Home / Pennsylvania / Somerset
Somerset Healthcare & Rehabilitation Center
228 Siemon Drive, Somerset, PA 15501 · Somerset County · (814) 443-2811
120 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395398 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 17 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 77 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $24,185 in the last three years; the largest was $13,156, and the latest is dated October 23, 2024.
Nurses and nurse aides worked 3.28 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
30.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Abraham Smilow, an affiliated group of 7 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
311/23
102/24
1304/24
107/24
210/24
311/24
412/24
412/24
101/25
1803/25
112/25
101/26
402/26
104/26
1704/26
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 77 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
53D
20E
2F
Potential for minimal harm
0A
0B
0C
June 2, 2026Complaint inspection · 3 citations
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to provide the resident/resident's responsible party with complete information and supplies in preparation for discharge for one of 7 residents reviewed (Resident 1) who was discharged to home.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for two of seven residents reviewed (Residents 6, 7).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to follow treatment recommendations from wound consultations for one of 7 residents reviewed (Resident 1).
April 16, 2026Standard inspection, Complaint inspection · 17 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards for food service safety.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on a review of clinical records, observations, and resident and staff interviews, it was determined the facility failed to provide care in a manner that promotes and enhances each resident's dignity and quality of life by failing to respond in a timely manner to residents' requests for assistance for 1 resident out of 33 residents reviewed. (Resident 28).
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to maintain a clean and homelike environment for one of 33 residents reviewed (Resident 49).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on a review of facility policies and clinical records as well as staff interviews, it was determined that the facility failed to ensure that residents medication regime was free from unnecessary psychotropic medication (drugs that affect a person's mental state, emotions, and behavior) for one of 33 residents reviewed (Resident 37). Findings Include: A facility policy for psychotropic medication management dated February 4, 2026, indicated that as needed psychotropic medications shall be limited to no more than14 days, unless the attending physician or prescribing practitioner believes it is appropriate to extend the order beyond the 14 days. The medical record should include documentation from the physician or prescriber for the rationale for the extended time period and indicate a specific duration. [...]
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of policies, clinical records, and facility reports, as well as staff interviews, it was determined that the facility failed to conduct a thorough investigation to rule out abuse or neglect for two of 33 residents reviewed (Resident 28, 47).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record review, as well as staff interviews, it was determined that the facility failed to notify the resident's representative in writing regarding the reason for transfer to the hospital and to ensure that a bed-hold notice was provided to the resident's responsible party for four of 33 residents reviewed (Residents 1,10, 47, 82). Findings Include: A nursing note for Resident 1 dated February 14, 2025, at 7:51 p.m. revealed that the resident had been coughing all afternoon after eating a cookie and a large number of fluids. The physician was notified and advised to send the resident to the emergency room for evaluation. Review of Resident 1's clinical record revealed no documented evidence that that resident representative or the ombudsman was notified in writing of the transfer to the hospital on the above dates and times. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop and or implement a comprehensive care plan that included specific and individualized interventions to address the care needs of residents for two of 33 residents reviewed (Residents 5 and 12).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for one of 33 residents reviewed (Resident 49), and failed to obtain urine culture results for effective antibiotic treatment of a urinary tract infection for one of 33 residents reviewed (Resident 85).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policies, as well observations and staff interviews , it was determined that the facility failed to maintain an environment free from potential safety hazards related to resident beds for three of 33 residents reviewed (Residents 10, 28, and 56) and by not having a formal system for choosing the correct mechanical lift sling for one of 33 residents reviewed (Resident 47).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on review of policies and clinical records, as well as resident and staff interviews, it was determined that the facility failed to provide appropriate care for one of 33 residents reviewed (Resident 85) who had an indwelling urinary catheter.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents who were receiving enteral feedings received appropriate treatment and services to prevent complications for one of 33 residents reviewed (Resident 5).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for two of 33 residents reviewed (Residents 37 and 49).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, and staff interviews, it was determined that the facility failed to provide a separately-locked, permanently-affixed compartment in the refrigerator for the storage of controlled drugs in one of one medication rooms reviewed.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on a review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for two of 33 residents reviewed (Residents 37 and 49).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that appropriate signage was posted for a resident with special infection control isolation needs for two of 33 residents reviewed (Residents 5 and 79).
- D Keep all essential equipment working safely.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure resident beds were in safe operating condition for 3 of 33 residents reviewed (Residents 28, 37 and 53).
April 8, 2026Complaint inspection · 1 citation
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide and document care as scheduled for two of 4 residents reviewed (Residents 2, 3).
February 23, 2026Complaint inspection · 4 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to inform the resident/resident representative in advance of the risks and benefits of psychotropic medications (medications that affect the persons mental state, emotions and behavior) and the treatment alternatives prior to initiating the administration of the medication for one of 6 residents reviewed (Resident 4).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the resident representative was notified timely about a change in condition for one of six residents reviewed (Resident 2).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, as well as staff interviews, it was determined that the facility failed to follow physician's orders for one of six residents reviewed (Resident 2).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policies, clinical records, observations and staff interviews, it was determined that the facility failed to ensure that a resident's environment remained free of accident hazards by failing to ensure care-planned interventions were in place and that fall risk assessments were completed for one of six residents reviewed (Resident 1), and failed to implement interventions after a fall for one of six residents reviewed (Resident 4).
January 15, 2026Complaint inspection · 1 citation
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record reviews, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers/complete bed baths as scheduled for three of four residents reviewed (Residents 1, 2, 3).
December 10, 2025Complaint inspection · 1 citation
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to serve food that was palatable and at safe and appetizing temperatures.
March 13, 2025Standard inspection · 18 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility policies and observations, as well as resident and staff interviews, it was determined that the facility failed to serve food items at appetizing temperatures.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included specific and individualized interventions for three of 37 residents reviewed (Residents 38, 57, 60).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that interventions to prevent weight loss were provided as recommended by the dietician for one of 37 residents reviewed (Resident 46).
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to complete treatments as ordered by the physician for one of 37 residents reviewed (Resident 48) who received dialysis services.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on review of policies and clinical records, as well as observations and resident and staff interviews, it was determined that the facility failed to ensure that call bells were within reach for one of 37 residents reviewed (Resident 8).
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on review of facility policies and observations, as well as interviews with staff, it was determined that the facility failed to maintain the confidentiality of medical information for one of 37 residents reviewed (Resident 54).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to notify the resident and legal guardian in writing regarding the reason for hospitalization for three of 37 residents reviewed (Residents 27, 49, 71).
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to issue a bed-hold notice at the time of an anticipated leave of absence from the facility for one of 37 residents reviewed (Resident 71).
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that comprehensive significant change Minimum Data Set assessments were completed in the required time frame for one of 37 residents reviewed (Resident 65).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for seven of 37 residents reviewed (Residents 9, 23, 36, 39, 49, 55, 57).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for two of 37 residents reviewed (Residents 8, 55).
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that a discharge summary, including a recapitulation of the resident's stay, was completed for one of one discharged residents reviewed (Resident 70).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to follow physician's orders for medication administration for one of 37 resident (Resident 27) and failed to follow physician's orders related to bowel protocols for two of 37 residents reviewed (Residents 9, 60).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that recommended pressure ulcer interventions were provided to prevent skin breakdown for one of 37 residents reviewed (Resident 56).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly label a multi-use vial of Aplisol in one of one medication rooms reviewed, and failed to secure medication in a medication cart.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on review of hospice contracts and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the designated interdisciplinary team member obtained the required information from the contracted hospice provider for one of two residents reviewed (Resident 65) who received hospice care.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of established infection control guidelines, facility policies, and clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of 37 residents reviewed (Residents 56).
January 22, 2025Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of policies and personnel files, as well as staff interviews, it was determined that the facility failed to complete a Nurse Aide Registry verification upon hire for two of two newly hired nurse aides reviewed (Nurse Aides 1 and 2), failed to ensure that nursing licenses were checked with the Pennsylvania State Board of Nursing for three of three newly hired nurses (Licensed Practical Nurse 1, Registered Nurse 1 and 2) and failed to complete a criminal background check for four of five newly hired nursing staff reviewed (Nurse Aide 1, Licensed Practical Nurse 1, Registered Nurse 1 and 2).
December 30, 2024Complaint inspection · 4 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to provide confidentiality of residents' personal health information during medication administration for one of nine residents reviewed (Resident 2).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that medications were stored in a secure manner for two of three medication carts reviewed (A unit long hall cart and C unit cart).
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on review of clinical records, as well as observations and resident and staff interviews, it was determined that the facility failed to honor food preferences for one of nine residents reviewed (Resident 5).
- D Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on a review of facility policies and clinical records, as well as resident and staff interviews, it was determined that the facility failed to ensure that the residents were provided with nightly snacks in accordance with their preferences for seven of nine residents reviewed (Residents 1, 2, 3, 4, 5, 7, 8).
December 13, 2024Complaint inspection · 4 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to monitor intake and output for one of 11 residents reviewed (Resident 3) who had an indwelling urinary catheter and failed to follow physician's orders related to bowel protocols for one of 11 residents reviewed (Resident 6).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate comprehensive Minimum Data Set assessments for two of 11 residents reviewed (Residents 2, 10).
- D Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the resident's clinical record contained signed and dated reports of radiologic and other diagnostic services for one of 11 residents reviewed (Resident 2).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review facility policies, established infection control guidelines, and residents' clinical records, as well as observations and staff and resident interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for two of 11 residents reviewed (Residents 3, 7).
November 20, 2024Complaint inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of fire safety plans, clinical records, and investigative reports, as well as staff interviews, it was determined that the facility failed to ensure that safe transfer techniques were used in accordance with their care plans and emergency evacuation plans for one of seven residents reviewed (Resident 1) who required the use of a mechanical lift for transfers, resulting in a left hip fracture.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that pressure ulcers were monitored for one of seven residents reviewed (Resident 2).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of clinical records and facility investigations, as well as staff interviews, it was determined that the facility failed to revise residents' care plans with individualized interventions to address their care needs for one of seven residents reviewed (Resident 1).
October 23, 2024Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to develop comprehensive care plans that included specific and individualized interventions to address resident care needs for one of four residents reviewed (Resident 2).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, as well as staff interviews, it was determined that the facility failed to follow recommendations from the hospital for a follow-up appointment and failed to follow physician's orders for one of four residents reviewed (Resident 2).
July 10, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records and facility investigation reports, as well as staff interviews, it was determined that the facility failed to provide an environment that was free of accident hazards for one of three residents (Resident 2) reviewed who ingested hand sanitizer, resulting in a blood alcohol level of 0.29.
April 25, 2024Standard inspection · 13 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of policies, personnel files, and education records, as well as staff interviews, it was determined that the facility failed to implement its written abuse prevention policies by failing to ensure that the status of nursing licenses were checked with the State Board of Nursing for three of three newly hired nurses reviewed (Registered Nurse 2, Registered Nurse 3, Licensed Practical Nurse 4), failed to complete a nurse aide registry verification for one of one nurse aides reviewed upon hire (Nurse Aide 5), failed to ensure that criminal background checks were completed prior to hire for one of five employee files reviewed (Nurse Aide 5), failed to ensure that reference checks were obtained prior to hire for four of five employee files reviewed (Registered Nurse 2, Registered Nurse 3, Licensed Practical Nurse 4, Nurse Aide 5), and failed to ensure that staff received [...]
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for five of 36 residents reviewed (Residents 3, 14, 29, 35, 70).
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for six of 36 residents reviewed (Residents 5, 10, 28, 41, 43, 55).
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of the Pennsylvania Nurse Practice Act and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders were clarified for two of 36 residents reviewed (Residents 14, 28).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy and clinical record reviews, as well as staff interviews, it was determined that the facility failed to follow recommendations from a neurologist (a medical doctor with specialized training in diagnosing, treating, and managing disorders of the brain and nervous system) for a follow-up appointment for one of 36 residents reviewed (Resident 5), and failed to follow physician's orders for three of 36 residents reviewed (Residents 29, 34, 43).
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record reviews, as well as observations and staff interviews, it was determined that the facility failed to ensure that physician's orders were obtained for dialysis per facility policy for one of 36 residents reviewed (Resident 42).
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical records and staff interviews, it was determined that the facility failed to ensure the accountability of controlled medications (drugs with the potential to be abused) for three of 36 residents reviewed (Residents 15, 33, 43).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident interviews, observations, and staff interviews, it was determined that the facility failed to serve food that was palatable to residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of established infection control guidelines, facility policies, documents, residents' clinical records, and employee files, as well as observations and staff interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for seven of 36 residents reviewed (Residents 14, 18, 28, 34, 41, 42, 68), and failed to ensure that proper infection control practices and techniques were followed after the hiring of two of five employees reviewed (Registered Nurse 2, Nurse Aide 5).
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on a review of a list of nurse aides currently employed by the facility, including their hire dates and training hours, as well as staff interviews, it was determined that the facility failed to ensure that nurse aides had 12 hours of in-service training annually for three of three nurse aides reviewed (Nurse Aide 10, Nurse Aide 11, Nurse Aide 12), failed to ensure that nurse aides received annual in-service training regarding abuse for three of three nurse aides reviewed (Nurse Aide 10, Nurse Aide 11, Nurse Aide 12), and failed to ensure that nurse aides received annual in-service training regarding dementia for one of three nurse aides reviewed (Nurse Aide 12).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policy, clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that a resident's respiratory status was properly monitored for one of 36 residents reviewed (Resident 43).
February 22, 2024Complaint inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of policies, clinical records, and information submitted by the facility, as well as staff interviews, it was determined that the facility failed to review and revise care plans for one of three residents reviewed (Resident 2).
November 17, 2023Complaint inspection · 3 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical records reviews and staff interviews, it was determined that the facility failed to ensure that intravenous fluids were administered according to physician's orders for one of 18 residents reviewed (Resident 10) and failed to ensure that Certified Registered Nurse Practioner's (CRNP - an advanced practice registered nurse who can work independently from a physician) orders were followed for one of 18 residents reviewed (Resident 11).
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the Certified Registered Nurse Practioner (CRNP - an advanced practice registered nurse who can work independently from a physician) wrote, signed, and dated progress notes with each visit for one of 18 residents reviewed (Resident 11).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of guidance from the Pennsylvania Department of Health (DOH) and review of the facility's policies, as well as observations and staff interviews, it was determined that the facility failed to follow infection control standards and DOH guidelines to reduce the spread of infections and prevent cross-contamination for one of 18 residents reviewed (Resident 1).
Fire safety inspections
2 fire safety citations on file: 2 on April 25, 2024.
Every fire safety citation2 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2024 | Fine | $11,029 |
| July 10, 2024 | Fine | $13,156 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.28 | 3.89 | 3.86 |
| Registered nurses | 0.63 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.53 | 3.42 |
| Nurse aides | 1.85 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 30.8% | 44.5% | 45.8% |
| Registered nurse turnover | 35.7% | 39.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.36 on weekdays and 3.09 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.28 | 0.63 | 3.36 | 3.09 | 10.8% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.44 | 0.63 | 3.51 | 3.27 | 3.7% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.37 | 0.67 | 3.46 | 3.16 | 5.8% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.16 | 0.63 | 3.26 | 2.92 | 8.2% | 0 of 91 | 75 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 30.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.6 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.6 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 37.4 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.2 | 1.8 |
Owners and operators
Legal business name: SOMERSET SNF OPCO OPERATING COMPANY LLC. CMS links this home to Abraham Smilow, a group of 7 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Smilow, Abraham | 5% or greater direct ownership interest | Individual | 100% | 04/01/2023 |
| Kovacs, Paul | W-2 managing employee | Individual | 04/01/2023 | |
| Smilow, Abraham | Corporate officer | Individual | 04/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 22 problems in this area, most recently on June 2, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 14 problems in this area, most recently on April 16, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on June 2, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on April 16, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Pennsylvania average of 3.53.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Patriot Village Somerset, 2.3 mi · 1 of 5 stars · 49 citations
- Meadow View Nursing Center Berlin, 10.5 mi · 3 of 5 stars · 47 citations
- Casselman Healthcare and Rehabilitation Center Meyersdale, 15.9 mi · 2 of 5 stars · 40 citations
- Laurel View Village Davidsville, 17.1 mi · 3 of 5 stars · 18 citations
- Bethlen Hm of the Hungarian Rf of America Ligonier, 17.7 mi · 2 of 5 stars · 66 citations
- Windber Woods Senior Living & Rehabilitation Ctr Windber, 18.3 mi · 2 of 5 stars · 50 citations
- Hilltop Heights Health & Rehab Center Johnstown, 19.5 mi · 1 of 5 stars · 75 citations
- Quality Life Services - Westmont Johnstown, 19.7 mi · 3 of 5 stars · 30 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Somerset Healthcare & Rehabilitation Center's Medicare star rating?
- CMS rates Somerset Healthcare & Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Somerset Healthcare & Rehabilitation Center get at its last inspection?
- 17 health deficiencies at the standard inspection on April 16, 2026. The Pennsylvania average is 10.
- Has Somerset Healthcare & Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $24,185 in the last three years.
- Does Somerset Healthcare & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Somerset Healthcare & Rehabilitation Center?
- CMS lists 3 owners and managers, and links the home to Abraham Smilow. Legal business name: SOMERSET SNF OPCO OPERATING COMPANY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.