Somerset Woods Rehabilitation & Nursing Center
780 Old New Brunswick Road · Somerset, NJ · 08873 · 7326533000
148 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$104,680 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 1 · $104,680 |
Inspection citations (30 in the current record)
-
Immediate jeopardy · J January 31, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J January 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J January 31, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J January 31, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 4, 2025 · Administration
-
Potential for harm · D January 31, 2025
Assess the resident when there is a significant change in condition
Corrected March 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E January 31, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 4, 2025 · Nutrition and Dietary
-
Potential for harm · D January 31, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 4, 2025 · Nutrition and Dietary
-
Potential for harm · E January 31, 2025
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.
Corrected March 4, 2025 · Nutrition and Dietary
-
Potential for harm · E January 31, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2025 · Quality of Life and Care
-
Potential for harm · E January 31, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 4, 2025 · Nursing and Physician Services
-
Potential for harm · D January 31, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 4, 2025 · Nutrition and Dietary
-
Potential for harm · D September 29, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 20, 2023 · Pharmacy Service
-
Potential for harm · D September 29, 2023 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected October 20, 2023 · Resident Rights
-
Potential for harm · D September 29, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 20, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D May 23, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 24, 2022 · Resident Rights
-
Potential for harm · D May 23, 2022
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.
Corrected June 24, 2022 · Resident Rights
-
Potential for harm · D May 23, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 24, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D May 23, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 24, 2022 · Quality of Life and Care
-
Potential for harm · D May 23, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 24, 2022 · Quality of Life and Care
-
Potential for harm · D May 23, 2022
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 24, 2022 · Quality of Life and Care
-
Potential for harm · E May 23, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 24, 2022 · Quality of Life and Care
-
Potential for harm · E May 23, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 24, 2022 · Pharmacy Service
-
Potential for harm · D May 23, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 24, 2022 · Pharmacy Service
-
Potential for harm · E May 23, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 24, 2022 · Pharmacy Service
-
Potential for harm · D May 23, 2022
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.
Corrected June 24, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 31, 2025 | Fine | $104,680 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315520 · certified since May 16, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.