All citations for Breakwater Commons

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Breakwater Commons

Last standard health inspection on record

April 9, 2026

Showing 76 to 89 of 89 citations

  1. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  3. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  4. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  5. No harm, with potential for more than minimal harm

    Have restrictions on the use of flammable curtains.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  6. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  7. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  8. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  9. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 26, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  10. No harm, with potential for minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  11. No harm, with potential for minimal harm

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

    Pattern (more than a few residents). CMS level B.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 30, 2024. Found during a complaint inspection.

    No plan of correction on record.

  12. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  13. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  14. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of November 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.