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Complaint Investigation

The Paramount At Somers Rehab And Nursing Center

September 10, 2025 · Somers, NY · Route 100
Citations 3
CMS Rating 2/5
Beds 300
Provider ID 335261
Healthcare Facility
The Paramount At Somers Rehab And Nursing Center
Somers, NY  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

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:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SOMERS, NY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE PARAMOUNT AT SOMERS REHAB AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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