SOMERSET NURSING AND REHABILITATION FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Somerset Nursing and Rehabilitation Facility. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SOMERSET NURSING AND REHABILITATION FACILITY
106 GOVER STREET, P O BOX 1121
SOMERSET, KY 42502
(606) 679-8331

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

Residents: 117
Certified Beds: 123

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Monticello | Liberty | Columbia

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Somerset Nursing and Rehabilitation Facility. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	10.5%
ADL Index Range: 0-5	5.7%
Total Percent:	16.2%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	32.6%
ADL Index Range: 6-10	2.0%
ADL Index Range: 0-5	7.6%
Total Percent:	42.2%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	10.6%
ADL Index Range: 0-5	3.0%
Total Percent:	13.6%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	13.0%
ADL Index Range: 6-10	1.8%
ADL Index Range: 0-5	7.6%
Total Percent:	22.3%

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum

Three days any combination of three rehabilitation disciplines
Two services of restorative nursing six days per week

ADL Index Range: 0-10	3.3%
Total Percent:	3.3%

Special Care Low

Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
Respiratory failure and oxygen therapy while a resident
Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
Ulcers: 2 or more venous or arterial ulcers
Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
Foot infection/diabetic foot ulcer/open lesions of foot with treatment
Radiation therapy while a resident
Dialysis while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 6-10 - No Signs of depression	2.4%
Total Percent:	2.4%

Rating Details For Somerset Nursing and Rehabilitation Facility

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	22 Minutes	1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	33 Minutes	39 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 44 Minutes	2 Hours and 39 Minutes
Total Licensed Nurse Hours	56 Minutes	1 Hour and 41 Minutes
Total Nurse Hours	3 Hours and 39 Minutes	4 Hours and 20 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Kentucky are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Kentucky Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	8%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	8%	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	5%	11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	-	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	9%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	16%	17%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	7%	12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	47%	53%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	11%	17%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	4%	11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	7%	17%
Percent of Short-Stay Residents Who Have Pressure Sores	5%	11%
Percent of Short-Stay Residents Who Have Delirium	-	2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/03/2011.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 01/09/2009 Correction Date: 01/13/2009
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 01/09/2009 Correction Date: 01/13/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/09/2009 Correction Date: 01/13/2009

Environmental

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 01/09/2009 Correction Date: 01/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/03/2011 Correction Date: 03/24/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/03/2011 Correction Date: 03/24/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/03/2011 Correction Date: 03/24/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 01/09/2009 Correction Date: 01/13/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/09/2009 Correction Date: 01/13/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 03/03/2011 Correction Date: 03/24/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/09/2009 Correction Date: 01/29/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/22/2010 Correction Date: 05/28/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.

Inspection Date: 03/03/2011
Correction Date: 03/24/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/09/2009 Correction Date: 01/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/22/2010 Correction Date: 05/28/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 01/09/2009 Correction Date: 01/30/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/09/2009 Correction Date: 01/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/22/2010 Correction Date: 05/28/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/22/2010 Correction Date: 05/28/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 03/03/2011 Correction Date: 03/24/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.

Inspection Date: 01/09/2009
Correction Date: 01/15/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	01/09/2009	$2,250
Civil Money Penalty (CMP)	01/09/2009	$762,500
Denial of Payment for New Admission (DPNA)	01/09/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Somerset Nursing and Rehabilitation Facility, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected