Somerset Retirement Apartments

Clearance not maintained around electrical panels in the sprinkler riser room.

Commercial oven found outside the hood system.

Facility did not provide a fire resistance rated construction inspection report.

Unsecured oxygen in room 110.

Facility did not provide 4-year fire damper inspection report.

Facility failed to provide fire drill documentation for the second quarter of 2025 night shift.

Fire sprinkler head in kitchen was found corroded per sprinkler report.

Facility failed to document specific resident needs in Negotiated Service Agreements (NSA) for 4 of 7 sampled residents, including missing information on medication assistance, home health services, and required transfers.

Facility failed to develop and implement systems that support and promote safe medication service/documentation for 2 of 9 sampled residents (R1, R5).

Facility failed to complete a full assessment within 14 days of move-in for 3 of 5 sampled residents (R1, R6, R8).

Facility failed to ensure medications were available in a timely manner for 2 of 9 sampled residents (R1, R5), resulting in missed doses.

Facility failed to complete the Negotiated Service Agreement (NSA) upon admission for 4 of 5 sampled residents (R1, R6, R8, R9).

Facility shall provide annual forward flow of fire sprinkler system.

Kitchen fire extinguisher needs proper signage. A placard must be placed near the extinguisher stating the fire protection system must be actuated prior to using the extinguisher.

Fire door inspection identified repairs needing to be completed.