Somerwoods Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Somerwoods Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF657Jul 13, 2022

  Based on interview, record review, and review of the facility's policies, it was determined the facility failed to ensure residents' Comprehensive Care Plans (CP) were revised in order to provide adequate supervision and monitoring to prevent elopement for one (1) of fourteen (14) sampled residents (Resident #1). Record review revealed, on the morning of 06/23/2022, Resident #1, was placed on fifteen (15) minute checks, at approximately 10:00 AM, after a fell ow resident reported Resident #1 had a plan to exit the facility (elope) the following morning. However, his/her care plan was not revised to incorporate this increased monitoring. In addition, the facility assessed Resident #1 to be safe to smoke unsupervised in an unsecured area. […]

• Immediate jeopardy, isolatedF689Jul 13, 2022

  Based on observation, interview, record review, review of a weather archives website, https://www.timeanddate.com/weather, review of the Kentucky Incident Based Reporting System (KYIBRS) Report, and review of the facility's policies, it was determined the facility failed to have an effective system to ensure each resident received adequate supervision and monitoring to prevent elopement for one (1) of fourteen (14) sampled residents (Resident #1). Review of Resident #1's Electronic Medical Record (EMR) revealed the facility readmitted the resident on 12/20/2021 with diagnoses that included Hemiplegia and Hemiparesis Left Side, Short-Term Memory Loss, and Epilepsy. Resident #1 had a guardian. The facility assessed Resident #1 as high risk for wandering/elopement at admission. […]

• No harm, potential for more than minimal, widespreadF809May 1, 2026

  Based on observation, interview, and review of the facility's policies, the facility failed to consistently provide snacks for all residents in the facility, which had the potential to affect any resident who received snacks from the dietary department.The findings include: Review of the facility's policy titled, Offering/Serving Bedtime Snacks, undated, revealed it was the practice of the facility to offer and serve residents with a nourishing snack. Further review the snacks were to be in accordance with the residents' needs, preferences and requests at bedtime on a daily basis. […]

• No harm, potential for more than minimal, widespreadF812May 1, 2026

  Based on observation, interview, and facility policy review, the facility failed to prepare, store, and serve food in a sanitary manner to help prevent potential contamination and foodborne illness, which had the potential to affect all residents consuming food from the dietary department. The findings include: Review of the facility's policy titled, Dietary Employee Personal Hygiene, date reviewed/revised 09/01/2024, revealed the facility was to utilize guidelines for employee personal hygiene to prevent contamination of food by foodservice employees. Continued review revealed hands were to be washed after engaging in activities that contaminated the hands, and employees were not to use their bare hands to contact with ready-to-eat foods. […]

• No harm, potential for more than minimal, widespreadF880May 1, 2026

  Based on observation, interview, and facility policy review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases which had the potential to affect all residents. The findings include: Review of the facility's policy titled, Infection Prevention and Control Program, dated 09/01/2024, revealed the facility was expected to establish and maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections as per nationally accepted standards and guidelines. […]