Deficiency Records for Accela Rehab and Care Center at Somerton
Updated as of March 01, 2024
A list of the most recent deficiencies for Accela Rehab and Care Center at Somerton. 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? |
|---|---|---|---|---|
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-11-30 | 2023-12-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-27 | 2023-09-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-27 | 2023-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-27 | 2023-09-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-30 | 2023-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-08-28 | 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 | 2023-06-30 | 2023-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-30 | 2023-08-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-30 | 2023-08-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-30 | 2023-08-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-30 | 2023-08-28 | 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 | 2023-06-30 | 2023-08-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-08-28 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-30 | 2023-08-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-30 | 2023-08-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-13 | 2023-04-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-29 | 2023-02-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-06 | 2023-01-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-12-06 | 2023-01-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-06 | 2023-01-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-06 | 2023-01-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-01 | 2022-11-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-27 | 2022-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-27 | 2022-11-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-09-27 | 2022-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-27 | 2022-11-14 | 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 | 2022-10-05 | 2022-11-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-05 | 2022-11-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-06 | 2022-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-06 | 2022-10-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-06 | 2022-10-31 | 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 | 2022-09-06 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-06 | 2022-10-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-29 | 2022-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-03-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-26 | 2022-03-04 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-09-28 | 2021-12-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-28 | 2021-10-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-28 | 2021-10-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-17 | 2021-10-25 | 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 | 2021-09-17 | 2021-10-25 | 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 | 2021-09-17 | 2021-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-17 | 2021-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-17 | 2021-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-17 | 2021-10-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-17 | 2021-10-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-17 | 2021-10-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-28 | 2021-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-02 | Not Fixed | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-02 | Not Fixed | Y |
