Somerset Ridge Center

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Somerset Ridge Center? Our lawyers can help.

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation.

Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

About Somerset Ridge Center

Somerset Ridge Center is a for profit, 135-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Somerset, Swansea, Fall River, Rehoboth, Seekonk,  Taunton, and the other towns in and surrounding Bristol County, Massachusetts.

Somerset Ridge Center focuses on 24 hour care, respite care, hospice care and rehabilitation services.

Somerset Ridge Center
455 Brayton Ave,
Somerset, MA 02726

Phone: (508) 679-2240
Website: http://www.genesishcc.com/SomersetRidge

CMS Star Quality Rating

The Centers for Medicare and Medicaid (CMS) rates all nursing homes that accept medicare or medicaid benefits. CMS created a 5 Star Quality Rating System—1 star is the lowest rating and 5 stars is the highest—that look at three areas.

As of 2017, Somerset Ridge Center in Somerset , Massachusetts received a rating of 4 out of 5 stars.

Performance Area Rating
Overall Rating 4 out of 5 (Above Average)
State Health Inspections 4 out of 5 (Above Average)
Staffing 3 out of 5 (Average)
Quality Measures 4 out of 5 (Above Average)

Fines and Penalties

Our Elder Abuse and Injury Lawyers inspected government records and discovered Somerset Ridge Center committed the following offenses:

Failed to immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews, the facility failed to notify the Physician, as required, for 2 Residents (#5 and #12) of a total sample of 24 residents. For Resident #5, the Facility failed to notify the Physician regarding the Resident’s low heart, rate per the physician’s orders [REDACTED].

Findings include:

1. Resident #5 was a long term care resident admitted in 05/2013 with a [DIAGNOSES REDACTED].

Resident #5 had a physicians order for their blood pressure and heart rate to be checked twice per day and to notify Nurse Practitioner if the heart rate was less than 55. Review of the October MAR indicated [REDACTED] 10/4/16: heart rate 52
10/8/16: heart rate 49
10/9/16: heart rate 52
10/13/16: heart rate 53

Review of the progress notes in the electronic medical record did not indicate the physician or Nurse Practitioner (NP) had been contacted for a heart rate less than 55. Unit Manager #3 was interviewed on 11/16/16 at 12:45 P.M. Unit Manager #3 said they would review the record and would provide any information to the surveyor if the physician or NP was notified. No information was provided to the surveyor by the end of the survey. 2. Resident #12 was admitted in 10/16 with [DIAGNOSES REDACTED]. Record review on 11/16/16, indicated that on 10/22/16, the Physician ordered a Hemoglobin A1C blood test (blood test for glucose monitoring) to be done on Monday 10/24/16. UM #1 (Unit Manager) was interviewed on 11/17/16 at 9:50 A.M. regarding the missing Hemoglobin A1C test results. UM #1 confirmed that the missing lab test was not in the record and said that she would call the lab to have the results faxed over to the Facility. UM #1 called the lab and was told that the Resident’s Hemoglobin A1C from 10/24/16 was elevated at 8.0 (normal = 4.6-6.0).

UM#1 said to the Surveyor, I don’t have any evidence that the doctor was notified of the elevated Hemoglobin A1C of 8.0. She said that the Facility policy was for nurses to notify the physician and to write a nursing progress note whenever a laboratory test is abnormal. UM #1 said there was no nurses note written to verify notification to the physician of the Resident’s elevated Hemoglobin A1C.

Failed to make sure services provided by the nursing facility meet professional standards of quality.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the Facility staff failed to follow physicians orders for the administration of medications, monitoring vital signs, lung sounds and blood sugars, for 6 Residents (#2, #5, #16, #17, #19, and #23) in a total sample of 24 Residents.

Findings include:

1. Resident #19 was a long term care resident admitted in 01/2016 with a [DIAGNOSES REDACTED]. Record review on 11/17/16 indicated Resident #19 had a physicians order for [MEDICATION NAME] 100 mg (milligrams) three times per week on Tuesday, Thursday and Sunday and [MEDICATION NAME] 200 mg four times per week on Monday, Wednesday, Friday and Saturday. Review of the November Medication Administration Record (MAR) indicated the order was transcribed incorrectly and indicated [MEDICATION NAME] 200 mg was to be given on the Monday, Wednesday and Saturday. Review of the November MAR indicated [MEDICATION NAME] 200 mg was not administered to Resident #19 on 11/4/16, per the physicians order. Further review indicated the medication was not documented to be given on 11/18/16 or 11/25/16 per the physician orders. Unit Manager #2 was interviewed on 11/17/16 at 1:25 P.M. Unit Manager #2 confirmed the transcription error for the month of November and stated she would contact the physician and mark the correct dates to administer the medication to avoid further missed doses.

2. Resident #5 was a long term care resident admitted in 05/2013 with [DIAGNOSES REDACTED]. Record review on 11/15/16 indicated Resident #5 had a physicians order for [MEDICATION NAME] 10 units at bedtime. Review of the MAR for October indicated the [MEDICATION NAME] was not signed off as administered on 10/4/16 and 10/26/16. Review of the MAR for November indicated the [MEDICATION NAME] was not signed off as administered on 11/1/16. Resident #5 had a physicians order for sliding scale insulin as follows: Check blood sugars three times per day with Humalog sliding scale insulin:
CBG: 80-149= no coverage
150-199= 1 unit
200-249= 2 units
250-299= 3 units
300-349= 4 units
350-399= 6 units
400-449= 8 units
450 or greater= 10 units

Review of the MAR for October indicated on 10/23/16 at 6:30 A.M. and 10/27/16 at 11:30 A.M. the Resident’s blood sugar was not checked and corresponding insulin was not administered. Resident #5 had a physicians order to check blood pressure and heart rate twice per day and notify nurse practitioner if heart rate was less than 55. Review of the MAR and the electronic medical record for October and November indicated that on the following days blood pressure and heart rate were not obtained twice per day:

10/4/16-10/13/16, 10/19/16, 10/23/16, 10/24/16, 10/26/16-10/29/16, 11/1/16-11/7/16. Unit Manager #3 was interviewed on 11/16/16 at 12:45. Unit Manager #3 confirmed the missing blood sugars from the MAR and confirmed the multiple missing days of blood pressure and heart rate for October and November. The Director of Nursing (DON) was interviewed on 11/17/16 at 7:20 A.M. She stated she reviewed the MARs and was able to determine which nurses were scheduled to provide education.

3. Resident #2 was a long term care resident admitted in 05/2016 with a [DIAGNOSES REDACTED]. Record review indicated Resident #2 had a physicians order for sliding scale insulin as follows: Check blood sugars two times per day with [MEDICATION NAME] sliding scale insulin.

The October and November MARs were reviewed. The following documentation was not found in the record: On 10/20/16 at 6:30 A.M. there was a blood sugar of 169, there was no documentation of coverage given, per the physician orders [REDACTED]. On 10/27/16 at 4:30 P.M. there was a blood sugar of 162, documentation indicates no coverage was given, per the physicians orders 1 unit of [MEDICATION NAME] should have been administered. On 11/5/16 at 6:30 A.M. there was a blood sugar of 155, there was no documentation of coverage given, per the physician orders [REDACTED]. On 11/6/16 at 6:30 A.M. there was a blood sugar of 180, there was no documenting of coverage given, per the physician orders [REDACTED]. Unit Manager #3 was interviewed on 11/16/16 at 12:45. Unit Manager #3 confirmed the missing documentation of coverage given for the days reviewed.

4. Resident #23, a closed record review, was admitted in 09/2016 with a [DIAGNOSES REDACTED]. Record review on 11/18/16 indicated Resident #23 had a physicians order for [MEDICATION NAME] 10 units at hour of sleep. Review of the MAR indicated the [MEDICATION NAME] was not signed off as administered on 09/23/16, 09/27/16 and 10/2/16. Resident #23 had a physicians order for Humalog 7 units before supper. Review of the MAR indicated the Humalog was not signed off as administered on 09/23/16. The DON was interviewed on 11/18/16 at 12:30 P.M. She confirmed the missing documentation of medication administration.

5. Resident #16 was admitted to the Facility 11/2016 and his/her [DIAGNOSES REDACTED]. Review of the physician’s orders [REDACTED].#16’s medication regime included a sliding scale order for coverage of any blood sugars out of the normal range. The sliding scale was as follows: – staff to obtain blood glucose levels 4 times a day and administer Humalog Insulin according to the sliding scale:
– Administer 1 unit of Insulin if the blood glucose level was between 150 and 199
– Administer 2 units of Insulin if the blood glucose level was between 200 and 249
– Administer 3 units of Insulin if the blood glucose level was between 250 and 299
– Administer 4 units of Insulin if the blood glucose level was between 300 and 349
– Administer 6 units of Insulin if the blood glucose level was between 350 and 399
– Administer 8 units of Insulin if the blood glucose level was between 400 and 449
– If blood glucose level greater than 450 or less than 60 notify the Physician.

The Surveyor reviewed the MAR for Resident #16 on 11/17/16 with the Assistant Director of Nurses (ADON). Review of the MAR indicated that on 11/8/16, Resident #16’s blood glucose level was 174, and the MAR indicated that Resident #16 did not receive any coverage, although the order for the sliding scale indicated that a blood glucose of 174 required 1 unit of Insulin coverage. In addition for the 11/14/16, for the hour of sleep (HS) blood glucose reading, there was no documentation to show what the blood glucose reading was. The nursing staff were unable to provide any evidence to the Surveyor, at the time of the exit on 11/18/16, to ensure that Resident #16 received the correct sliding scale coverage on 11/8/16 and 11/14/16.

6 (a) Resident #17 was admitted in 5/2012 with [DIAGNOSES REDACTED]. Record review on 11/17/16 indicated that management of the Resident’s diabetes included an order to check the Resident’s FSBSs (Finger Stick Blood Sugars) twice daily on Mondays only at 6:30 A.M. and 4:30 P.M. Review of the MAR (Medication Administration Record) for 11/2016 indicated that a FSBS was due on 11/7/16 at 6:30 A.M. The box on the MAR for the 11/7/16 6:30 A.M. FSBS was empty, not signed off by nursing, and no blood sugar value was entered. Additionally, the MAR indicated that a FSBS was due on Monday, 11/14/16 at 4:30 P.M. Review of the MAR indicated that the box on the MAR for 11/14/16 at 4:30 P.M. was empty, not signed off by nursing, and no blood sugar value was entered. The DON was interviewed on 11/18/16 at 1:30 P.M. regarding the missing FSBSs on 11/7/16 at 6:30 A.M. and 11/14/16 at 4:30 P.M. The DON said that she could not explain why the FSBS had not been obtained as ordered by the Physician. 6 (b) Resident #17 was admitted in 5/2012 with [DIAGNOSES REDACTED]. Record review on 11/17/16, indicated a physician’s orders [REDACTED].< 100 or a heart rate < 55. The MAR was reviewed on 11/17/16 and indicated multiple instances where the Resident’s blood pressure and pulse was not documented at the time that the [MEDICATION NAME] was administered. For example:

-On 11/4/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered but no blood pressure or pulse were recorded.
-On 11/6/16 at 8:00 P.M. the [MEDICATION NAME] was not signed off as having been administered and no blood pressure or pulse were recorded.
-On 11/8/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered, but no blood pressure or pulse were recorded.
-On 11/9/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered, but no blood pressure or pulse were recorded.
-On 11/11/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered, but no blood pressure or pulse were recorded.
-On 11/14/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered, but no blood pressure or pulse were recorded.
-On 11/17/16 at 8:00 A.M., the [MEDICATION NAME] was initialed as having been administered, but no blood pressure or pulse were recorded.

The DON was interviewed on 11/18/16 at 1:30 P.M. and said that the Resident’s blood pressure and pulse should be assessed and recorded in the MAR with each administration of [MEDICATION NAME], according to the physician’s orders [REDACTED].>6 (c) Resident #17 was admitted in 5/2012 with [DIAGNOSES REDACTED]. Record review on 11/17/16, revealed that the Resident required continuous oxygen at 1.5 liters per minute via nasal cannula. Further management of the Resident’s [MEDICAL CONDITION] included monitoring Oxygen saturation levels and assessing lung sounds every shift.

Review of the TAR (Treatment Administration Record) for the month of November 2016 revealed multiple shifts on multiple days where the Resident’s lung sounds were not assessed as ordered. For example, documentation by nursing of the Resident’s lung sounds for 11/2/16 to 11/16/16, were only documented as being done 4 out of a possible 45 shifts. The DON was interviewed on 11/18/16 at 1:30 P.M. and said that the Resident’s lung sounds should be assessed and documented every shift according to the physician’s orders [REDACTED].

Failed to properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview, the Facility failed to ensure that for 1 Resident (#7) of a total sample of 24 Residents, that nursing staff assessed the Resident’s PICC (Peripherally Inserted Central Catheter) in accordance with the physician’s orders [REDACTED].

Findings include:

Resident #7 was admitted in 11/2016 with [DIAGNOSES REDACTED]. Record review on 11/15/16, indicated that the Resident was receiving I.V. (intravenous) [MEDICATION NAME], an antibiotic, via a PICC line, to treat a [MEDICAL CONDITION] in the lower extremities.

The Facility policy for the care of PICC lines requires nursing staff to assess the insertion site every two hours for signs and symptoms of infection and to identify any migration of the catheter.

On 11/14/16, nursing failed to document that the PICC insertion site was assessed every two hours as required, at 6:00 P.M., 8:00 P.M., and 10:00 P.M. The DON was interviewed on 11/18/16 at 1:30 P.M. and acknowledged the failure by nursing to document assessment of the PICC insertion site every two hours in accordance with the Facility policy.

Failed to maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Based on observation and interview, the Facility failed to ensure that controlled drugs were stored in separately locked, permanently affixed compartments in accordance with State and Federal regulations.

Findings include:

1. The Brayton Point Unit medication room was inspected on 11/18/16 at 1:00 P.M. The medication refrigerator was observed to have an opened bottle of Ativan solution, 2 mg (milligrams)/ml, placed inside of a clear, unlocked, plastic container. The container was unsecured and could easily be removed from the refrigerator. Interview with Nurse #1 at the time of the observation, said that the Ativan solution was not in a locked, permanently affixed container as required. Nurse #1 also said that she would contact the maintenance department to figure out how to secure the narcotic medication in the medication refrigerator so that it could not be easily removed.

2. The Slades Ferry medication room was inspected on 11/18/16 at 1:10 P.M. The medication refrigerator had a black metal box attached to the inside of the refrigerator door, that according to Nurse #2, was used for controlled drug storage. The box was flimsily attached to the inside of the refrigerator door. Nurse #2 said that the box could easily be removed from the door. There were no narcotics stored in the box at the time of inspection. The Facility failed to ensure that controlled drugs were stored in separately locked, permanently affixed compartments as required by law.

Failed to Receive registry verification that a nurse aide has met the required training and skills that the State requires; and ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of personnel files of five new employees, the Facility failed to follow its policy for pre-employment screening via the Massachusetts Nurse Aide Registry, to identify for the potential of abuse, neglect, and mistreatment of [REDACTED].

Findings include:

The employee files of five new employees were reviewed on 11/18/16.

1. Employee #1 had a DOH (Date of Hire) of 10/4/16. The Facility failed to conduct a CNA (Certified Nursing Assistant) Registry Check until 11/15/16.

2. Employee #2 had a DOH of 11/1/16. The Facility failed to conduct a CNA Registry Check until 11/15/16.

3. Employee #3 had a DOH of 10/4/16. The Facility failed to conduct a CNA Registry Check for this employee until 11/15/16. The Director of Nursing (DON) was interviewed on 11/18/16 at 10:05 A.M. The DON stated there was a new person in the Human Resources department who was being trained on the policy of checking the Massachusetts Nurse Aide Registry prior to hire. The DON confirmed she became aware of new employees not being checked on 11/15/16 and employees were called in to the Massachusetts Nurse Aid Registry at that time.

Somerset Ridge Center, Nursing Home Neglect and Elder Abuse Lawyers

If someone you love has suffered neglect or elder abuse by a senior caregiver, nursing home, or other care facility, our lawyers may be able to help. Regardless of whether or not criminal charges are filed against an alleged abuser, you may still be able to pursue compensation in a civil claim. Compensation in elder abuse cases may be awarded if someone in the care of another suffers harm due to intentional or negligent actions (including failure to take action).

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation. Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

Oftentimes, victims of abuse either cannot or will not speak up for themselves out of fear. If you notice any warning signs or symptoms of neglect of abuse an an elderly person, it is important you contact an elder abuse lawyer immediately. Not only are there statute of limitations on filing a claim, but the sooner we start helping you, the easier it will be to collect evidence and talk to any witnesses before important details are lost, hidden, or forgotten.

Boston Personal Injury Lawyers for Elder Abuse Cases

We offer a free, no-obligation legal consultation to help you understand your rights and the value of your case. Our personal injury law firm takes cases involving elder abuse and neglect. We offer legal service to clients in Massachusetts, Rhode Island and New Hampshire.


Sources:

Medicare Nursing Home Profiles and Reports – Somerset Ridge Center

Health Inspection Report for Somerset Ridge Center – 11/18/2016

Page Last Updated: March 2, 2017

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