A list of the most recent deficiencies for Altercare Somerset Inc.. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-10-31 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-17 | 2022-12-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-30 | 2022-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-30 | 2022-10-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-30 | 2022-10-18 | Y |
| 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 | 2022-09-30 | 2022-10-18 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-03-17 | 2021-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-17 | 2021-04-02 | Y |
| 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 | 2021-03-17 | 2021-04-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-06 | 2020-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-06 | 2020-01-31 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-06 | 2020-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-06 | 2020-01-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-06 | 2020-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-06 | 2020-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-06 | 2020-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-06 | 2020-01-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-06 | 2020-01-31 | 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 | 2020-01-06 | 2020-01-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-02 | 2020-01-31 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-12-06 | 2019-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-06 | 2019-01-16 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-06 | 2019-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-06 | 2019-01-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-06 | 2019-01-16 | 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 | 2018-12-06 | 2019-01-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-06 | 2019-01-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-06 | 2019-01-16 | 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 | 2018-12-06 | 2019-01-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-06 | 2019-01-16 | 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 | 2018-12-06 | 2019-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2019-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-06 | 2019-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
