PruittHealth - Crystal Coast

    468 US-70, Sealevel, NC, 28577
    2.9 · 38 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Understaffed mismanaged facility; unsafe care

    I placed my mother here for rehab. The building is old but clean, with nice outdoor spaces and many genuinely kind, friendly staff who know residents by name and run activities - when staffing allows. That said, the facility is severely understaffed and mismanaged: long nurse-call delays (I personally saw ~35 minutes), medication delays of days, poor handoffs/continuity, delayed or discontinued PT for insurance reasons, and weak medical oversight. My mother suffered dehydration and a hospital readmission; there were pressure ulcers, unexplained bruising, and other safety incidents. Administration was often rude, visiting rules were strict, and billing/insurance handling was aggressive and confusing. Staff try hard with limited resources, but I would not leave a non-mobile or medically complex loved one here without constant family advocacy.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.95 · 38 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.6
    • Meals

      2.9
    • Amenities

      2.1
    • Value

      1.3

    Pros

    • Friendly, kind and attentive direct care staff and CNAs (when available)
    • Clean and well-kept facility in many reports
    • Pleasant, helpful transport personnel
    • Engaged social workers and a noted social worker presence
    • Activities director and organized activities present
    • Rehabilitation/physical therapy facilities described as up-to-date and roomy
    • Good outdoor spaces, nice landscaping and pleasant grounds
    • Some reports of a family/community atmosphere where residents are known by name
    • Rehab outcomes praised by some family members
    • New/beautiful building mentioned by some reviewers
    • Occupational and therapy staff occasionally noted as professional
    • Professionalism and competence reported by some families

    Cons

    • Chronic understaffing, especially CNAs and nursing staff
    • Long delays in nurse call response (reports up to 35+ minutes)
    • Inconsistent or poor continuity of care and poor handoffs between shifts
    • Delayed or inconsistent physical therapy access and slow therapy starts
    • Insurance advocacy failures and premature therapy discontinuation due to insurance denial
    • Medication delays and pharmacy-related issues (meds delayed days)
    • Allegations of neglect: dehydration, pressure ulcers, delirium, missed changes in condition
    • Serious adverse outcomes reported including hospital readmissions, stroke missed, and death
    • Room moves without family consultation and changes from private to semi-private without discussion
    • Inadequate or old facility infrastructure in many areas (no hot water in bathrooms)
    • Restrictions on personal items and recliners, inconsistent visiting policies
    • Poor communication with families: unnotified discharges, wrong paperwork, lack of PACT/inbrief
    • Rude or uncooperative administrative/office staff and social workers noted
    • HIPAA/privacy violations and unprofessional behavior
    • Delayed diaper changes and incontinence care delays
    • Favoritism among residents reported
    • Incidents involving CNA misconduct and alleged assault
    • Inadequate furniture, lack of hot water/ice changes, and housekeeping inconsistencies
    • Billing, aggressive billing practices, and insurance/Medicaid confusion
    • Salon and advertised services not consistently provided

    Summary review

    Overall sentiment across the reviews is mixed but leans toward serious concern. Many reviewers praise individual staff members — CNAs, transport personnel, social workers, and some therapists — as kind, helpful and professional. The facility is described as clean and well-kept by multiple commenters, with attractive grounds, roomy rehab spaces, and an activities program that includes local music and church groups. Several families reported positive rehab outcomes and caring staff who helped their loved ones make progress. A subset of reviewers also mentioned a newer or beautiful building and a home-like, community atmosphere where residents are known by name.

    However, consistent and recurring negative themes are prominent and at times severe. The most frequent concern is chronic understaffing, particularly among nursing assistants and nurses, which reviewers link to long call-bell response times, delayed assistance, delayed diaper changes, and delays in basic care. Multiple reports describe medical neglect or substandard care consequences: dehydration, delirium, pressure ulcers, missed changes in condition (including reports of a stroke and subsequent death), and hospital readmissions. These are not isolated complaints — reviewers explicitly connect staffing shortages and poor handoffs to these adverse outcomes.

    Care coordination, communication, and administrative operations receive substantial criticism. Families report poor continuity of care across shifts, inconsistent handoffs, delayed care plan meetings, and failures to notify families of significant changes such as discharge dates or room moves. There are repeated accounts of paperwork errors, wrong discharge or therapy paperwork being sent, and a lack of advocacy from staff regarding insurance denials — for example, physical therapy being stopped after insurer denial without staff appealing. Medication management problems appear frequently: delays in receiving medications (including pain meds) often attributed to an external Durham-based pharmacy, and unusual medication timings (reports of medications given at 1 a.m.). Billing and insurance confusion, aggressive billing practices, and Medicaid issues were also reported.

    Safety, privacy and professionalism concerns are raised in multiple reviews. Allegations include HIPAA violations, favoritism, rude administrators or social workers, and at least one report of a CNA incident described as assault. Families also described unprofessional interactions, such as an administrator enforcing strict visiting policy in a disrespectful manner and staff laughing at family concerns. Several reviewers warn others not to leave vulnerable or non-mobile loved ones at the facility, citing it as unsafe for residents who require significant assistance.

    Facility condition and amenities are variably reported. Some reviewers praised a new building, nice landscaping, roomy rehab rooms, and overall cleanliness. Others describe outdated parts of the facility, insufficient hot water (no hot water in bathrooms noted), inadequate furniture, and advertised services (like salon services) not being provided. Restrictions on personal items such as recliners, limited funds for recreational activities, and inconsistent availability of activities were also mentioned.

    Therapy and rehabilitation services are a mixed picture: some reviews highlight up-to-date PT facilities and good rehab experiences, while others describe slow starts to physical therapy, discontinuation due to insurance denials, and delays in arranging in-home therapy after discharge. Families reported that administrative or insurance barriers sometimes prevented consistent therapy, affecting recovery outcomes.

    In summary, reviewers identify pockets of strong, compassionate direct care and some good amenities, but these positives are frequently undermined by systemic problems: understaffing, poor communication and handoffs, administrative shortfalls, medication and therapy delays, and several reports of neglect or safety incidents. If considering this facility, families should be aware of both the caring staff and the recurring operational risks. Active family advocacy, closely monitoring care, documenting issues, and verifying discharge/therapy/medication arrangements are repeatedly recommended by reviewers to mitigate reported shortcomings.

    Location

    Map showing location of PruittHealth - Crystal Coast

    About PruittHealth - Crystal Coast

    PruittHealth - Sealevel is a medium-sized nursing facility with 104 beds that provides both short-term rehabilitation and long-term care services. Operating under corporate, for-profit ownership, the care home accepts both Medicare and Medicaid, making it accessible to residents with a variety of financial situations. It is not part of a continuing care retirement community, focusing its services on individuals needing short or long-term skilled nursing rather than offering a full spectrum of senior living options.

    Residents seeking short-term rehabilitation at PruittHealth - Sealevel can expect an environment focused on recovery following hospital stays related to strokes, heart attacks, infections, or accidental injuries. Approximately 45.4% of residents are able to return home after discharge, reflecting the facility's commitment to improving residents' functional abilities. Notably, the percentage of falls resulting in major injuries is reported as 0.0%, and 7.7% of those staying for short-term rehabilitation have experienced infections requiring hospitalization, while 13.7% required emergency room visits during their stay. To support patient care, nursing staff provide an average of 2 hours and 55 minutes of direct care per resident each day.

    For long-term care residents, PruittHealth - Sealevel provides assistance with a range of daily activities and medical needs, such as administering medications, dressing, eating, and personal hygiene. The care home places an emphasis on helping individuals maintain their independence, with 82.2% of residents retaining the ability to manage activities of daily living without extensive assistance. Emergency room visits for this group average 1.8 per 1,000 patient days. The administration is attentive to preventative care, as shown by a 98.6% flu vaccination rate among residents. Staffing levels are consistent with those of the short-term rehabilitation unit, though weekend staffing is rated below average for maintaining the same ratios as weekdays.

    PruittHealth - Sealevel also undergoes regular health, fire, and safety inspections conducted by national regulatory bodies to ensure a safe and compliant living environment. The most recent inspection metrics reflect its adherence to national fire protection standards, with periodic reviews helping to maintain quality and safety standards. Over the last three years, the facility has paid fines totaling $9,463, indicative of their responsiveness to regulatory feedback.

    Residents and families may find comfort in the knowledge that PruittHealth - Sealevel is committed to providing care in a structured setting where daily medical and personal needs are met. Through participation in federal programs like Medicare and Medicaid, comprehensive care is accessible to a wide range of seniors in need of skilled nursing services, whether their stay is for short-term rehabilitation or ongoing long-term support.

    People often ask...

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 4 facilities
    2. 0 facilities
    3. 0 facilities
    4. 0 facilities
    5. 2 facilities$3,725/mo
    6. 3 facilities$3,725/mo
    7. 0 facilities
    8. 9 facilities$4,636/mo
    9. 9 facilities$4,636/mo
    10. 2 facilities
    11. 0 facilities
    12. 0 facilities
    © 2025 Mirador Living