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 |
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 |