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Deficiency Records for Somerset Ridge Center
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.
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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-20 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-20 | 2024-07-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-20 | 2024-06-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-20 | 2024-06-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-06-20 | 2024-06-27 | 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 | 2024-06-20 | 2024-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-20 | 2024-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-04 | 2024-06-21 | 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 | 2024-06-04 | 2024-06-21 | 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 | 2024-06-04 | 2024-06-21 | N |
| 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 |
| 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 |
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