A list of the most recent deficiencies for Somerset Ridge Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-03-14 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-17 | 2024-03-14 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-10 | 2024-02-13 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-10 | 2024-02-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-01-10 | 2024-02-13 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-10 | 2024-02-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-02-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-10 | 2024-02-13 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-10 | 2024-02-13 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-10 | 2024-02-13 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-10 | 2024-02-13 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-10 | 2024-02-13 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-10 | 2024-02-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-13 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-01-10 | 2024-02-13 | N |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-01-10 | 2024-02-13 | N |
Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-01-10 | 2024-02-13 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-10 | 2024-02-13 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-10 | 2024-02-13 | N |
Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-13 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-30 | 2024-01-29 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-11-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-08 | 2023-09-19 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-02 | 2023-09-12 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-02 | 2023-09-12 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-02 | 2023-09-12 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-09-12 | N |
Respond appropriately to all alleged violations. | Health | 2023-08-02 | 2023-09-12 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-02 | 2023-09-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-02 | 2023-09-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-09-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-02 | 2023-09-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-09-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-02 | 2023-09-12 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-02 | 2023-09-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-02 | 2023-09-12 | N |
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. | Health | 2023-08-02 | 2023-09-12 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-02 | 2023-09-12 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2023-08-02 | 2023-09-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-09-12 | N |
Dispose of garbage and refuse properly. | Health | 2023-08-02 | 2023-09-12 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-02 | 2023-09-12 | N |
Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-09-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-17 | 2023-06-12 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-21 | 2023-03-24 | N |
List the names and contact information of those in the facility. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-03-24 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-14 | 2023-03-14 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-14 | 2023-03-14 | N |
Assess the resident when there is a significant change in condition | Health | 2023-02-14 | 2023-03-14 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-14 | 2023-03-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-03-14 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-14 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-14 | 2023-03-14 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-14 | N |
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. | Health | 2023-02-14 | 2023-03-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-14 | 2023-03-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-14 | 2023-03-14 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-14 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-09 | N |
Report COVID19 data to residents and families. | Health | 2022-01-27 | 2022-02-09 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-01-27 | 2022-02-09 | N |