Above 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 Careone At Somerset Valley during CMS and state inspections, most recent first.
The facility failed to provide adequate nursing staff, resulting in delayed incontinence care and unmet resident needs. Residents reported long wait times for assistance, with some left soiled or unable to reach meals and water. The facility did not meet state-mandated staffing ratios, and lacked a system to monitor call bell response times, contributing to the deficiencies.
The facility failed to maintain infection control standards by not cleaning shared glucometers between uses, improperly storing respiratory equipment, and inadequately implementing Enhanced Barrier Precautions (EBP). An LPN used a glucometer without cleaning it, respiratory masks were not stored correctly, and there was a lack of clear signage and PPE availability for residents on EBP. Staff and visitors were not adequately informed about EBP protocols.
A resident was administered Midodrine outside of physician-ordered parameters, with multiple instances of the medication being given despite the resident's systolic blood pressure exceeding the prescribed limit. The facility's staff, including the RN and DON, acknowledged the potential risks of such practice, which contravened the facility's medication administration policy.
Two residents experienced inadequate incontinence care, with one resident left in a saturated brief despite notifying staff, and another resident reporting delays in care during the night shift. Both residents had medical conditions requiring assistance with ADLs, and staff shortages may have contributed to the delays.
A resident in an LTC facility was unable to access their bedside table and call light, leading to unmet needs for water and meal access. Despite activating the call light, the resident reported delayed staff response, with grievances about call bell delays dating back months. Staffing challenges were cited as a contributing factor.
The facility failed to maintain a medication error rate below 5%, with surveyors observing three errors out of 30 doses administered by three nurses. An LPN administered Metoprolol Succinate ER and Metformin to residents without food, contrary to physician orders. The LPN acknowledged the error, and a review of facility policies confirmed medications should be given as prescribed.
The facility failed to ensure medications were labeled and expired medications were removed from inventory. A surveyor found a Humalog insulin pen with an expired date and another insulin pen that was opened but not dated. The LPN responsible acknowledged the oversight and stated the insulin should have been removed. Manufacturer guidelines require Humalog insulin to be discarded 28 days after opening.
Staffing Deficiencies Lead to Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of all residents, resulting in several deficiencies. Observations and interviews revealed that residents did not receive timely incontinence care, with one resident found soiled and left unattended for an extended period. Another resident reported being unable to reach water or their meal tray due to mobility issues and a lack of staff response to call lights. These incidents highlight the facility's inability to maintain adequate staffing levels, as confirmed by staff interviews indicating that CNAs were often responsible for more residents than they could effectively manage. The facility also failed to maintain the required minimum direct care staff-to-shift ratios as mandated by the state of New Jersey. The report detailed specific instances where the facility was understaffed, with fewer CNAs and RNs than required on multiple occasions. This staffing shortage was acknowledged by the Director of Nursing, who admitted awareness of the staffing issues but did not provide a plan to address the acuity needs of residents requiring RN care. Additionally, the facility lacked a system to monitor call bell response times, relying instead on resident feedback to identify issues. This lack of oversight contributed to delays in care, as residents reported long wait times for assistance, particularly during night shifts. The facility's staffing coordinator confirmed the challenges in staffing certain shifts, further exacerbating the problem. The facility's failure to adhere to its own policy of answering call lights promptly and providing timely care underscores the systemic issues in staffing and resource allocation.
Infection Control Deficiencies in Equipment Cleaning and EBP Implementation
Penalty
Summary
The facility failed to adhere to acceptable standards of infection control practices, particularly in the cleaning and storage of shared glucometers. During a medication administration, an LPN was observed using a glucometer on a resident without cleaning it before or after use, and then storing it back in the medication cart. This practice was contrary to the manufacturer's specifications, which require the glucometer to be cleaned and disinfected between each patient use. The LPN admitted to not disinfecting the glucometer despite having received education on infection control during orientation. Additionally, the facility did not ensure proper storage of respiratory masks and tubing, which could potentially spread infection. A nebulizer mask was observed placed directly on a nightstand in a resident's room, and a Bipap mask was similarly stored on a bedside table. The facility's policy requires respiratory equipment to be disinfected and stored in a plastic bag after use, but this was not followed. The residents involved had significant medical conditions, including acute pulmonary edema and chronic obstructive pulmonary disease, which necessitated the use of such equipment. The facility also failed to implement a process to identify residents on Enhanced Barrier Precautions (EBP) effectively. There was no clear signage on resident room doors indicating the type of PPE required, and PPE and alcohol-based hand sanitizer were not readily available outside or within the rooms. Staff, residents, and visitors were not adequately informed about the EBP, as evidenced by the lack of understanding of the orange and green dots used as indicators. The ADON/IP acknowledged that the facility's practice did not align with CDC guidelines, which require clear signage and accessible PPE and hand sanitizers.
Improper Administration of Midodrine
Penalty
Summary
The facility failed to adhere to professional standards of practice by administering Midodrine, a medication used to increase blood pressure, outside of the physician's specified parameters for a resident. The physician's order required that Midodrine be held if the resident's systolic blood pressure (SBP) exceeded 130. However, the Medication Administration Records (MAR) for September and October 2024 revealed multiple instances where the medication was administered despite the resident's SBP being above the prescribed threshold. Specifically, in September, three doses were given when the SBP was 138, 135, and 146, and in October, ten doses were administered with SBP readings ranging from 135 to 152. The deficiency was identified during a surveyor's review of the resident's medical records and interviews with facility staff. The Registered Nurse acknowledged that administering Midodrine outside the physician's parameters could result in dangerously high blood pressure, emphasizing the importance of adhering to the order to hold the medication. The Director of Nursing also confirmed that administering the medication outside the specified parameters could lead to adverse reactions, underscoring the necessity of following the physician's instructions. The facility's policy on administering medications, revised in April 2019, mandates that medications be administered in accordance with prescriber orders, which was not followed in this case.
Inadequate Incontinence Care for Two Residents
Penalty
Summary
The facility failed to provide appropriate incontinence care for two residents, leading to deficiencies in meeting their Activities of Daily Living (ADL) needs. Resident #110 was observed by a surveyor to have a saturated incontinence brief, and despite notifying Certified Nurse Aide (CNA) #1, the resident did not receive timely care. CNA #1 informed CNA #2, who was responsible for Resident #110, but the care was still delayed. Resident #110's medical records indicated a need for assistance with ADLs due to physical limitations, including a wedge compression fracture and severe protein caloric malnutrition. Resident #112 also experienced inadequate incontinence care, reporting to the surveyor that they had not been changed since the previous night. The resident's incontinence brief was found saturated with urine and feces. The resident expressed concerns about delays in call light responses, particularly during the 11:00 PM to 7:00 AM shift, which exacerbated their discomfort due to a bedsore. The CNA responsible for this shift admitted to managing 22 residents, which may have contributed to the delay in care. Resident #112's medical records included diagnoses of dilated cardiomyopathy and paroxysmal atrial fibrillation.
Deficiency in Resident Accommodation and Call Light Response
Penalty
Summary
The facility failed to ensure that a resident's bedside table and call light were accessible, leading to a deficiency in accommodating the resident's needs. The resident, who was admitted with diagnoses including dilated cardiomyopathy and paroxysmal atrial fibrillation, was observed in bed unable to reach water and a breakfast tray placed on a bedside table in the far corner of the room. The resident reported having diarrhea and dry lips upon admission and stated that they could not get a sip of water all night despite activating the call light. The resident expressed frustration that no staff responded to their call light, and when someone did, they turned off the light and left without addressing the resident's needs. The surveyor's investigation revealed that the breakfast tray was delivered at 8:00 AM, but the resident, who had undergone surgery, was unable to get out of bed to reach it. Interviews with CNAs indicated a lack of familiarity with the resident's routine and challenges in managing the workload, with one CNA responsible for 22 residents during the night shift. The DON acknowledged ongoing issues with call bell response times, which were attributed to staffing challenges, and noted that grievances regarding this issue dated back to July. The facility was aware of the problem and was working on addressing it.
Medication Error Rate Exceeds 5%
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as observed by surveyors. During the survey, three nurses administered 30 doses of medication to four residents, resulting in three errors and a medication error rate of 7.6%. Specifically, an LPN administered Metoprolol Succinate ER to a resident without ensuring it was taken with food, as required by the physician's orders. The medication was given before the facility's breakfast trays were delivered, and the LPN did not provide, offer, or instruct the resident to take the medication with food. Another incident involved the same LPN administering Metformin and Metoprolol Succinate ER to another resident, again without food, contrary to the physician's orders. The LPN acknowledged administering the medication too early and without food, which was against the prescribed instructions. A review of the facility's Medication Pass Observation and policy on administering medication indicated that medications should be given in accordance with prescriber orders, which was not followed in these instances.
Medication Labeling and Expiration Deficiency
Penalty
Summary
The facility failed to ensure that medications were properly labeled and expired medications were removed from active inventory. During an inspection of a medication cart on the sub-acute unit, a surveyor observed a Humalog insulin pen with an expiration date of 10/27/24 and another insulin pen that was opened but not dated. The Licensed Practical Nurse (LPN) responsible for the medication cart acknowledged that the Humalog insulin should have been dated upon opening and could not provide a rationale for the expired insulin still being present. Upon further interview, the LPN stated that the insulin was discontinued and should have been removed from the cart. According to manufacturer recommendations, Humalog insulin must be discarded 28 days after opening.
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What surveyors actually found near you
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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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bound Brook
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Abingdon Care & Rehabilitation Center | 3.2 mi | ★★★★★ | 4 | 0 |
| N J Eastern Star Home | 3.5 mi | ★★★★★ | 16 | 0 |
| Accelerate Skilled Nursing And Rehab Piscataway | 3.8 mi | ★★★★★ | 3 | 1 |
| Somerset Woods Rehabilitation & Nursing Center | 4 mi | ★★★★★ | 0 | 0 |
| The Arbor At Laurel Circle | 4.1 mi | ★★★★★ | 8 | 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.