Below average — CMS composite of the measures below.
The next survey window likely opens around March 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 Rockport Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Kitchen Food Storage and Sanitation Deficiencies: The facility had multiple food service sanitation issues, including stained and dirty plastic cups on the clean rack, an unsealed bag of frozen fish, a worn spatula left with clean utensils, personal items and unlabeled/unsealed foods stored in the refrigerator with resident food, and an ice machine that was leaking water onto the floor and ice chute. The DM, MS, DW, and CK each described their roles and acknowledged issues with dish cleanliness, food storage, cross-contamination, and the leaking ice machine.
A resident with dementia, Alzheimer’s disease, anxiety, and depression received aripiprazole for psychosis and aggressive behavior before the required consent was signed. The resident had severe cognitive impairment, and the MAR showed the antipsychotic was administered daily before the RP and provider signatures were obtained, despite staff stating antipsychotics require prior consent and discussion of risks, benefits, and alternatives.
A resident with dementia, Alzheimer’s disease, anxiety, and depression was given aripiprazole daily for an indication of unspecified psychosis, despite the medication’s black box warning for elderly patients with dementia-related psychosis. Her record showed severe cognitive impairment and behavior concerns, and staff stated they entered the physician’s order as written and would not question the psychosis indication even with a dementia diagnosis.
Salty Food Served to Residents on Sodium-Restricted Diets: Multiple residents complained that meals were too salty, including residents on NAS diets who said they could not eat portions of the food. Surveyors sampled test trays with the DM, ADM, RD, and CK and found the food overly salty, with one tray described as inedible. Staff reported seasoning most meals with a powdered beef base containing 890 mg sodium per tsp and said they eyeballed the amount used.
A deficiency was cited when a resident's care plan did not include all required elements, such as measurable timetables and specific actions, resulting in incomplete planning and documentation of care.
The facility failed to maintain professional standards for food service safety, with observations of dirty dishes on the clean rack and improper food storage in the resident refrigerator/freezer. Staff interviews revealed a lack of oversight and adherence to policies, leading to potential cross-contamination and health risks for residents.
A facility failed to store drugs and biologicals according to professional principles, as personal food items were found in a medication room. Staff interviews confirmed that such items should not be stored there due to contamination risks. The DON and ADM could not provide a policy on proper storage, highlighting a deficiency in maintaining storage practices.
A resident with an indwelling urinary catheter was moved to a new room without re-establishing Enhanced Barrier Precautions (EBP), leaving them without necessary infection control measures. Staff interviews revealed a lack of awareness and adherence to EBP protocols, despite monthly infection control training. The oversight was acknowledged by the DON and IP, who confirmed the resident should have been on EBP due to the catheter.
A resident with severe cognitive impairment was hit by another resident with a history of aggression in an LTC facility. Despite existing interventions, the care plan was not updated to reflect increased monitoring after the incident. Staff were aware of the aggressor's behavior, but measures were insufficient to prevent the abuse.
A facility failed to update a resident's care plan after an incident of aggression, despite the resident's severe cognitive impairment and history of aggressive behavior. Although staff were aware of the need for increased monitoring, this was not documented in the care plan, leading to a deficiency in compliance with facility policies.
A resident with a history of falls and chronic knee pain exhibited new groin pain, but the nurse failed to notify the physician, contrary to facility policy. Despite the resident's vocalizations and holding her groin, the nurse only administered pain medication without consulting the physician. The issue was identified two days later when the resident's pain became unmanageable.
A facility failed to provide written notification to a resident's responsible party and the ombudsman regarding the resident's discharge to a hospital for a psychological evaluation. The resident, who had Alzheimer's and frontotemporal neurocognitive disorder, expressed suicidal ideations, leading to the emergency transfer. Although verbal notification was given, the facility did not follow the required process for written notification, and staff interviews revealed a lack of awareness about this requirement.
A resident with severe cognitive impairments and multiple diagnoses, including Alzheimer's and dementia, had a care plan that failed to address their refusal of care and aggressive behaviors. Despite frequent refusals and episodes of aggression documented in progress notes, these issues were not reflected in the care plan, leaving staff without clear guidance. Interviews with facility staff revealed a lack of clarity and responsibility regarding care plan updates, and the facility's policy on care plan revisions was not followed.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the kitchen. During an observation of the kitchen, 41 of 58 plastic coffee cups on the clean rack were stained, had sediment in them, and had scratches on the bottoms and sides; one cup also had lipstick on the rim. A 1-gallon bag of frozen fish in the freezer was not sealed, and a chipped and worn spatula was hanging on the clean rack next to new spatulas. The observation also found personal items in a bin in the refrigerator with resident food, along with 2 packages of meat items that were unlabeled and unsealed, a variety of unlabeled vegetables in a plastic bag, a 32-oz jar of spaghetti sauce, and a 32-oz jar of mayonnaise. One can of soda and a package of store-bought pie crusts were on the shelf near the bin. Three 1-oz containers that appeared to contain olives and jalapenos were not sealed tightly, dated, or labeled. The ice machine was dripping rapidly onto the floor from the outside and inside of the machine, with water dripping from the ice chute, around the door, and onto the floor; a black substance was noted where the drips were falling from onto the ice. In interviews, the DM said the dishwasher was responsible for making sure dishes were clean before they were placed on the clean rack, and the cook and dietary aides were responsible for properly storing food in refrigerators, freezers, and the storeroom. The DM stated the personal items in the refrigerator belonged to the cook and should not have been there because transfer of germs could cause cross-contamination and make residents sick. The CK acknowledged keeping personal food and drink in the resident refrigerator, said she knew about cross-contamination, and stated her items were not labeled and dated. The MS said he had not been informed about the leaking ice machine and needed to take it apart to determine the cause of the heavy condensation.
Antipsychotic Given Before Consent Was Signed
Penalty
Summary
Resident #53 was prescribed aripiprazole 2 mg daily for unspecified psychosis related to a history of dementia with mood disturbance, Alzheimer’s disease, generalized anxiety disorder, and major depressive disorder. The resident’s annual MDS showed a BIMS score of 02, indicating severe cognitive impairment. The care plan identified use of an antipsychotic medication for aggressive behavior and included an intervention to discuss side effects and the black box warning with the resident and/or responsible party. Record review showed the antipsychotic order was dated 04/14/2025, but the consent for aripiprazole was not signed until 04/21/2025. The MAR showed the resident received aripiprazole daily beginning 04/15/2025, before the consent was signed. Staff interviews stated that antipsychotics required a special consent form signed by the resident’s responsible party and the doctor/provider, and that the medication should not be given before consent was obtained. The facility policy stated that prior to initiating or increasing a psychotropic medication, the resident, family, and/or resident representative must be informed in advance of the benefits, risks, and alternatives, including black box warnings for antipsychotics, and that the resident has the right to accept or decline the medication.
Unnecessary Antipsychotic Use for Resident with Dementia
Penalty
Summary
The facility failed to ensure that Resident #53 was free from a chemical restraint not required to treat her medical symptoms. Resident #53 was a female with diagnoses including dementia with mood disturbance, Alzheimer’s disease, generalized anxiety disorder, and major depressive disorder. Her annual MDS showed a BIMS score of 02, indicating severe cognitive impairment. Her care plan documented behavior concerns, including requesting food after eating, asking for the same assistance she observed staff providing to other residents, and sitting on the floor and calling for help. The care plan also identified that she used an antipsychotic medication for aggressive behavior. Resident #53 was ordered aripiprazole 2 mg by mouth daily with the indication of “unspecified psychosis not due to a substance or known physiological condition.” The order included the black box warning for increased mortality in elderly patients with dementia-related psychosis, and the medication was administered daily from 04/15/2025 through 04/24/2026. The record review showed that the indication remained psychosis throughout the MARs and physician orders, despite the resident’s dementia and Alzheimer’s diagnoses. During interviews, nursing staff stated that the nurse receiving the order entered it into PCC as written by the physician and would clarify orders if they had questions. One LVN stated she would not question an antipsychotic order with a psychosis indication even if the resident had dementia or Alzheimer’s disease. Another LVN and the RN RCS stated they would clarify if something seemed wrong and that antipsychotics should not be given to a resident with Alzheimer’s or dementia without the right reason. The facility’s psychotropic drug use policy stated psychotropic medications should only be used when clinically appropriate to treat a resident’s specific, diagnosed, and documented condition.
Salty Food Served to Residents on Sodium-Restricted Diets
Penalty
Summary
The facility failed to serve foods that were palatable and attractive and failed to prepare food by methods that conserve nutritive value, flavor, and appearance for residents on therapeutic diets, including no added salt diets. Multiple residents reported that the food was too salty, including a resident on a low salt diet who said she could not eat most of the food because it was too salty, another resident who said the pinto beans were too salty, and a third resident who said the food had been salty since admission and that she did not eat everything on her plate because of the salt. Confidential interviews with six residents and resident council minutes also reflected complaints and grievances about salty food. Surveyor observations and interviews confirmed the concern during test tray sampling. A regular, pureed, and no added salt tray containing chicken, cauliflower, and macaroni and cheese was sampled by the DM, ADM, and survey team, and all reported the food was salty, with the survey team describing it as inedible. A second test tray with beef tips with gravy over white rice was also sampled by the RD and survey team, and all agreed the food components were too salty. The ADM stated the food was salty, while the DM initially said a small sample in her office was not salty. The CK and DM stated they used a powdered beef base to season most meals and said they eyeballed the amount rather than measuring it. Record review showed 14 residents had no added salt diets ordered, and the facility’s diet and liquid conversion guide and sodium-controlled diet document described sodium-restricted diets and noted that no added salt diets should eliminate salt at the table. The beef base container reviewed by surveyors showed 890 mg of sodium per teaspoon, and the product was observed to be clumped like wet sand. The RD stated she had never tasted the food at the facility and that resident interviews were limited to new admissions, tube feeds, pressure injuries, and weight loss or gain. The ADM stated she did not always receive resident council minutes, and the DM stated there had been no product change in the beef base powder.
Incomplete Care Plan Development and Implementation
Penalty
Summary
A deficiency was identified due to the failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care. This omission was observed during the survey and was based on a review of the resident's records and care planning documentation. The deficiency was directly related to the absence of a comprehensive, individualized care plan that included all necessary components to meet the resident's needs as required by regulations.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several deficiencies in the storage, preparation, and sanitation of food items. During an initial tour of the kitchen, it was observed that 50 plastic cups on the clean rack had thick white or yellowish substances stuck to them, and some bowls had scratches and melted plastic. Additionally, an open box of breakfast cereal mix was left on a prep table, which could lead to cross-contamination. Interviews with staff revealed a lack of oversight and monitoring of dishwashing practices, with dirty bowls being left on the clean rack for an extended period. In the activities area, the resident refrigerator and freezer contained several unlabeled and expired food items, including ice cream sandwiches, popsicles, cookie dough, and various other food products. Some of these items were identified as belonging to staff members, despite the refrigerator and freezer being designated for resident use only. Staff interviews indicated a lack of awareness and enforcement of policies regarding the separation of resident and staff food items, leading to potential cross-contamination and health risks for residents. The facility's policies on kitchen sanitation and food storage were not being followed, as evidenced by the presence of dirty dishes and improper food storage practices. Staff members admitted to not adhering to the policies and procedures, and there was a lack of training and monitoring to ensure compliance. The failure to maintain clean and sanitary kitchen facilities and to properly label and store food items could place residents at risk for complications from food contamination.
Improper Storage of Personal Items in Medication Room
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in accordance with currently accepted professional principles in one of the two medication rooms. During an observation, a state surveyor found personal food items, including sunflower seeds, coke cans, and a tumbler cup, stored in the lower cabinets of the medication room. These items were identified as belonging to staff members, with the sunflower seeds having a staff member's name written on the box. Interviews with the Assistant Director of Nursing (ADON), Medication Aide (MA), and Certified Nursing Assistant (CNA) confirmed that personal food items should not be stored in medication rooms due to the risk of cross-contamination. The Director of Nursing (DON) and the Administrator (ADM) were unable to provide a facility policy regarding the proper storage of medications or personal food items in the medication room. The DON stated that the medication rooms are cleaned out every few weeks, but it was unclear who placed the personal items in the medication room. The lack of a specific policy and the presence of personal food items in the medication room represent a deficiency in maintaining proper storage practices, potentially placing residents at risk of receiving contaminated medications.
Failure to Implement Enhanced Barrier Precautions for Resident with Indwelling Catheter
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, specifically in the case of a resident with an indwelling urinary catheter. The resident, who was admitted with conditions including acute transverse myelitis and urinary retention, was initially placed in a room with appropriate Enhanced Barrier Precautions (EBP) signage and Personal Protective Equipment (PPE) available. However, after being moved to a different room, these precautions were not re-established, leaving the resident without necessary infection control measures. Staff interviews revealed a lack of awareness and adherence to EBP protocols. Certified Nursing Assistants (CNAs) admitted to not using PPE while providing care to the resident, despite the presence of an indwelling catheter, which necessitates such precautions. The CNAs and a Registered Nurse (RN) indicated that infection control training was provided monthly, yet they were not fully aware of the specific requirements for EBP, particularly for residents with urinary catheters. The Director of Nursing (DON) and Infection Preventionist (IP) acknowledged the oversight in re-establishing EBP after the resident's room change. They confirmed that the resident should have been on EBP due to the indwelling catheter, and the failure to implement these precautions was an oversight. The facility's policy required EBP for residents with indwelling medical devices, but this was not followed, leading to a lapse in infection control measures for the resident.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure the right to be free from abuse for a resident, who was hit in the stomach by another resident. The incident occurred when the aggressor, who had a history of physical aggression, struck the victim as she was walking past. The victim, a female with severe cognitive impairment and other medical conditions, did not recall the incident and was not in distress afterward. The aggressor, also with severe cognitive impairment and a history of aggressive behavior, was being monitored by staff but managed to strike the victim during a moment of inattention. The aggressor's care plan had interventions in place to manage her aggressive behavior, including 1:1 monitoring and medication management. However, the care plan was not updated to reflect increased monitoring after the incident. Staff interviews revealed that the aggressor's behavior was unpredictable, and triggers for her aggression were difficult to identify. Despite efforts to manage her behavior, the facility's interventions were insufficient to prevent the incident. The facility's policy on abuse prevention emphasizes the need for appropriate interventions and monitoring of residents with behaviors that might lead to conflict. However, the failure to update the care plan and ensure consistent monitoring contributed to the incident. The facility's staff were aware of the aggressor's history of aggression, but the measures in place were not adequate to prevent the abuse of the victim.
Failure to Update Care Plan After Resident Aggression
Penalty
Summary
The facility failed to ensure that the comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment for a resident involved in an incident of physical aggression. The resident, who had severe cognitive impairment and multiple diagnoses including Alzheimer's Disease and dementia, was involved in an altercation where she hit another resident. Despite this incident, the care plan was not updated to include heightened monitoring strategies to address the resident's aggressive behavior. The resident's quarterly care plan noted her as the aggressor in a physical altercation, but the interventions did not reflect any changes following the incident. Interviews with staff revealed that although the resident was being monitored more closely, this increased monitoring was not documented in the care plan. The Director of Nursing acknowledged that the care plan was not updated to reflect the increased monitoring and emphasized the importance of keeping the care plan current to ensure all team members are informed of any changes in interventions. The facility's policy requires that comprehensive care plans be reviewed and revised as necessary when a resident experiences a status change. However, in this case, the care plan was not updated following the resident's aggressive incident, which could place residents at risk of not receiving appropriate care to meet their current needs. Staff interviews indicated that while there was an awareness of the need for increased monitoring, this was not formally documented in the care plan, leading to a deficiency in the facility's compliance with its own policies.
Failure to Notify Physician of Significant Change in Resident's Condition
Penalty
Summary
The facility failed to immediately consult with a resident's physician when there was a significant change in the resident's condition, specifically regarding pain management. The resident, an elderly female with a history of falls, dementia, and osteoporosis, exhibited signs of groin pain on a specific date, which was different from her usual knee pain. Despite the resident's vocalizations of pain and holding her groin, the nurse on duty did not notify the primary care physician of this change, which was a deviation from the facility's policy on notification of changes. The resident's care plan and progress notes indicated that she had a history of chronic knee pain and had experienced a fall prior to the incident. On the day of the incident, the resident was observed crying and yelling in pain, yet the nurse only administered pain medication without consulting the physician about the new pain location. The facility's policy required that any significant change in a resident's condition, such as a new pain location, should be reported to the physician, but this was not done until two days later when the resident's pain became unmanageable. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that the nurse should have notified the physician about the resident's groin pain as it was an irregular finding. The ADON acknowledged that the nurse had been previously re-educated on documentation matters and would be retrained upon returning from maternity leave. The DON confirmed that the facility's expectation was to notify the physician of any unusual findings during assessments, which was not adhered to in this case.
Failure to Provide Written Notification for Resident Discharge
Penalty
Summary
The facility failed to provide timely written notification to a resident, the resident's representative, and the ombudsman regarding the transfer or discharge of the resident. Specifically, the facility did not notify the responsible party and the ombudsman in writing about the effective date of transfer or discharge, the reason for the transfer/discharge, the location to which the resident would be transferred, or the right of appeal. This deficiency was identified for one resident who was discharged to an emergency room hospital for a psychological evaluation. The resident in question was an elderly female with Alzheimer's disease and frontotemporal neurocognitive disorder, who was admitted to the facility and later discharged to a behavioral hospital. On the day of discharge, the resident expressed suicidal ideations, prompting the facility to send her to the emergency room for evaluation. Although verbal notification was given to the resident's responsible party, there was no written notification provided to either the responsible party or the ombudsman, as required. Interviews with facility staff, including the social worker, business office manager, admissions director, and administrator, revealed a lack of awareness and involvement in the discharge notification process. The administrator admitted to being unaware of the requirement to provide written notifications to the responsible party and ombudsman. The facility's discharge summary and place of care documentation did not include a process for providing written notification upon discharge, contributing to the oversight.
Failure to Update Care Plan for Resident with Aggressive Behaviors
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident with severe cognitive impairments and multiple diagnoses, including Alzheimer's disease, dementia, and mood disorder. The care plan did not address the resident's refusal of care or aggressive behaviors, which were documented in various progress notes. Despite the resident's frequent refusals of care and episodes of aggression, these issues were not reflected in the care plan, leaving staff without clear guidance on how to manage these behaviors effectively. Interviews with facility staff, including the LVN, ADON, MDS Coordinator, and DON, revealed a lack of clarity and responsibility regarding the updating of care plans. The LVN stated that care plans are essential for guiding staff in managing resident behaviors, but noted that she did not have the authority to update them. The ADON and MDS Coordinator acknowledged that the resident's refusal of care and aggressive behaviors should have been included in the care plan, but were not. The DON, who was new to the facility, could not provide a definitive answer as to why the care plan was not updated, despite acknowledging the importance of care plans in communicating necessary interventions to staff. The facility's policy on care plan revisions upon status change was not followed, as the resident's care plan was not updated to reflect significant changes in behavior and care needs. This oversight could have negatively impacted the resident's well-being, as staff were not provided with the necessary information to address the resident's specific needs. The lack of updated care plans also suggests a breakdown in communication and accountability among the facility's staff, as multiple individuals had the ability to edit care plans but failed to do so.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 27 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rockport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gulf Pointe Plaza | 1.8 mi | ★★★★★ | 6 | 0 |
| Avir At Portland | 19.4 mi | ★★★★★ | 12 | 0 |
| Mission Ridge Rehab & Nursing Center | 21.5 mi | ★★★★★ | 9 | 1 |
| Brookdale Trinity Towers | 27.7 mi | ★★★★★ | 11 | 0 |
| Alameda Oaks Nursing Center | 28.5 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Rockport Nursing And Rehabilitation Center.
100% money-back within 48 hours.
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.