Inspection Reports for
Aberdeen Heights Assisted Living

The facility was found deficient in food storage, preparation and service practices, including failure to label opened food items, improper use of hairnets and gloves by kitchen staff, and failure to complete comprehensive resident assessments within required timeframes. The facility submitted an acceptable plan of correction and was found in substantial compliance upon a revisit.

The complaint investigation was initiated due to allegations of failure to treat residents with dignity and respect, failure to notify representatives of changes in condition, failure to bill services according to contract, failure to maintain a clean and comfortable environment, failure to prevent verbal or psychosocial abuse, failure to ensure residents' rights including refusal of treatment, failure to provide palatable food, failure to assess and intervene on changes in condition, and failure to ensure adequate staffing. The investigation included observations, interviews, and record reviews. Deficiencies were cited as a result.

The investigation found that staff treated residents with respect and dignity, and the facility was clean with no foul odors. However, deficiencies were cited including failure to ensure food served matched the planned menu, and failure to notify a resident's power of attorney of a change in condition. The facility submitted an acceptable plan of correction with a target compliance date of September 5, 2025.

The facility failed to ensure accurate Minimum Data Set (MDS) assessments for three residents and did not obtain a required lipid profile laboratory test for one resident as ordered by the physician. The facility acknowledged coding errors in MDS assessments and failure to obtain the lab test.

The facility failed to ensure accurate resident assessments for two residents, failed to refer two residents with new serious mental illness diagnoses for PASRR level II evaluations, and failed to properly store food and maintain cleanliness in the kitchen. The Resident Census and Conditions of Residents form documented 45 residents present during the inspection.

The complaint involved a staff member taking unauthorized photos and videos of residents and sending them to family members. The staff member admitted to taking the photos shortly after being hired and was suspended pending investigation.

The facility failed to ensure privacy and confidentiality for six sampled residents by allowing a staff member to take and distribute unauthorized photos and videos. Additional deficiencies included failure to provide timely incontinent care and bathing for some residents, lack of certification for the dietary manager, and poor kitchen maintenance and cleanliness.

Multiple deficiencies were cited related to resident service contracts, resident rights, and medication administration, with potential for more than minimal harm. The facility submitted a plan of correction which was accepted and later verified as corrected during a desk audit revisit.