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Deficiency Records for Aberdeen Rehabilitation and Skilled Nursing Center

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.

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?
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-08-29 2024-10-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-29 2024-10-01 N
Provide and implement an infection prevention and control program. Health 2024-08-29 2024-10-01 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 2024-08-28 2024-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-28 2024-10-01 N
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

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