hospital on 5/17/25, and the Administrator confirmed the missing transfer, discharge, and bed hold notice. During interviews, the residents stated they had been sent back to the hospital or had been hospitalized, but did not know whether they had received the required notices.
Care plans did not address smoking safety, MDRO precautions, or medication use
Penalty
Summary
The facility failed to ensure care plans were developed and implemented for accident hazards related to smoking for R11, who was admitted on 8/22/25 and reported going outside to smoke 2-3 times daily. A smoking assessment completed on admission indicated R11 had balance problems while sitting or standing, was unable to hold tobacco products safely, was unable to extinguish tobacco safely, and did not follow the facility’s policy on location and time of smoking. A later smoking and safety note stated R11 used tobacco products, had balance problems while sitting or standing, followed the facility’s policy on location and time of smoking, and used a wheelchair as the baseline for transfers. The current care plan, last revised on 9/29/25, did not include interventions to address smoking safety, and the Administrator confirmed R11 was on the facility’s smoking list and that the care plan did not include smoking despite the prior assessment finding R11 unsafe to smoke. The facility also failed to include care plan interventions for R29’s urinary tract infection-related precautions and R39’s medication-related needs. R29 was re-admitted on 9/15/25 and later hospitalized with hemorrhagic cystitis and a polymicrobial UTI involving E. coli and Enterococcus faecalis, with a history of ESBL, MRSA, and VRE noted in the hospital record and discharge summary. The care plan, initiated on 9/16/25 and revised on 10/31/25, did not address contact precautions for the current MDRO infection, although staff stated R29 was on precautions and wore full PPE during care. R39, admitted on 9/3/25 with a deep incisional surgical site infection and multiple psychiatric and neurologic diagnoses, received hydromorphone, quetiapine, daptomycin, gabapentin, mirtazapine, hydroxyzine, atomoxetine, and Lovenox, with Lovenox later discontinued after repeated nosebleeds. The admission MDS documented use of antipsychotic, antidepressant, antibiotic, anticoagulant, and opioid medications, but the care plan did not include psychotropic or anticoagulant medications or revisions to address changes, and the DON confirmed the care plan did not address the psychotropic medication use.
Delayed Physician Orders for Existing Wound Treatment
Penalty
Summary
The facility failed to obtain physician orders for treatment of an existing wound for 1 resident admitted on [DATE], resulting in a delay in wound treatment. Record review showed a pre-admission nurse-to-nurse note dated 2/13/25 documenting a stage II coccyx wound that occurred at home, and a hospital consult dated 2/2/25 to 2/3/25 noting a small 0.3 cm open area over the gluteal cleft. Orders for wound treatment were not written until 2/27/25, which was 14 days after admission. The wound nurse reviewed pictures of the resident’s wound evaluated on 2/26/25 and confirmed that treatment orders had not been written until the following day. The Administrator later confirmed these findings during interview.
Meal Service Not Provided in a Dignified, Homelike Manner
Penalty
Summary
The facility failed to ensure that residents were served a meal in a homelike setting and treated with dignity and respect during breakfast meal service on Unit 400. During observation of the common dining area, all residents received their meals on serving trays placed on the table in front of them, and the dishes were not removed from the trays. Surveyors also observed a CNA standing over a resident while feeding them. When asked whether residents always had their dishes left on the trays, the CNA stated that they did, and when asked whether this was the residents' choice, the CNA stated, "I never asked them." The Nurse Manager for Unit 300 was informed of the observation and confirmed the findings.
Baseline Care Plan Not Initiated Within 48 Hours
Penalty
Summary
The facility failed to ensure a baseline care plan was developed and implemented within 48 hours of admission for Resident #27. The resident was admitted on 9/10/25 with diagnoses including acute cystitis and fall, but the baseline care plan was not initiated until 9/15/25 and was later revised on 9/29/25. During an interview on 9/29/25, the resident’s family member stated an interdisciplinary meeting had been held on 9/15/25, but they had not been invited, and they reported that a copy of the care plan was not provided until 9/19/25 and that there had never been a formal meeting with the family and the whole team. On 11/18/25, the DON confirmed the baseline care plan had not been initiated within 48 hours of admission.
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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 Portland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cedars Nursing Care Center | 0.6 mi | ★★★★★ | 1 | 0 |
| Fallbrook Commons | 1.8 mi | ★★★★★ | 0 | 0 |
| Barron Center | 3.2 mi | ★★★★★ | 34 | 0 |
| Pinnacle Health & Rehab At South Portland | 3.3 mi | ★★★★★ | 36 | 0 |
| Sedgewood Commons | 4.4 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.