Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Continuing Care At Seabrook during CMS and state inspections, most recent first.
Failure to report an allegation of resident-to-resident abuse: a resident with dementia and severe cognitive impairment became aggressive, yelled, banged on the wall, and threw a shoe at another resident. Staff documented the event, but the RNCM said it did not require an investigation and the facility did not collect witness statements. The DON later confirmed the incident was not reported to DOH.
Failure to investigate resident-to-resident abuse allegation: A resident with dementia, severe cognitive impairment, and a history of aggressive behaviors threw a shoe at another resident while also charging at staff with closed fists. The RNCM and DON stated there was no incident report, no witness statements, and no investigation documentation for the event, and facility leadership acknowledged the incident should have been investigated and reported to DOH.
A resident receiving hospice care had diagnoses including Parkinson's disease, dementia, and CKD, and was dependent for all ADLs and incontinent of bowel and bladder. Surveyors found that the most recent hospice note in the chart was weeks old, with no readily available hospice progress notes for the IDT to review. The ADON/UM, SW, hospice nurse, and DON all described inconsistent communication and documentation practices, despite the facility policy requiring hospice visit notes to be provided after each visit and placed in the resident's record.
The facility failed to offer and document the pneumococcal vaccination for two residents. One resident with severe cognitive impairment had no record of receiving or declining the vaccine, despite a family refusal claim. Another resident, eligible for the vaccine, was not offered it upon admission, with the last recorded vaccination in 2016. The facility's policy on vaccine documentation was not followed.
Failure to Report Resident-to-Resident Abuse Allegation
Penalty
Summary
The facility failed to report to the Department of Health an allegation of resident-to-resident abuse involving a resident with dementia with behavioral disturbances, anxiety, depression, and PTSD. The resident’s quarterly MDS reflected a BIMS score of 3 out of 15, indicating severe cognitive impairment. The resident’s care plan documented behaviors including being combative with staff, easily agitated toward peers, and becoming overwhelmed easily, with interventions such as redirection to a quiet area and offering 1:1 support. A clinical note documented that around 3:00 AM, the resident was yelling, banging on the wall, and threw a shoe at another resident who was sitting in the living room. The other resident was not identified, and the incident was not reported. During surveyor interviews, facility staff stated the event was discussed in the morning meeting and the DON was aware, but the RNCM said it was not considered an incident requiring investigation and stated the facility does not collect witness statements. The DON later confirmed the incident was not reported to the DOH, and the facility was unable to provide documentation that it had been reported.
Failure to Investigate Resident-to-Resident Abuse Allegation
Penalty
Summary
The facility failed to investigate an allegation of resident-to-resident abuse involving a resident with a history of dementia with behavioral disturbance, Alzheimer’s disease, paranoia, aggressive behavior, generalized anxiety disorder, and PTSD. The resident’s record showed severe cognitive impairment on the Quarterly MDS, with a BIMS score of 3 out of 15, and care plan documentation noted confusion, agitation, disruptive behavior, and aggression toward staff and other residents. A progress note documented that the resident wandered the hallways yelling, banging on walls, and threw a shoe at another resident who was sitting in the living room. The same note stated the resident charged at staff with closed fists when approached, redirection was not effective, and supervision was provided at a safe distance until the behaviors continued for several hours. The surveyor observed the resident independently ambulating and exiting another resident’s room while holding stuffed animals and dolls. When the surveyor requested the incident report, witness statements, and any investigation related to the shoe-throwing event, the RNCM stated there was no incident report and no witness statements were collected. The DON also stated there were no incident reports for the event and no documentation of an investigation was provided. Facility leadership acknowledged that throwing a shoe at another resident could be considered abuse and stated the incident should have been investigated and reported to the DOH, but no documentation was available to show that this occurred.
Missing Hospice Visit Notes and Inconsistent Care Coordination
Penalty
Summary
The facility failed to have a process in place to ensure consistent communication between the facility and the hospice provider for coordination of resident care for one resident receiving hospice services. The resident had diagnoses including Parkinson's disease, unspecified dementia, and chronic kidney disease. The quarterly MDS dated 2/4/26 showed the resident was rarely or never understood, dependent for all ADLs, incontinent of bowel and bladder, and receiving hospice care. The care plan stated that hospice was responsible for oversight of medication management, and the resident had been admitted to hospice services on 3/24/25. The hospice communication record showed the last skilled nursing visit note was on 1/29/26. When the LPN reviewed the chart with the surveyor, no more recent hospice note could be located. The ADON/UM stated she did not know the hospice nurse's scheduled visit times and said nurses were expected to review hospice communication notes after each visit and any verbal report received. The ADON/UM also stated the IDT met with the hospice nurse quarterly. The hospice nurse stated she visited weekly unless there was a change in condition, but said there were no guidelines or time frames for communication and therefore it was not required to place notes in the medical record. The SW stated hospice communicated psychosocial recommendations on paper and acknowledged that missing hospice progress notes were not an acceptable process because documents should be readily available to the IDT. The DON later stated that at least three weeks of notes had not been provided to the facility and had not been reviewed by facility staff. The facility policy required hospice staff to provide a copy of visit notes after each hospice visit for placement in the resident's paper medical record.
Failure to Offer Pneumococcal Vaccination to Eligible Residents
Penalty
Summary
The facility failed to ensure that all eligible residents were educated and offered the pneumococcal vaccination, as evidenced by the cases of two residents. Resident #40, who was admitted with diagnoses including dementia and major depressive disorder, had a severely impaired cognition with a BIMS score of 3 out of 15. The electronic Medical Record (eMR) lacked documentation of the resident receiving or declining the pneumococcal vaccination. The Unit Manager/Registered Nurse confirmed the absence of documentation and stated that the Infection Preventionist (IP) was responsible for obtaining vaccination consent or declination. The IP later stated that the resident's family refused the vaccination, but there was no documentation to support this claim at the time of the surveyor's inquiry. Similarly, Resident #23, who had diagnoses including chronic obstructive pulmonary disease and congestive heart failure, was not offered the pneumococcal vaccine upon admission, despite being eligible. The resident's most recent vaccine was administered in 2016, and there was no documentation of an offer or declination of the vaccine in the eMR. The Infection Preventionist confirmed the oversight and acknowledged that the facility was in the process of implementing a system to offer vaccines to residents upon admission. The Director of Nursing and the Medical Director both confirmed that the resident should have been offered the vaccine, and the facility's policy required documentation of vaccine offers and refusals, which was not adhered to in these cases.
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Illustrative
What surveyors actually found near you
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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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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tinton Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aster Creek Nursing And Rehabilitation Center | 0.6 mi | ★★★★★ | 25 | 2 |
| Imperial Care Center | 0.8 mi | ★★★★★ | 17 | 0 |
| Jersey Shore Post Acute Rehabilitation And Nursing | 2.4 mi | ★★★★★ | 0 | 0 |
| Tower Lodge Care Center | 2.4 mi | ★★★★★ | 20 | 0 |
| King Manor Care And Rehabilitation Center | 2.5 mi | ★★★★★ | 26 | 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 October 2026) and official state health department websites.