Somerfield at the Heritage

In the surveyor’s words

From the most serious findings on record at Somerfield at the Heritage, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 12, 2026

  Based on facility policy review, medical record review, Fire Department Incident report review, facility investigation review, Performance Improvement Plan review, and interviews, the facility failed to ensure the environment was free from accident hazards when staff failed to follow the care plan for 2 person assist for transfers with a mechanical lift (device designed to safely transfer patients with limited mobility) for 1 of 3 (Resident #78) sampled residents reviewed for accidents. […]

• No harm, potential for more than minimal, patternF609Jun 12, 2026

  Based on facility policy review, job description review, medical record review, and interview, the facility failed to report allegations of Abuse for 5 of 6 (Resident #7, #21, #78, #83, and #84) sampled residents reviewed for Abuse. The findings include: 1. Review of the facility's policy titled Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, dated 2022, revealed .If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be reported immediately to the administrator and to other officials according to state law. […]

• No harm, potential for more than minimal, isolatedF690Jun 12, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to provide indwelling urinary catheter care as ordered by the physician for 2 of 2 (Resident #23 and #49) sampled residents reviewed for indwelling urinary catheter. The findings include: 1. Review of the facility policy titled, Catheter Care, Urinary, dated August 2022, revealed .The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections.the following information should be recorded in the resident's medical record.the date and time that catheter care was given.the name and title of the individual giving the catheter care. 2. […]

• No harm, potential for more than minimal, isolatedF692Jun 12, 2026

  Based on facility policy review, facility job description review, medical record review, and interview, the facility failed to follow Physician Orders for 1 of 4 (Resident #9) residents reviewed for nutrition. The findings include: 1. Review of the facility's policy titled Administering Medications, dated 4/2019, revealed .Medications are administered in a safe and timely manner, and as prescribed.Medications are administered in accordance with prescriber orders.The individual administering the medication initials the resident's MAR [Medication Administration Record] on the appropriate line after giving each medication. 2. […]

• No harm, potential for more than minimal, isolatedF761Jun 12, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when medications were found unsecured and unattended in 1 of 60 (Resident #42) resident occupied rooms and when controlled medications were stored unsecured in 1 of 6 (Monarch Hall medication refrigerator) medication storage areas. The findings include: 1. Review of the facility policy titled, Medication Labeling and Storage, dated 2001, revealed .The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. […]