Somerset Court of Rocky Mount

The facility failed to protect residents from exploitation and misappropriation of funds. A former Resident Care Coordinator used insurance benefit cards belonging to residents to make unauthorized purchases at grocery stores and other establishments without the residents' or their responsible parties' permission.

The facility failed to ensure residents' rights were maintained regarding protection from exploitation. Specifically, a former Resident Care Coordinator misappropriated insurance benefit cards and funds from multiple residents, totaling unauthorized transactions at local grocery stores and establishments.

The facility failed to serve water to residents at each meal. Observations showed no water placed on dining hall tables during lunch on 09/04/24 and breakfast on 09/06/24, with staff only offering water after meals had already begun.

The facility failed to ensure therapeutic diets were served as ordered by the physician. Specifically, a resident prescribed a mechanical soft chopped (MSC) diet was served a ham sandwich that was not chopped.

The facility failed to maintain a safe environment free of hazards. Specifically, a resident was observed carrying a cleaning chemical spray bottle and cloth without protection, and topical and oral medications were left unsecured in resident rooms accessible to residents with dementia or wandering behaviors.

The facility failed to maintain a safe environment free of hazards. Specifically, a resident was observed using a disinfectant cleaning chemical without proper protection, and medications were left unsecured in resident rooms accessible to residents with dementia or wandering behaviors.

The facility failed to ensure the primary care provider (PCP) was notified for three residents regarding significant changes in condition. Specifically, there were delays in antibiotic administration, unaddressed lower extremity swelling and refusal of TED hose, and significant weight gain.

The facility failed to ensure notification of the primary healthcare provider (PCP) and family for 3 of 5 sampled residents when there was a change in condition. Specifically, the facility did not properly notify providers following an emergency department visit involving antibiotic administration, a change in extremity functioning, or altered behavior.

The facility failed to ensure that exit doors accessible to residents were equipped with sounding devices that activate when opened. Specifically, two of nine sampled exit doors lacked functioning audible alarms, including the main front door and the door leading to the outside smoking section, posing a risk to residents identified as disoriented or wanderers.