Aberdeen Health And Rehab

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

be reported, even if they appear to meet the technical definition of maltreatment. These events must be reported internally to the immediate supervisor who will notify the Administrator and the Director of Nursing Services.* The Supervisor, Director of Nursing or Administrator will immediately institute an internal investigation of the reported allegation or incident. The investigation may include:-1) Interview of staff-2) Resident interviews-3) Witness interviews-4) Environmental review-5) Resident health status-6) Behavior review-7) Medication review.* All incidents will be investigated thoroughly by administration.* Further, the facility shall ensure that all alleged violations involving abuse, neglect, mistreatment, misappropriation of resident property including injuries of unknown source are reported immediately to the Administrator and to other agencies in accordance with state law through established procedures. [The provider] shall have evidence that all alleged violations are thoroughly investigated and shall prevent further potential abuse while the investigation is in progress.-Written Report--a) Who was interviewed--b) Content of interview--c) Resident Diagnosis--d) ADL [activities of daily living] capabilities and a determination if the resident is interview-able--e) Resident reactions--f) Circumstances pertaining to the incident.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Aberdeen Health and Rehab

1700 North Highway 281 Aberdeen, SD 57401

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

resident 1's dementia progressed, and she began to display increased wandering as well as verbal and physical behaviors.*Due to resident 1's increased behaviors a mental health practitioner was consulted for her care.*Staff would provide one to one observation of resident 1 whenever they were able to prevent her from wandering into other resident rooms and avoid altercations between resident 1 and other residents.*Staff would also ask and encourage residents to have their doors closed when resident 1 had episodes of increased agitation.*Resident 1 ate her meals with a staff member instead of in the dining room to decrease the stimulus in an attempt to get resident 1 to eat her meal.*Administrator A and DON B expected the interventions in place for resident 1's wandering and aggressive behaviors to have been included in her care plan.*Administrator A and DON B verified resident 1's care plan had not been updated to include interventions for her aggressive behaviors or wandering into other residents' rooms.*LPN/MDS coordinator H was primarily responsible for updating the nursing portion of residents' care plans but anyone

on the interdisciplinary team (IDT) team could update the residents' care plans.*Administrator A and DON B expected that the residents' care plans would be updated with each quarterly and annual MDS as well as with any changes in the residents' care needs.10. Review of the provider's April 2025 Comprehensive Care Plan policy revealed:* It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality.* The comprehensive care plan will describe, at minimum, the following:-a) The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.-f) Resident specific interventions that reflect the resident's needs and preferences and align with the resident's cultural identity, as indicated.* The comprehensive care plan will include measurable objectives and timeframes to meet the resident's needs as identified in the resident's comprehensive assessment. The objectives will be utilized to monitor the resident's progress. Alternative interventions will be documented, as needed.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Aberdeen Health and Rehab

1700 North Highway 281 Aberdeen, SD 57401

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences.* The facility will utilize a systematic approach for recognition, assessment, treatment and monitoring of pain.* Facility staff will observe for nonverbal indicators which may indicate the presence of pain. These indicators include but are not limited to: .-c) Fidgeting, increased or recurring restlessness-d) Facial expressions (e.g. grimacing, frowning, fright, or clenching of the jaw)-e) Behaviors such as: resisting care, distressed pacing, irritability, depressed mood, or decreased participation in usual physical and/or social activities.-g) Weight loss-h) Difficulty sleeping (insomnia)-i) Negative vocalizations (e.g. groaning, crying, whimpering, or screaming)* The interdisciplinary team is responsible for developing a pain management regimen that is specific to each resident who has pain or who has the potential for pain.A medication administration policy was requested on 8/28/25 at 9:30 a.m. and was not received by the end of the survey.

Event ID:

Facility ID:

If continuation sheet