The reviews for Sea Crest Nursing and Rehabilitation present a deeply polarized and complex picture. A substantial portion of families and former patients praise the facility for its strong rehabilitation programs, skilled physical and occupational therapists, and the availability of in-house dialysis. Multiple reviewers described rapid functional improvement, successful discharge home, and excellent outcomes from PT/OT under named therapists. The facility's location and outdoor amenities — an ocean-facing patio/boardwalk and organized social activities like yoga, BBQs, arts and crafts, and holiday events — are frequently cited as genuine positives that contribute to residents’ mental well-being and quality of life. Admissions staff, some social workers, and specific nurses and CNAs are repeatedly singled out as compassionate, communicative, and effective; these individual staff members often create very positive experiences for families.
However, an equally large and troubling set of reviews details systemic problems that users experienced, many of which are severe. The most recurrent concern is understaffing: reviewers describe high patient-to-CNA ratios, long waits for assistance, ignored call lights, and markedly slower or poorer care during certain shifts (notably nights) or on certain floors. This staffing shortage appears to be a root cause for many other issues, including delayed medication administration (with several reports of missed or late insulin and at least one report of inappropriate sedative administration), poor hygiene care (residents left soiled for hours, soiled beds, urine smells), and missed monitoring after falls. There are numerous allegations of neglect and abuse — including reports of bruises, significant unexplained weight loss, patients found covered in feces or vomit, and even safety incidents where missing rails or wheelchair belts contributed to falls and infections. Several reviewers indicated they believed conditions rose to the level of criminal neglect and planned to report or press charges.
Cleanliness and infection control produce mixed but serious feedback. While many reviewers call the facility clean and free of typical nursing-home odors, an alarming number report unsanitary conditions: roaches, soiled bathrooms, urine-smelling beds, poor bathing frequency, and inadequate floor cleaning. These negative cleanliness reports often coincide with accounts of understaffing and poor management responsiveness. Communication breakdowns are another dominant theme: families repeatedly report unanswered phones, voicemail messages that aren't returned, management extensions that do not work, social workers who are unavailable or inconsistent, and confusing billing or discharge instructions. Several reviewers said they were discharged without prescribed medications or without arranged home supports, and others reported discrepancies or opacity around Medicare/Medicaid billing and potential liens.
Care quality is highly uneven across the facility and by time of day. Multiple reviewers draw a clear distinction between certain floors or teams (for instance praise for the 2nd and 6th floors, PT teams, dialysis staff) versus other units or night teams where care is described as poor or neglectful. This inconsistency extends to individual staff members: some CNAs and nurses are described as extraordinarily caring and professional, while others are described as rude, inattentive, or poorly trained, occasionally allegedly causing pain during care. Families describe a pattern where highly competent personnel attempt to compensate for systemic problems, and when those staff are present the experience is positive; when they are absent, the patient experience deteriorates markedly.
Dining and basic needs are frequent areas of complaint: many reviewers note inedible food, long delays in meal service, cold trays, and reports that residents were not given water unless family assisted. Conversely, some reviewers enjoyed the food and dining experience and cited good meal service. Activities and social programming are generally seen as strengths when adequately staffed; reviewers mention engaging recreation teams, therapy-led activities, and family-involving events that improved mood and socialization. Language support and cultural services are highlighted as positives in the Asian community unit, with Chinese translation services and cultural events noted.
Safety and clinical oversight concerns appear in multiple reports. Medication administration errors, delayed insulin, absent physician rounds, incomplete medical charts, and delayed escalation to hospital are specifically cited. Several reviews document safety breaches — missing bed rails, lack of wheelchair belts, falls leading to wounds and subsequent infections, and inadequate post-fall monitoring — which families considered dangerous. These concerns, combined with reports of poor infection control and alleged falsification or misreporting (some reviewers alleged fake COVID tests), create a pattern that some families interpret as systemic failure rather than isolated incidents.
Administration and management receive mixed feedback. Some families praise responsive administrators and social workers who engaged proactively, while many others report unreachable management, unanswered calls, and slow or nonexistent follow-through on complaints. Billing, discharge practices, and Medicaid/Medicare communications are recurring sources of frustration, with reviewers warning about high charges, unclear pricing, and potential liens. Several reviewers explicitly urged other families to document issues and escalate incidents to external oversight because internal resolution was unsuccessful.
Overall, the aggregated sentiment is highly polarized: the facility delivers exceptional rehabilitation and clinical success stories for many patients, largely driven by dedicated therapists, dialysis staff, and individual nurses/CNAs. At the same time, recurring and serious complaints — primarily linked to staffing shortages, inconsistent supervision, communication breakdowns, hygiene/sanitation failures, medication errors, and safety incidents — create substantial risk and anxiety for other families. Prospective families should weigh the documented strengths in therapy and the positive experiences with certain units and staff against the documented variability in care, reports of neglect/abuse, and administrative/communication shortcomings. The reviews indicate that outcomes at Sea Crest are often determined by which staff and shift a patient encounters, suggesting that oversight, staffing improvements, and consistent management responsiveness are critical areas needing attention to reduce harm and ensure uniformly safe, dignified care for all residents.
