The Paramount At Somers Rehab And Nursing Center
THE PARAMOUNT AT SOMERS REHAB AND NURSING CENTER in SOMERS, NY — inspection on September 10, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of a risk for falls care plan initiated 02/07/2024 documented Resident #3 was at risk for falls due to ambulatory dysfunction, muscle weakness and joint pain.
Interventions listed included call bell/personal items within reach, investigate cause of falls and evaluate patterns if more than one, keep bed in lowest position and maintain a clutter free environment.Review of Resident #3's care plans revealed their risk for fall care plan was not updated with the fall that occurred on 03/10/2024.
During an interview on 08/18/2025 at 1:53 PM, the Director of Nursing stated they do not list the falls on the care plan, they write a progress note corresponding with the incident and implement interventions dated from the day of the incident.
The Director of Nursing stated the care plan for Resident #1 was updated with staff education and a Physical Therapy evaluation the day after the fall and this was the care plan update.
During a telephone interview on 09/02/2025 at 9:00 AM, Registered Nurse #1 stated most of the time the unit manager is responsible to update the care plans, but they work as a team, and they could update the care plans as well.
Registered Nurse #1 stated the care plans should be updated immediately following a fall.
Registered Nurse #1 stated if a resident has an actual fall, the care plan has to be updated depending on what led to the fall.
Registered Nurse #1 stated the fall risk care plan would be updated and also any care plan that is related to the cause of the fall, example behaviors. 10 NYCRR 415.11 (c)(2)(ii)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Paramount at Somers Rehab and Nursing Center
Route 100 Somers, NY 10589
SUMMARY STATEMENT OF DEFICIENCIES
transferred.
Certified Nurse Aide #1 stated Certified Nurse Aide #2 went out of the room and got the Hoyer machine and placed the Hoyer machine over Resident #1 and hooked the Hoyer pad to the machine.
Certified Nurse Aide #1 stated they noticed while Certified Nurse Aide #2 was lifting Resident #1 that the resident's chair was far away, so they turned to get the chair closer for transfer.
Certified Nurse Aide #1 stated as they turned around with the resident's chair, they saw Resident #1 falling from the mechanical lift.
Certified Nurse Aide #1 stated Certified Nurse Aide #2 applied the hooks on the pad to the mechanical lift machine.
Certified Nurse Aide stated they were at the foot of the resident's bed.
Certified Nurse Aide #1 stated when they are transferring a resident, they set the chair up so it is closer and not too far.
Certified Nurse Aide #2 basically, began to transfer the resident without them being in position
During an interview on 08/22/2025 at 1:59 PM, the Assistant Director of Nursing stated it was determined that while Certified Nurse Aide #1 and Certified Nurse Aide #2 were transferring Resident #1 something caused the Hoyer pad strap to pop up and off the Hoyer machine.
The Assistant Director of Nursing stated both Certified Nurse Aide #1 and Certified Nurse Aide #2 stated they did the procedure the right way.
The Assistant Director of Nursing stated their conclusion was based on the possibility of Resident #1 brushing against the bed rail or something and pushing the hook up.
During an interview on 08/22/2025 at 4:08 PM, the Administrator stated Certified Nurse Aide #1 and Certified Nurse Aide #2 are good aides and they possibly did not know that the Hoyer pad hook came off the Hoyer machine.
The Administrator stated they think that possibly Resident #1's weight was shifted as they lifted/lowered the resident, and the Hoyer pad hook slipped off the Hoyer machine. 10 NYCRR 415.12(h)(1)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Paramount at Somers Rehab and Nursing Center
Route 100 Somers, NY 10589
SUMMARY STATEMENT OF DEFICIENCIES
During a telephone interview on 09/09/2025 at 11:11 AM, the Medical Director stated they were called on 02/20/2025 and informed Resident #4 was having respiratory symptoms.
The Medical Director stated they ordered for Resident #4 to be administered Lasix and Solumedrol due to the resident's extensive chronic obstructive pulmonary disorder.
The Medical Director stated they were not informed initially that Resident #4 received crushed extended-release medication, they were only informed the resident had respiratory symptoms.
The Medical Director stated they arrived at the facility about five (5) minutes after they ordered administration of Narcan.
The Medical Director stated they had not known about the crushed medication and asked the staff on the phone if Resident #4 had received any narcotic medication and that is when they ordered the Naloxone.
The Medical Director stated Resident #4 had no ill effects from the medication and came around quickly with the Naloxone. 10 NYCRR 415.12(m)(2)
Facility ID: