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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency Heritage Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to consistently evaluate a pressure ulcer and include skin issues in the care plan. A resident admitted with CKD, edema, hypothyroidism, and rhabdomyolysis had a Stage 2 pressure ulcer present on admission, but the care plan did not include a skin-related focus despite the MDS identifying the wound. The record also lacked wound measurements and weekly wound assessments for several weeks, and the wound care practitioner did not recall the resident.
A resident with aphasia, Crohn’s disease, and Bell’s Palsy had an unwitnessed fall and was found groggy with redness on the upper part of the face. The RN documented some VS on the neuro check form, but multiple required entries were left blank; the RN said the resident refused checks and that refusals should have been documented, and the DON confirmed the form should have been fully completed.
The facility failed to notify a resident's responsible party about a new diagnosis of pneumonia and a change in antibiotic medication. Despite attempts to contact the responsible party, there was no documentation of these efforts, violating the facility's policy and regulatory requirements.
The facility failed to ensure accurate PASARR Level I assessments for three residents, missing critical mental illness diagnoses such as schizophrenia, bipolar disorder, and unspecified psychosis. The Admissions Director and Director of Nursing acknowledged the oversight and the need for accurate documentation.
Failure to consistently evaluate a pressure ulcer and include skin issues in the care plan
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Resident #1 was admitted with diagnoses including rhabdomyolysis, chronic kidney disease, edema, and hypothyroidism, and the comprehensive MDS dated 3/10/25 documented that the resident had a Stage 2 pressure ulcer present on admission. The record also showed a New Jersey Universal Transfer Form noting a Stage 2 pressure ulcer on the sacrum at arrival, and a nursing skin assessment later documented a Stage 2 pressure ulcer on the coccyx. The resident’s care plan did not include a focus related to the skin conditions identified in the MDS, and the ADON acknowledged during interview that skin issues should have been included but were not. The record further showed an order for a wound care consult for redness on the scrotal area and bleeding around the right and left buttocks. A wound care timeline provided by the ADON showed no wound measurements or weekly assessments documented between 3/5/25 and 3/26/25, and the progress notes also did not show wound measurements during that period. The ADON stated that the wound care practitioner was onsite weekly to evaluate residents, obtain measurements, and adjust treatments as needed, but she was unsure what happened in this case and stated the resident should have been seen and assessed. The contracted wound care practitioner later stated that she did not recall the resident and had no additional information.
Incomplete Neuro Check Documentation After Unwitnessed Fall
Penalty
Summary
The facility failed to maintain an accurate and complete medical record in accordance with accepted professional standards when staff did not consistently document neurological checks on the 24 Hour Vital Signs/Neuro Checks form after a resident had an unwitnessed fall and was observed with redness on the upper part of the face. The resident had diagnoses including aphasia, Crohn’s disease, and Bell’s Palsy, and the MDS dated 6/20/26 showed a BIMS score of 12, indicating moderately impaired cognition. The resident’s care plan identified a fall risk and noted an actual fall on 6/9/26. The Incident/Accident Report documented that the resident was found on the floor near the facility’s gazebo at 8:45 PM, appeared groggy, did not initially explain what happened, and had redness on the upper part of the face. The attached neuro check form showed some documented vital signs, but multiple time slots were left blank. During interview, the RN stated the resident was found by another staff member, later motioned that they had slid out of an electric wheelchair, and that neurological checks would have been initiated because of the redness. The RN confirmed the blanks on the form and stated the resident refused the checks but that the refusals should have been documented. The DON also reviewed the form and stated the entire form should have been completed and refusals documented.
Failure to Notify Responsible Party of Change in Condition
Penalty
Summary
The facility failed to notify the responsible party of a resident regarding a new diagnosis of pneumonia and a change in antibiotic medication. The resident, who had severe cognitive impairment, was admitted with a diagnosis of pneumonia. The resident's care plan included monitoring for signs of infection. Initially, the resident was prescribed Augmentin, but it was later discovered that the resident had an allergy to Penicillin, leading to a change in medication to Azithromycin. Despite these significant changes, there was no documentation that the responsible party was informed within the required 24-hour period. An LPN admitted to attempting to contact the responsible party but did not document these attempts in the resident's progress notes. The Director of Nursing confirmed that the facility's policy required family notification within 24 hours of a change in condition and that this should be documented in the nurse's notes. The lack of documentation and failure to notify the responsible party were in violation of the facility's policy and regulatory requirements.
Failure to Ensure Accurate PASARR Level I Assessments
Penalty
Summary
The facility failed to ensure accurate completion of Preadmission Screening and Resident Review (PASARR) Level I assessments for three residents. Resident 154 was admitted with diagnoses including unspecified psychosis, anxiety disorder, and bipolar disorder, but the PASARR I dated 05/31/23 did not reflect these mental illness diagnoses. The Admissions Director (ADD) acknowledged the oversight, stating she did not think another PASARR Level I was necessary despite being aware of the resident's mental health conditions. The Director of Nursing (DON) confirmed that all mental illness diagnoses should be listed on the PASARR I. Resident 61 was admitted with a diagnosis of schizophrenia, but the PASARR Level I screen dated 03/24/23 did not list this mental illness. The ADD confirmed that the PASARR Level I screen should be reviewed for accuracy upon each admission. Similarly, Resident 84 was admitted with diagnoses of bipolar disorder and schizophrenia, but the PASARR document did not indicate these diagnoses and lacked a date. The DON stated that the ADD was responsible for ensuring the accuracy of the PASARR I upon admission.
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What surveyors actually found near you
We read the 857 citations issued within 25 miles in the last 12 months — including the 16 immediate-jeopardy cases — 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
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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) |
|---|---|---|---|---|
| Parker At Somerset, Inc | 1.4 mi | ★★★★★ | 0 | 0 |
| Somerset Woods Rehabilitation & Nursing Center | 2.2 mi | ★★★★★ | 9 | 0 |
| Accelerate Skilled Nursing And Rehab Piscataway | 3.3 mi | ★★★★★ | 0 | 0 |
| Rose Mountain Care Center | 3.8 mi | ★★★★★ | 6 | 0 |
| N J Eastern Star Home | 5.5 mi | ★★★★★ | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 October 2026) and official state health department websites.