Care Center of Aberdeen

In the surveyor’s words

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

• Actual harm, isolatedF689May 15, 2025

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to protect a resident's safety and prevent an accident when staff failed to use a wheelchair lift safety belt to secure a resident's wheelchair on the lift gate during the lift procedure to place the resident into the back of the van. This resulted in the resident rolling backwards in the wheelchair and flipping off the lift gate when it was lifted around four (4) feet high in the air and the resident hit backwards onto the concrete injuring her head and received a three (3) centimeter (cm) laceration to the back of her head. This was for one (1) of two (2) residents incidents reviewed. […]

• Actual harm, isolatedF689May 19, 2022

  CI MS # Based on facility policy reviews, record reviews, observations, and interviews, the facility failed to supervise and to secure the seat belts to a bilateral [CONDITION(S)] resident while riding in the facility van/bus. Resident #1 fell from the unsecured wheelchair and received injuries of fractures to his hand and fractures to three (3) fingers, a head injury requiring three (3) stitches, and a trip via ambulance to the emergency room (ER) for treatment of injuries. Resident #1 was one (1) of five (5) residents reviewed for supervision and prevention of accidents hazards. FINDINGS INCLUDE: Review of the facility policy titled Policies for Company Owned Vehicle, latest review date 4/22; revealed 3. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2026

  Based on observation, staff interview, and facility policy review, the facility failed to ensure food items in the kitchen were properly labeled and dated after opening and failed to maintain a clean refrigerator to prevent cross-contamination of stored foods during one (1) of two (2) kitchen tours. Findings Include:Review of the facility policy titled Cleaning and Sanitizing Equipment, revised 5/18, revealed under Policy: All equipment is kept clean and food contact surfaces are cleaned and sanitized.Review of the facility policy titled Food Storage Labeling, revised 8/12, revealed under Policy: The facility will ensure the safety and quality of food by adhering to proper storage and labeling procedures. Also revealed under Procedure 1. Labelinga. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2025

  Based on observations, interviews, record reviews, and facility policy review, the facility failed to label and store food properly and maintain the kitchen and the equipment in a clean and sanitary condition for two (2) of three (3) kitchen tours. Findings included: Review of the facility's policy titled, Food Storage Labeling, with revised date ,d+[DATE] revealed, Policy: The facility will ensure the safety and quality of food by following good food storage labeling procedures . […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2022

  Based on observation, staff interview, record and facility policy review the facility failed to prevent the likelihood of a foodborne illness as evidenced by a black substance on the inside door of the ice machine that was used for all residents on one (1) of four (4) kitchen tours. Findings Include. Record review of the facility policy titled Cleaning Instructions Ice Maker and Dispenser, Section VI-Sanitation & Infection Control with originated date of 09/2004 and most recent revision date of 05/2018, revealed in the policy statement, Equipment shall be maintained in a clean and sanitary condition. […]