Somerset Healthcare & Rehabilitation Center
SOMERSET HEALTHCARE & REHABILITATION CENTER in SOMERSET, PA — inspection on March 13, 2025.
Found 12 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
F-F583, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding personal privacy and confidentiality of records.
The facility's plan of correction for a deficiency regarding a failure to provide implementation of abuse and neglect policies, cited during the surveys ending April 25, 2024, and January 22, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F607, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding the development and implementation of abuse and neglect policy.
The facility's plan of correction for a deficiency regarding a failure to provide accurate resident Minimum Data Set (MDS) assessments, cited during the surveys ending April 25, 2024; December 13, 2024; and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F641, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding accuracy of MDS assessments.
395398
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395398 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Somerset Healthcare & Rehabilitation Center 228 Siemon Drive Somerset, PA 15501
F-F656, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations
The facility's plan of correction for a deficiency regarding a failure to provide revisions to resident care plans, cited during the surveys ending April 25, 2024; November 20, 2024; and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F657, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding revisions to resident care plans.
The facility's plan of correction for a deficiency regarding a failure to provide quality of care, cited during the surveys ending April 25, 2024; October 23, 2024; December 13, 2024; and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F684, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding quality of care.
The facility's plan of correction for a deficiency regarding a failure to provide treatment and prevention of pressure ulcers, cited during the surveys ending November 20, 2024, and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F686, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding the treatment and prevention of pressure ulcers.
The facility's plan of correction for a deficiency regarding accident hazards, cited during the surveys ending July 10, 2024, and November 20, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F689, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding accident hazards.
The facility's plan of correction for a deficiency regarding a failure to provide dialysis services, cited during the surveys ending April 25, 2024, and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F698, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding dialysis.
395398
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395398 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Somerset Healthcare & Rehabilitation Center 228 Siemon Drive Somerset, PA 15501
F-F761, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations
The facility's plan of correction for a deficiency regarding a failure provide food of the nutritive value, appearance, preferred temperatures and palatability cited during the surveys ending April 25, 2024, and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F804, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding the nutritive value, appearance, preferred temperature and palatability of foods.
The facility's plan of correction for a deficiency regarding a failure provide infection control and prevention practices cited during the surveys ending April 25, 2024; December 13, 2024; and March 13, 2025, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.
The results of the current survey, cited under
F-F880.
28 Pa.
Code 201.14(a) Responsibility of Licensee.
28 Pa.
Code 201.18(e)(1) Management.
395398
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 395398 B.
Wing 03/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Somerset Healthcare & Rehabilitation Center 228 Siemon Drive Somerset, PA 15501