Aidan Senior Living at Reedsport

In the surveyor’s words

From the most serious findings on record at Aidan Senior Living at Reedsport, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 22, 2024

  Based on observation, interview, and record review it was determined the facility failed to follow care plan transfer interventions for 1 of 2 sampled residents (#1) reviewed for accidents. This failure resulted in a fall for Resident 1 with hospitalization for a fractured back. Findings include: Resident 1 was readmitted to the facility in 11/2022, with diagnoses including above the knee amputation of both legs, diabetes, and dementia. A facility Incident Report dated 8/4/23, indicated Resident 1 had a witnessed non-injury fall while being propelled in the shower chair in the shower room. The CNA who assisted the resident stated she was backing up with the resident in the shower chair. The wheel of the chair dropped down into the recessed floor drain and the chair flipped over backwards. […]

• No harm, potential for more than minimal, widespreadF880Dec 14, 2023

  Based on observation and interview it was determined the facility failed to assess and develop a water management plan and failed to perform laundry in a sanitary manner for 1 of 1 facility. This placed residents at risk for infections. Findings include: 1. On 12/14/23 at 8:25 AM Staff 7 (Maintenance Director) stated he worked at the facility for multiple years and was not aware of a water management plan related to Legionella (water-borne pathogen). On 12/14/23 at 9:00 AM Staff 1 (Administrator) stated she had the facility's water flow map. A request was made to Staff 1 to provide documentation the facility identified where water-borne pathogens could grow, measures to prevent the growth of the pathogens and how the facility would monitor the measures they had in place. […]

• No harm, potential for more than minimal, patternF812Mar 28, 2025

  Based on observation, interview and record review it was determined the facility failed to ensure food was stored properly in 1 of 1 resident refrigerator, and failed to ensure food was stored, prepared, and handled properly in 1 of 1 kitchen. This put residents at risk for food borne illnesses. Findings include: During the initial kitchen observation on [DATE] at 9:18 AM, the following item was found in the cook's freezer: - One unlabeled clear plastic cup with frozen brown liquid inside and no open date. During the initial kitchen observation on [DATE] at 9:22 AM, the following items were found in the walk-in freezer: - One opened and used bag of frozen sliced bananas with no open date. - One opened and used bag of frozen blueberries with no open date. […]

• No harm, potential for more than minimal, patternF576Dec 14, 2023

  Based on interview, it was determined the facility failed to have a system in place to deliver mail on Saturdays. This placed residents at risk for lack of timely written communication. Findings include: On 12/13/23 at 9:56 AM during the Resident Council meeting Staff 5 (Activities Director) stated the mail was not delivered to the residents on Saturdays because she did not work on Saturdays. On 12/13/23 at 12:02 PM Staff 5 stated the mail was delivered to the facility on Saturdays, there was no one available to distribute it to the residents. Staff 5 further stated she would deliver the Saturday mail on Mondays.

• No harm, potential for more than minimal, patternF584Dec 14, 2023

  Based on observation, interview, and record review, it was determined the facility failed to clean filters on the heater air-conditioning equipment for 1 of 1 facility reviewed for environment. This placed residents at risk for unclean and unhomelike environment. Findings include: No documentation was found related to cleaning of the heater air-conditioning equipment. A 12/7/23 Resident Council minutes indicated the heaters needed cleaned. On 12/11/23 at 12:51 PM Resident 14 stated she/he accidently dislodged the dining room heater air-conditioning face plate and the filter was covered in a layer of dust and dirt. Resident 14 stated she/he reported the dirty filters to Staff 1 (Administrator), but the filters were still not cleaned after several weeks. […]