Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Somerwoods Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Surveyors observed multiple dietary staff, including the DM, working without proper beard guards or hair restraints, with facial hair exposed or coverings worn incorrectly. Clean dishes were stored loosely in milk crates on shelving and on the floor, serving bowls were left face-up on the tray line, and several food items in refrigerators and freezers were undated or improperly stored, including an opened jelly container left unrefrigerated. Staff were also observed handling food and utensils with the same gloves, touching face and food-contact surfaces during tray line service.
The facility failed to immediately report allegations of potential abuse involving a resident and an RN to the SSA and law enforcement. Records and interviews showed inappropriate social media messages, kissing, and discussions about the resident’s life insurance and POA, while the resident had dementia with moderate cognitive impairment. The DON and Administrator were aware of the concerns, but leadership decided the allegations did not need to be reported.
Surveyors found that food items, including leftovers, were not properly labeled with product names or dates, and raw meat was stored above cooked foods in the refrigerator, contrary to facility policy and professional standards. These failures were confirmed by dietary staff and the Administrator, and had the potential to affect all residents receiving meals.
Two residents, both with intact cognition and behavioral health diagnoses, were involved in an incident where one verbally threatened and then pushed another's wheelchair. A nurse aide intervened quickly, and the incident was reported internally, but facility leadership decided not to report it to the state survey agency, citing lack of harm or intent. The facility's policy did not align with federal definitions, leading to a failure to report the possible abuse within the required timeframe.
A medication cart was left unlocked and unattended in the hallway while a nurse administered medications in resident rooms, contrary to facility policy and professional standards. Interviews with nursing staff and leadership confirmed that the cart should have been locked when not under direct supervision.
Staff did not consistently don required PPE when entering rooms of two residents on contact precautions for infectious conditions, including clostridium difficile and shingles. In both cases, nurse aides either provided care or delivered meal trays without wearing gowns and gloves, contrary to facility policy and posted signage. Interviews confirmed staff misunderstanding of when PPE was required, despite clear expectations from the infection preventionist, DON, and administrator.
Unsafe Food Handling and Storage Practices
Penalty
Summary
The facility failed to prepare, store, and serve food in a sanitary manner. During observation of the kitchen, tray line, dish room, and nourishment refrigerators, surveyors saw multiple dietary employees working without required beard guards or hair restraints, including the Dietary Manager. Several male dietary staff had facial hair exposed, one employee wore a beard guard pulled beneath his chin, and another had a beard guard that did not fully cover his mustache. One dietary aide stated he had not been trained on the importance of wearing a hairnet and said no one had instructed him to wear a beard guard. The Dietary Manager stated he had, at times, forgotten to wear his beard guard during the survey dates. Surveyors also observed clean dishes and serving items stored in ways that left them exposed to contamination. Cups and bowls were loosely piled in milk crates on shelving, in milk crates on the floor of the dish room and wash room, and serving bowls were stacked face-up on the tray line with food-contact surfaces exposed. The Dietary Manager stated the cups and bowls stored in milk crates should have been covered to prevent contaminants from falling on them, and another dietary aide stated clean dishes should not have been stored in milk crates on the floor because the floor was dirty and could contaminate them. Food storage and labeling practices were also observed to be inconsistent. Surveyors found pimento cheese without a date label, pre-cracked eggs without an open date, undated items in the freezer, and opened garlic bread and fish without date labeling. An opened container of grape jelly was stored unrefrigerated on a shelf in the food preparation area despite manufacturer instructions to refrigerate after opening. In nourishment refrigerators, surveyors found undated tea, fruit salad, pudding, and pitchers of flavored beverage without lids. Surveyors also observed staff handling food and utensils with gloved hands without changing gloves or performing hand hygiene between tasks, touching face and food-contact surfaces during tray line service, and continuing food service activities after those contacts. The Dietary Manager, DON, Administrator, and Infection Preventionist all acknowledged expectations for staff to follow facility policies and manufacturer guidance, and the Dietary Manager stated he was responsible for supervising dietary staff and ensuring compliance.
Failure to Report Alleged Abuse Involving Resident and RN
Penalty
Summary
The facility failed to immediately report allegations and incidents of potential abuse involving a resident and an RN to the appropriate external authorities, including the State Survey Agency and law enforcement. The resident involved, R95, was admitted on 06/22/2018 and had a diagnosis of dementia with behavioral disturbance; prior assessments showed a BIMS score of 15/15 in 12/2023 and 12/15 on the most recent comprehensive MDS, indicating moderate cognitive impairment at that time. Facility records showed prior knowledge of allegations that RN 1 and R95 had an inappropriate relationship, including exchanged messages, kissing, and discussions about life insurance policies. Documentation titled Administrator Review, Family Concern, and a later facility memorandum both reflected that the facility knew about the allegations and instructed RN 1 not to provide care for R95 or to cease social media contact with him. However, the records also showed no documented evidence that the allegation had been reported to the SSA or local law enforcement when it was discovered. Interviews and resident/family statements supported the allegation. R95's wife reported she had seen inappropriate social media messages and told the Administrator and DON about concerns that the relationship was sexual in nature, including a report that the resident said they had kissed. R95 confirmed he had exchanged inappropriate messages with RN 1 and stated they had kissed on the lips. RN 1 denied a personal relationship but acknowledged the appearance of the interactions and stated she had been told not to work on R95's floor or enter his room. The Administrator stated leadership discussed the allegations and decided they did not rise to the level of reporting to State agencies or law enforcement, and he did not believe a kiss on the cheek was reportable.
Failure to Properly Store and Label Food Items in Dietary Department
Penalty
Summary
The facility failed to store and label food items in accordance with accepted professional standards for food service safety. Observations revealed that leftover food items, such as green beans and green chili, were stored in the reach-in refrigerator without labels indicating the product name or open/use-by dates. Additionally, a bag of petit fours was found inside a bag labeled as bologna, which was confirmed by the Dietary Supervisor to be incorrectly labeled. Interviews with dietary staff confirmed that the expected process was to label leftover food with the name, date made, and discard date, but this was not followed in practice. The Administrator also stated that food items were expected to be labeled and dated according to facility policy. Further observations showed that raw meat, specifically ground beef patties, was stored on the top shelf of the refrigerator above a container of prepared white chicken chili, contrary to the posted guidance that raw meats should be stored below produce, cooked, and ready-to-eat foods. Dietary staff and the Administrator confirmed that raw meats were to be stored below cooked foods, but this standard was not maintained. These failures had the potential to affect all residents receiving meals from the dietary department.
Failure to Timely Report Resident-to-Resident Abuse Incident
Penalty
Summary
The facility failed to report a possible incident of resident-to-resident abuse to the state survey agency within the required two-hour timeframe for two residents. According to the facility's policy, all allegations of abuse, neglect, or misappropriation of resident property must be reported immediately, but no later than two hours after the allegation is received and a determination of alleged abuse is made. However, the policy did not clearly define the term 'willful' as required by federal regulations, which state that willful means the individual acted deliberately, not necessarily with intent to harm. The incident involved two residents, both with intact cognition and histories of depression, anxiety, and cognitive communication deficits. One resident, while propelling their wheelchair, was verbally threatened by another resident, who then pushed the wheelchair down the hallway after the first resident turned their back. A nurse aide intervened before the wheelchair traveled more than a foot. The resident who was pushed was described as angry but not frightened following the incident. The incident was reported to a registered nurse, who determined it was not reportable, and the administrator concurred, citing the lack of harm or intent to harm and the brief duration of the residents' anger. Despite being aware of the incident, the facility did not report it to the state survey agency as a possible allegation of abuse. The administrator and director of nursing confirmed that the decision not to report was based on their assessment that the incident did not meet the threshold for reporting, as there was no harm or intent to harm. However, federal definitions do not require intent to inflict injury or harm for an incident to be considered abuse.
Medication Cart Left Unlocked and Unattended During Medication Pass
Penalty
Summary
Nursing staff failed to securely store medications in accordance with facility policy and professional standards. Specifically, a medication cart on the 200 Hall was observed unlocked and unattended while a registered nurse was administering medications inside resident rooms. The nurse was approximately 16 feet away from the cart and did not have the cart within her line of sight during medication administration. Multiple observations confirmed that the cart remained unlocked and unsupervised during this process. Interviews with the registered nurse, the unit manager, the Director of Nursing, and the Administrator all confirmed that the medication cart should be locked when not under the direct supervision of a nurse or when the nurse is inside resident rooms. The nurse involved acknowledged the importance of locking the cart but admitted to not paying attention to whether it was locked while administering medications. Facility policy also requires that medication carts be locked at all times when not under direct physical supervision.
Failure to Adhere to Contact Precautions for Residents with Infectious Conditions
Penalty
Summary
Staff failed to follow established infection prevention and control protocols for residents on contact precautions. In one instance, a nurse aide provided care to a resident with a diagnosis of recurrent enterocolitis due to clostridium difficile without wearing a gown and gloves, despite facility policy and signage requiring these measures. The aide stated she missed the signage and was unsure of the resident's status, and the resident confirmed that previous staff had also not worn PPE during care. In another case, two nurse aides entered the room of a resident with shingles, who was on contact precautions, to deliver a meal tray without donning gowns or gloves. Both aides believed PPE was only necessary when providing direct care or touching the resident. Interviews with the infection preventionist, DON, and administrator confirmed that staff were expected to wear gowns and gloves when entering rooms under contact precautions, regardless of the type of interaction.
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Illustrative
What surveyors actually found near you
We read the 16 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Somerset
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cumberland Nursing And Rehabilitation Center | 0.1 mi | ★★★★★ | 2 | 0 |
| Lake Cumberland Regional Hospital Scu | 1 mi | ★★★★★ | 0 | 0 |
| Somerset Nursing And Rehabilitation Facility | 1.2 mi | ★★★★★ | 2 | 0 |
| Rockcastle Regional Hospital And Respiratory Care | 23.8 mi | ★★★★★ | 0 | 0 |
| Rockcastle Health & Rehabilitation Center | 24.2 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.