Seacrest Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
lorazepam, she immediately directed the Assistant Director of Nursing (ADON) to go and complete a full narcotic audit of all medication carts and refrigerators starting with the third floor where LPN1 worked.
During the audit, the ADON identified two other residents' narcotic medications with discrepancies. The DON stated the LPN1 was the off going nurse and admitted to discovering the lorazepam deficit. The DON stated LPN1 first stated she reported this to a CNA; however, she did not report this to another nurse or a nurse supervisor. The DON also stated during the investigation they determined LPN3 did not observe the refrigerated lorazepam to verify the count but signed off that she did. Continued interview revealed LPN1 stated she destroyed seven hydrocodone tablets; however, no one witnessed the destruction, and the medication bingo card was never located. The DON stated their investigation yielded that LPN1 diverted the medications, and she was terminated. The DON further stated not only did LPN1 state that she destroyed narcotics without a witness, but it was also identified LPN3 did not count the liquid lorazepam as she documented.During an interview on 11/25/25 at 12:45 PM, the DON stated it was her expectation that the nurses would count all narcotic medications and document by signing the controlled record books. The DON also stated it was her expectation LPN3 would not have signed that she visualized the liquid lorazepam count. The DON further stated it was important nursing practices and the facility's policy be followed related to residents' narcotic medications to ensure residents were receiving the mediations as ordered and to prevent diversion. NJAC 8:39-27.1(a)
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Seacrest Rehabilitation and Healthcare Center
1001 Center St Little Egg Harbor Tw, NJ 08087
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the CNAs should have leg rests on the wheelchair when propelling a resident, the DON stated, Yes, most definitely so we can prevent accidents from occurring. The DON was also asked to provide the facility's policy and procedure on wheelchair safety when propelling a resident. The DON stated she would have to look for one because she was not sure that the facility had a policy for this. The Administrator provided a Falls Risk Managing policy and stated this was all that the facility had. NJAC 8:39-27.1 (a)
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Seacrest Rehabilitation and Healthcare Center
1001 Center St Little Egg Harbor Tw, NJ 08087
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0887
F 0887 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Complaint #: NJ2666455Based on interview and policy review, the facility failed to provide educational materials to residents and/or resident representatives so that they could make an informed decision in regard to be administered the Coronavirus Disease (COVID-19) vaccine. This failure had the potential for all 145 residents in the facility who are the vulnerable population to be exposed to and have a greater chance of these residents contracting COVID-19.Interview with Health Department (HD)1 on 11/24/25 at 2:50 PM to discuss the COVID outbreak at the facility. HD1 confirmed during the call that the facility had kept the local Health Department (LHD) updated daily identifying which residents were positive for COVID and whether residents had received the COVID vaccine. During the conversation, it was discussed that the facility had a 9% COVID vaccination rate. HD1 did not explain during the call how this percentage was calculated.During an interview on 11/24/25 at 12:30 PM, the Infection Preventionist (IP) stated, . I haven't been able to give residents the COVID-19 vaccine because we don't have the educational materials for the year 2025-2026. The only one we have is for the previous year. The IP confirmed that no resident in the facility has been offered or given the COVID-19 vaccines. When asked if he had reached out to the facility's pharmacy or the LDH if they had the appropriate educational materials for the COVID-19 vaccine, the IP stated, No, I haven't. The Health Department (HD)1 was contacted on 11/25/25 at 10:21 AM and asked if
the facility had requested educational materials to give to the residents and /or resident representatives so
they could make an informed decision on whether or not to take the COVID-19 vaccine. HD1 stated, I am not aware if the facility has reached out to us about this. During an interview on 11/25/25 at 1:15 PM, the Medical Director stated that the facility has not given any COVID-19 vaccines to the residents because they do not have the appropriate educational materials to give to the residents and/or their representatives. The Medical Director stated, No, I wasn't aware of this, and it is very important for residents and/or resident representatives to have the educational materials so that they can give informed consent. During an
interview on 11/25/25 at 1:45 PM, the Director of Nursing (DON) stated, I know on admission, the admitting nurse will ask if they know if they have had the COVID-19 vaccine.We will also check the state website to see which vaccine the resident has received and when. The residents have to have this [education material] so they can make an informed decision to take it or not.Review of the facility's policy Coronavirus Disease (COVID-19) - Vaccination of Residents dated August 2025 indicated, .Before the COVID-19 vaccine is offered, the resident is provided with education regarding the benefits, risks, and potential side effects associated with the vaccine. The resident or representative is provided the most current vaccine information statement (VIS) prior to the vaccine administration. Current VIS for all recommended vaccines are available at: http://www.cdc.gov/vaccines/hcp/vis/index.html .NJAC 8:39-19.4(a)
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SEACREST REHABILITATION AND HEALTHCARE CENTER in LITTLE EGG HARBOR TW, NJ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LITTLE EGG HARBOR TW, NJ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SEACREST REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.