Altercare Somerset Inc.

In the surveyor’s words

From the most serious findings on record at Altercare Somerset Inc., in the surveyor’s own words.

• Actual harm, isolatedF692Jul 18, 2024

  Based on medical record review, interview, and review of facility policy, the facility failed to develop and implement a comprehensive, effective and individualized nutritional program to ensure nutritional recommendations were implemented timely, weights and assessments were completed timely, care plans were updated appropriately, and significant/severe weight changes were addressed for Resident #264. Actual harm occurred when Resident #264 who was cognitively impaired and weighed 104 pounds on 05/19/24 experienced a gradual weight loss until 06/24/24 when she experienced a severe 8.5% (9 pounds) weight loss. The nutritional recommendations for Resident #264 that were made on 05/19/24 were not put in place until they were recommended again on 06/09/24. […]

• No harm, potential for more than minimal, widespreadF880Oct 12, 2023

  Based on observation, staff interview, and policy review, the facility failed to ensure appropriate infection control practices were followed in regards to the use of personal protective equipment (PPE) and donning/ doffing procedures were followed to help limit the spread of Covid-19 throughout the facility. This had the potential to affect all residents residing in the facility. The facility's census was 64. Findings include: 1 a.) On 10/10/23 at 9:37 A.M., an observation of Housekeeping Aide #19 noted her to be cleaning Resident #20's room (who was in transmission based precautions for being Covid-19 positive). She was observed mopping his floor before doffing her PPE to include the removal of her disposable gown and gloves while in the resident's room. […]

• No harm, potential for more than minimal, patternF921Feb 26, 2026

  Based on observation, medical record review, interview and facility policy review, the facility failed to ensure resident equipment was maintained in a clean and sanitary manner. This affected three residents (#9, #44 and #54) of 25 sampled residents. The facility census was 69. Findings Include:1. Review of the medical record for Resident #44 revealed an initial admission date of 08/20/23 with the latest readmission of 05/21/24 diagnoses included the protein calorie malnutrition, urinary tract infection (UTI), depression, mood disorder, hypothyroidism, anemia, metabolic encephalopathy, solitary pulmonary nodule, chronic pain, atrial fibrillation, anorexia, osteoarthritis, dementia, macular degeneration and cerebral atherosclerosis. […]

• No harm, potential for more than minimal, patternF584Oct 29, 2024

  Based on observation, resident interview, and staff interview, the facility failed to ensure residents had the right to a safe, clean, and sanitary environment. This affected 42 of 67 residents (25 residents were identified to not use the facility's two shower rooms (Residents #3, #4, #6, #17, #21, #22, #36, #37, #38, #39, #42, #44, #47, #48, #50, #52, #53, #54, #55, #59, #63, #64, #65, and #66). The facility's census was 67. Findings include: On 10/28/24 at 10:25 A.M., an observation of the facility's main shower room on Unit 1 revealed the commode in the shower room was missing a toilet seat. There was a black colored substance on the vinyl floor, near the left side of the shower stall where the vinyl flooring met the tiled shower stall's floor. […]

• No harm, potential for more than minimal, patternF676Jul 18, 2024

  Based on record review, observations, resident, family and staff interviews, and policy review, the facility failed to ensure residents, who required assistance from staff for personal care, received the assistance they needed to complete activities of daily living per the residents' preferences. This affected four (#20, #40, #55, and #264) of six residents reviewed for activities of daily living (ADL). The facility's census was 62. Findings include: 1. Review of Resident #40's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included low back pain, muscle weakness, difficulty walking, repeated falls, osteoarthritis, and unspecified dementia. […]