Deficiency Records for Aberdeen Rehabilitation and Skilled Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Aberdeen Rehabilitation and Skilled Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-08-08 | 2023-10-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-08-08 | 2023-10-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-08 | 2023-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-11 | 2023-10-11 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-09 | 2023-09-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-09 | 2023-09-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-09 | 2023-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-09 | 2023-09-27 | N |
| 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. | Health | 2023-08-09 | 2023-09-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-09 | 2023-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-09 | 2023-09-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-09 | 2023-09-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-09 | 2023-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-09 | 2023-09-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-09 | 2023-09-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-09 | 2023-09-27 | N |
| 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. | Health | 2023-08-09 | 2023-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-09 | 2023-09-27 | N |
| 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. | Health | 2023-08-09 | 2023-09-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-09 | 2023-09-27 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-08-09 | 2023-09-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-09 | 2023-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-09 | 2023-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-09 | 2023-09-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-09 | 2023-09-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-09-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-16 | 2022-12-23 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-11-16 | 2022-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2022-12-23 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-08-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-16 | 2022-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-31 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-16 | 2022-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-16 | 2022-07-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-30 | 2021-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-31 | 2021-05-06 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-31 | 2021-05-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-03-31 | 2021-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-31 | 2021-05-06 | N |
| 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. | Health | 2021-03-31 | 2021-05-06 | N |
| Dispose of garbage and refuse properly. | Health | 2021-03-31 | 2021-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-31 | 2021-05-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-31 | 2021-05-06 | N |
