Seacrest Rehab: COVID Vaccine Protocol Failures - NJ
The investigation began after a deficit was discovered in a resident's lorazepam supply. The Director of Nursing immediately ordered a full narcotic audit of all medication carts and refrigerators, starting on the third floor where the nurse, identified in the report as LPN1, had worked. Auditors found discrepancies in the narcotic counts for two additional residents.
LPN1 told investigators she had destroyed seven hydrocodone tablets. Nobody had witnessed the destruction. The medication bingo card, which would have documented it, was never found.
When LPN1 first noticed the lorazepam shortage, she reported it to a nursing aide, not to a nurse or supervisor. The Director of Nursing told inspectors the investigation concluded LPN1 had diverted the medications. She was terminated.
A second nurse, LPN3, signed off on the liquid lorazepam count, certifying she had visually verified the supply. She had not. The Director of Nursing confirmed LPN3 never actually observed the refrigerated lorazepam before signing the controlled record book.
The audit that exposed LPN1 found discrepancies tied to at least three residents' narcotic medications in total. The inspection report did not describe what, if any, harm those residents experienced as a result of not receiving the medications as ordered.
The Director of Nursing told inspectors it was her expectation that nurses would count all narcotics and document those counts accurately, and that LPN3 should never have signed off on a count she did not perform. She described accurate narcotic tracking as essential to ensuring residents received their medications and to preventing diversion.
Whether any of the affected residents went without pain or anxiety medication, and for how long, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Seacrest Rehabilitation and Healthcare Center from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
SEACREST REHABILITATION AND HEALTHCARE CENTER in LITTLE EGG HARBOR TW, NJ was cited for violations during a health inspection on November 25, 2025.
The investigation began after a deficit was discovered in a resident's lorazepam supply.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.