Breakwater Commons

Certification

Medicare-certified.

Ratings

Inspection history (57)

Records from September 2023 to April 2026.

• January 23, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0637

  Assess the resident when there is a significant change in condition.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0947

  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0578

  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0887

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0730

  Observe each nurse aide's job performance and give regular training.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• January 23, 2025

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• January 23, 2025

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.

• November 12, 2024

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.

• November 12, 2024

  Tag F0557

  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 9, 2024.

• October 30, 2024

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity B: pattern, no actual harm, potential for minimal harm.

• September 26, 2024

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.

• September 26, 2024

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.

• September 26, 2024

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.

Penalties (2)

Total fines: $11,998

• August 28, 2023 · Fine

  CMS recorded a civil money penalty of $3,529 against this nursing home on August 28, 2023.

• August 7, 2023 · Fine

  CMS recorded a civil money penalty of $8,469 against this nursing home on August 7, 2023.

Staffing

4.88 nurse hours per resident per day in Q2 2026, up from 4.80 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company

• Parent company: Breakwater Commons Operations, LLC