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Breakwater Commons
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | May 28, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| — | May 28, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. | D |
| — | May 28, 2025 | Provide and implement an infection prevention and control program. | E |
| — | May 28, 2025 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D |
| — | May 28, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
0.8 RN Hours / Resident / Day
4.8 Total Nurse Hours / Resident / Day
74.1% RN Turnover Rate
2.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
91.2 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST BREAKWATER COMMONS OPERATIONS, LLC
CORPORATE DIRECTOR CYR, GLEN
CORPORATE DIRECTOR ORESTIS, JOHN
CORPORATE DIRECTOR RICHARDS, MARY
CORPORATE DIRECTOR TYLER, MICHAEL
CORPORATE DIRECTOR URY, WILLIAM
W-2 MANAGING EMPLOYEE CHADWICK, CARL
5% OR GREATER SECURITY INTEREST BRESHNAHAN, RICHARD
5% OR GREATER SECURITY INTEREST CROSS, ROYCE
5% OR GREATER SECURITY INTEREST HARSTAD, PAUL
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Aug 28, 2023 | Fine | $3,529 |
| Aug 7, 2023 | Fine | $8,469 |
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