Aberdeen Village

In the surveyor’s words

From the most serious findings on record at Aberdeen Village, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 22, 2024

  The facility identified a census of 55 residents. The sample included three residents. Based on observation, record review, and interview, the facility failed to provide adequate supervision to prevent an elopement for cognitively impaired Resident (R)1, who required staff assistance for activities of daily living (ADL) including safe ambulation with her walker and was at risk for falls. On 10/17/24 between 04:00 AM and 04:30 AM, Certified Nurse Aide (CNA) M heard R1's toilet flush, entered R1's bathroom, and asked R1 if she needed anything. R1 responded No and CNA M left to assist another resident without assisting R1 back to bed as CNA M assumed the resident would go back to bed. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2024

  The facility identified a census of 56 residents, one kitchen, four serving areas, and dining rooms. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to cleaning, food storage, equipment storage, and food preparation practices. These deficient practices placed the residents at risk related to food-borne illnesses and food safety concerns. Findings include: - On 05/13/24 at 08:09 AM during the initial tour, observation revealed the following: Bowls were stored upright on the rack by the delivery doors instead of inverted. Three refrigerator and four freezer temperature logs lacked evidence staff checked the temperature on Sunday, 05/12/24 in the main kitchen. […]

• No harm, potential for more than minimal, patternF761May 15, 2024

  The facility reported a census of 56 residents. The facility identified one medication room and four medication carts. Based on observations, record review, and interviews, the facility failed to store medications and biologicals appropriately when the facility failed to lock the medication room and additionally failed to appropriately label Resident (R)31's insulin (a hormone that lowers the level of glucose in the blood) medication once opened. This deficient practice placed the residents at risk for unnecessary medication and administration errors. Findings Included: -On 05/13/24 at 08:15 AM a walkthrough of the facility's second floor was completed. An inspection of the medication room revealed the entry door was not locked. […]

• No harm, potential for more than minimal, patternF880May 15, 2024

  The facility identified a census of 56 residents. The facility identified six residents on enhanced barrier precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employs targeted gown and glove use during high contact care) and one resident on contact precautions (transmission-based precautions for infectious disease that may spread with direct or indirect contact). Based on record review, observations, and interviews, the facility failed to ensure adequate infection control standards related to following enhanced barrier precautions, wearing personal protective equipment (PPE), and indwelling catheter maintenance (tube placed in the bladder to drain urine into a collection bag). […]

• No harm, potential for more than minimal, patternF689Sep 27, 2022

  The facility had a census of 49 residents. The sample included 15 residents. Based on observation, record review and interview the facility failed to secure chemicals in a safe, locked area, and out of reach of the 13 cognitively impaired independently mobile residents. This placed the affected residents at risk for accidents. Findings Included: - On 09/21/22 at 07:10AM an observation of the secured memory care unit revealed an unlocked sink cabinet in the kitchenette area accessible to the dementia care (progressive mental disorder characterized by failing memory, confusion) residents. Further investigation revealed two quart-size bottles which contained bleach disinfectant. […]