Somerset Woods Rehabilitation & Nursing Center

In the surveyor’s words

From the most serious findings on record at Somerset Woods Rehabilitation & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 31, 2025

  Complaint #: NJ 168006 Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) implement their abuse policy and ensure residents were protected from sexual abuse after a cognitively intact resident (Resident #155) made an allegation of rape on 9/30/23, and was sent to the hospital for evaluation. This deficient practice was identified for 1 of 2 residents reviewed for abuse (Resident #155). A review of a Nursing Note dated 9/30/23, revealed that Resident #155 was in bed with their Resident Representative (RR #1) at bedside, when the resident reported to the Registered Nurse (RN #1) that they were raped. […]

• Immediate jeopardy, isolatedF609Jan 31, 2025

  Complaint #: NJ 168006 Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to report within two hours to the New Jersey Department of Health (NJDOH) a.) an allegation of sexual abuse for a cognitively intact resident (Resident #155) who reported being raped. This deficient practice was identified for 1 of 2 residents reviewed for abuse. A review of a Nursing Note dated 9/30/23, revealed that Resident #155 was in bed with their Resident Representative (RR #1) at bedside, when the resident reported to the Registered Nurse (RN #1) that they were raped. The note further indicated that the resident, without RR #1 or RN #1's knowledge, had called the local police to report the rape. […]

• Immediate jeopardy, isolatedF610Jan 31, 2025

  Complaint #: NJ 168006 Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to a.) implement their abuse policy and investigate an allegation of sexual abuse for a cognitively intact resident (Resident #155) who reported being raped. This deficient practice was identified for 1 of 2 residents reviewed for abuse (Resident #155). A review of a Nursing Note dated 9/30/23, revealed that Resident #155 was in bed with their Resident Representative (RR #1) at bedside, when the resident reported to the Registered Nurse (RN #1) that they were raped. The note further indicated that the resident, without RR #1 or RN #1's knowledge, had called the local police to report the rape. […]

• Immediate jeopardy, isolatedF835Jan 31, 2025

  Complaint #: NJ 168006 Based on observations, interviews, record review and review of pertinent facility documents, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure staff, as well as himself, implemented the facility's abuse policies and procedures to ensure resident safety and well-being by ensuring a.) an allegation of rape was thoroughly investigated and reported to the New Jersey Department of Health (NJDOH) for Resident #155. This deficient practice was identified for 1 of 2 residents reviewed for abuse (Resident #155). 1. […]

• Actual harm, isolatedF677May 23, 2022

  COMPLAINT #: NJ 152792 Based on observation, interview, and review of facility documents it was determined that the facility failed to: a.) ensure timely incontinence care to residents dependent on staff for care, b.) initiate a plan of care to prevent moisture-associated skin damage and fungal rash as a result of the incontinence. This deficient practice was identified for 3 of 5 residents reviewed for incontinence (Resident #20, #70, and #101). 1. On 4/26/22 at 9:52 AM, the surveyor conducted a phone interview with the responsible party (RP) of Resident #20. The RP informed the surveyor that the family visited Resident #20 almost every day. […]