Accela Rehab and Care Center at Somerton

In the surveyor’s words

From the most serious findings on record at Accela Rehab and Care Center at Somerton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 14, 2026

  Based on observations, review of facility polices and documents, clinical record review and interviews with staff, it was determined the facility failed to properly supervise a cognitively impaired resident who was able to exit the facility and board a train, for one of five residents reviewed for elopement risk (Resident R1). This failure placed the resident in an Immediate Jeopardy situation. Findings include:Review of facility policy, Wandering and Elopements dated March 2019, revealed The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for residents. […]

• Actual harm, isolatedF760Jul 28, 2021

  Based on review of facility policies and procedures, review of clinical records, and interviews with staff and residents, it was determined that the facility failed to ensure that residents were free from significant medication errors for one of three residents reviewed (Resident R1). This failure resulted in actual harm to Resident R1 who experienced lethargy, [CONDITION(S)] (elevated heart rate) and slurred speech and was admitted to the hospital for further monitoring and treatment. Findings include: A review of an undated facility policy Administering Medications, revealed: Policy Statement . Medications are administered in a safe and timely manner, and . 9. The individual administering medications verifies the resident's identity before giving the resident his/her medications. […]

• No harm, potential for more than minimal, widespreadF812May 3, 2024

  Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: A tour of the Food Service Department was conducted on April 30, 2024, at 10:00 a.m. with Employee E4, Food Service Director (FSD), revealed the following concerns: Observations in the dry storage area revealed a jug of honey which was very dark and crystalized with a receiving date of 2/2022. Observations in the walk-in cooler revealed a dusty and dirty floor littered with debris, the shelving and dunnage racks were dusty and dirty, and the walls and ceiling has dark spots. […]

• No harm, potential for more than minimal, patternF645Feb 20, 2026

  Based on review of clinical records, staff interviews, and review of facility policy, it was determined that the facility failed to ensure accurate completion and updating of the Pre-admission Screening and Resident Review (PASRR) in accordance with residents documented mental health diagnoses. This resulted in inaccurate and incomplete PASRR Level I screenings for four (4) of five (5) residents reviewed (Residents R94, R107, R128, and R142).Findings include: Review of the facility policy titled admission Criteria last revised March 2019, revealed the purpose of the policy is to: Provide uniform criteria for admitting residents to the facility.Admit residents whose needs can be adequately met by the facility.Address concerns of residents and families during the admission process.Review… […]

• No harm, potential for more than minimal, patternF947Feb 20, 2026

  Based on a review of facility documentation and interview with staff, it was determined that facility failed to provide verifiable documentation of the mandatory 12-hour annual training for five of five employees reviewed. (Employee E19, E20, E21, E22, and E23) Review of Employees E19, E20, E21, E22, and E23's personnel files including documentation of annual mandatory 12-hour training for nursing assistants revealed there was no documentation of the nursing assistant twelve hours trainings. On February 20, 2025, at approximately 1:00 p.m., the Director of Nursing (Employee 2) provided the survey team with sign-in sheets for annual mandatory education. […]