Inspection Reports for
Continuing Care At Seabrook
3002 Essex Road, Tinton Falls, NJ, 07753
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
73% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Routine
Deficiencies: 1
Date: Sep 12, 2024
Visit Reason
The inspection was conducted to assess compliance with vaccination policies, specifically focusing on whether eligible residents were educated about and offered the pneumococcal vaccination to prevent pneumonia.
Findings
The facility failed to ensure that all eligible residents were educated and offered the pneumococcal vaccination. Two residents reviewed did not have proper documentation of being offered or declining the vaccine, and the facility lacked timely documentation of vaccine declinations.
Deficiencies (1)
Failure to ensure that all eligible residents were educated and offered the pneumococcal vaccination, with missing documentation of vaccine receipt or declination for two residents.
Report Facts
Residents reviewed for immunizations: 5
Residents affected: 2
BIMS score: 3
BIMS score: 10
Pneumococcal vaccine administration date: Aug 29, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager/Registered Nurse (UM/RN #1) | Interviewed regarding vaccination documentation and responsibility | |
| Infection Preventionist (IP) | Interviewed about vaccination refusals and documentation | |
| Director of Nursing (DON) | Acknowledged vaccination declination documentation issues | |
| Administrator in Training (AIT #1 and AIT #2) | Present during interviews and acknowledgments | |
| Medical Director | Confirmed Resident #23 should have been offered pneumococcal vaccine |
Inspection Report
Annual Inspection
Census: 63
Capacity: 86
Deficiencies: 13
Date: Sep 12, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to emergency preparedness, immunizations, staffing ratios, fire safety inspections, emergency food supply, and multiple life safety code violations including fire alarm system testing, sprinkler system maintenance, fire extinguisher signage, smoke barrier doors, elevator inspections, door maintenance, and electrical system testing.
Deficiencies (13)
Facility failed to include a facility-based and community-based risk assessment within the Emergency Preparedness Plan (EPP).
Facility failed to ensure all eligible residents were educated and offered pneumococcal immunization, with missing documentation of consent or declination for two residents.
Facility failed to maintain required minimum direct care staff-to-resident ratios for 1 of 14 day shifts reviewed.
Facility failed to ensure quarterly local fire inspections were performed as required by the New Jersey Uniform Fire Safety Code.
Facility failed to meet with municipal and county emergency management officials annually to review and update the emergency evacuation plan.
Facility failed to maintain a three-day minimum emergency food supply matching the menu.
Fire alarm system sensitivity testing documentation was not provided as required.
Facility failed to perform a 5-year internal inspection of the wet and dry fire sprinkler systems.
Facility failed to provide required instructional placards near 2 Class K portable fire extinguishers in the kitchen.
Smoke barrier doors did not close properly or had excessive gaps, compromising smoke resistance.
Elevators #11 and #12 were not inspected annually by the New Jersey Department of Community Affairs Elevator Safety Division as required.
Fire barrier doors including corridor doors to patient rooms and smoke barrier doors were not inspected annually with written record by qualified personnel.
Facility failed to functionally test non-hospital grade electrical receptacles in residents' rooms annually for grounding, polarity, and blade tension.
Report Facts
Deficiencies cited: 13
Census: 63
Total licensed capacity: 86
Staffing ratio deficiency: 1
Fire inspections missing: 3
Inspection Report
Routine
Deficiencies: 2
Date: Aug 31, 2023
Visit Reason
The inspection was conducted to evaluate compliance with facility policies regarding the use and monitoring of psychoactive medications and infection prevention and control practices, including hand hygiene during meal service.
Findings
The facility failed to adequately monitor and document target behaviors for residents receiving psychoactive medications for 2 residents, and failed to ensure proper hand hygiene practices during meal delivery, posing minimal harm or potential for actual harm.
Deficiencies (2)
Failure to identify and adequately monitor target behaviors for residents receiving psychoactive drug therapy for 2 residents.
Failure to follow handwashing/hand hygiene policy and perform hand hygiene during lunch meal observation.
Report Facts
psychoactive medications prescribed: 7
behavior incidents documented: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clinical Coordinator Registered Nurse | CC/RN | Interviewed regarding resident behaviors and documentation for Residents #27 and #33 |
| Assistant Director of Nursing | ADON | Interviewed about documentation practices and failure to document behaviors on ADLs Touch Screen |
| Director of Nursing | DON | Provided information on documentation and hand hygiene policies |
| Certified Nurse Aide #1 | CNA | Observed failing to perform hand hygiene during meal delivery |
| Licensed Practical Nurse #1 | LPN | Explained job duties related to meal oversight and hand hygiene |
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 9
Date: Aug 31, 2023
Visit Reason
Complaint visit to assess compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Complaint Details
The complaint investigation found the facility not in substantial compliance with psychotropic medication use and infection control requirements, as well as multiple life safety code violations.
Findings
The facility was found not in substantial compliance with psychotropic medication use and infection prevention and control requirements. Deficiencies included failure to monitor and document target behaviors for residents on psychoactive medications, and failure to perform hand hygiene during meal service. Additional life safety code deficiencies were identified in fire safety systems, sprinkler coverage, fire extinguisher maintenance, smoke barrier doors, electrical safety, and staffing ratios.
Deficiencies (9)
Failure to ensure facility policy was followed to identify and adequately monitor target behaviors for residents receiving psychotropic medications.
Failure to follow handwashing/hand hygiene policy and perform hand hygiene during lunch meal observation.
Fire-rated doors to hazardous areas were not separated by smoke resisting partitions; medical records room door did not self-close properly.
Fire alarm system smoke detection sensitivity testing was not performed every alternate year as required.
Failure to properly install sprinklers and provide fire sprinkler coverage to all areas of the facility.
Failure to perform monthly examination and documentation for 20 of 20 portable fire extinguishers as required.
Failure to maintain smoke barrier doors to resist transfer of smoke; one door did not close properly leaving a gap.
Failure to ensure 3 of 17 electrical outlets near water sources were equipped with functioning GFCI protection.
Failure to ensure remote manual stop station for emergency generator was installed as required.
Report Facts
Census: 74
Sample size: 25
Deficiency count: 9
Staffing shortfalls: 4
Fire extinguisher inspections missing: 20
Electrical outlets without GFCI: 3
Inspection Report
Routine
Deficiencies: 3
Date: Mar 9, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, catheter care, and medication administration at Continuing Care at Seabrook nursing home.
Findings
The facility failed to complete quarterly Minimum Data Set (MDS) assessments for 3 of 21 residents reviewed, improperly stored an indwelling urinary catheter drainage bag for one resident increasing infection risk, and medication errors were observed during administration to one resident.
Deficiencies (3)
Failure to complete quarterly Minimum Data Set (MDS) assessments for 3 residents (#5, #7, and #14).
Failure to ensure indwelling urinary catheter drainage bag was capped and stored properly to prevent infection for Resident #8.
Medication administration errors by Licensed Practical Nurse including incorrect dosing and omission of medication for Resident #43.
Report Facts
Residents reviewed for assessments: 21
Residents with missed quarterly MDS: 3
Residents reviewed for catheter use: 3
Residents affected by catheter deficiency: 1
Nurses observed during medication pass: 3
Units observed during medication pass: 2
Residents affected by medication errors: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Continuing Care Administrator | Administrator | Provided information about MDS Coordinator absence and acknowledged missed assessments |
| MDS Coordinator | MDS Coordinator | On leave until April 2022; acting MDS-C covered assessments |
| Acting MDS Coordinator | Acting MDS Coordinator | Acknowledged missed quarterly MDS assessments for Residents #7 and #14 |
| Registered Nurse/Clinical Manager | RN/Clinical Manager | Acknowledged missed quarterly MDS assessments for Residents #7 and #14 |
| Director of Nursing | Director of Nursing | Provided expectations for MDS assessment tracking, catheter care, and medication administration |
| Care Associate | Care Associate | Described catheter care and drainage bag handling for Resident #8 |
| Clinical Manager | Clinical Manager | Confirmed catheter drainage bag findings and care expectations for Resident #8 |
| Licensed Practical Nurse | Licensed Practical Nurse | Committed medication administration errors for Resident #43 |
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 7
Date: Mar 9, 2022
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to failure to complete quarterly Minimum Data Set Assessments for some residents, improper catheter care, medication administration errors, and failure to maintain required staffing ratios. Life safety code deficiencies included emergency lighting, cooking facilities inspection, and HVAC maintenance issues.
Deficiencies (7)
Facility failed to complete quarterly Minimum Data Set Assessments for 3 of 21 residents reviewed.
Facility failed to ensure proper catheter care and storage, risking infection for 1 of 3 residents reviewed.
Facility staff failed to administer medication in accordance with physician's orders for 1 of 3 nurses observed during medication pass.
Facility failed to maintain required minimum direct care staff-to-resident ratios for the day shift for 7 of 14 day shifts reviewed.
Battery backup emergency lighting failed to function properly and was missing above the emergency generator transfer switch.
Facility failed to inspect the range-hood fire suppression system semi-annually as required.
Facility failed to ensure proper maintenance of ventilation systems; 4 of 11 resident bathroom exhaust systems did not function properly.
Report Facts
Census: 62
Sample size: 21
Deficiencies cited: 7
Staffing ratio shortfalls: 7
Medication errors: 2
Inspection Report
Original Licensing
Deficiencies: 0
Date: Apr 9, 2021
Visit Reason
Initial inspection for licensure of a new or renovated long term care facility, specifically a new Alzheimer's unit located on the 5th floor.
Findings
No deficiencies were noted during the inspection. The building may not be occupied until formal notification by the licensing program is received.
Inspection Report
Abbreviated Survey
Census: 41
Deficiencies: 0
Date: Jan 4, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 10
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