Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Care Center Of Aberdeen during CMS and state inspections, most recent first.
Improper food labeling and unsanitary refrigerator conditions were observed in the kitchen. Open food items in the refrigerator, freezer, and pantry were found undated or unlabeled, including cheese spread, boiled eggs, liquid eggs, fish fillets, grits, and sliced onions. One refrigerator also had black fuzzy spots described by staff as mold, and the DM confirmed the unit was not clean.
Incorrect MDS Coding for Medications and Hospice Services: The facility inaccurately coded MDS assessments for three residents during the look-back period. One resident on an anticoagulant was not coded in Section N, another resident receiving hospice services was not coded in Section O, and a third resident was incorrectly coded as receiving an anticoagulant when the MAR showed an antiplatelet instead. The MDS nurse confirmed each error, and the affected residents had diagnoses including atrial fibrillation, COPD, and chronic medical conditions; two residents were cognitively intact and one had severe cognitive impairment.
Care plans were not implemented for two residents. One resident with a gastrostomy and continuous enteral feeding order was observed with the pump paused and later without the tube feeding infusing, while staff stated the pump had been turned off for pleasure trays. Another resident’s ADL plan called for nail care and hygiene support, but repeated observations showed long, jagged fingernails with dark debris underneath, and an LPN confirmed the care had not been provided as planned.
The facility failed to ensure blood sugar monitoring was provided for a resident receiving insulin. The resident had an order for Novolin 70/30 BID, but the MAR showed no blood sugar documentation, and the Blood Sugar Summary showed checks only on two days. The DON confirmed blood sugars should be monitored with an insulin order and stated the house supervisor did not add the supplementary task when the order was entered. The resident had DM with diabetic neuropathy and moderate cognitive impairment.
Failure to Maintain Personal Hygiene Through ADL Care: A resident with Alzheimer's disease had fingernails that were observed to be about one inch long, jagged, and dirty underneath on multiple occasions. An LPN confirmed the nails should have been trimmed during bathing or showering, and the DON stated all residents' fingernails should be kept trimmed and clean.
A resident with a PEG tube, diabetes, and severe cognitive impairment was ordered continuous Diabetasource feedings plus pleasure trays, but staff were observed with the pump paused and later found the resident sitting in the foyer without the feeding infusing. CNAs said the pump had been turned off for pleasure trays and did not know how long it had been off, while an LPN was unsure whether the pump should be brought into the foyer. The DON confirmed the resident should have remained connected to the pump regardless of location and that the resident’s nutritional needs were not being met as ordered.
A resident with severe cognitive impairment and dementia was administered Haldol and Sertraline without documented consent from their representative, despite facility policy requiring informed consent for psychotropic medications. The DON confirmed that no consent forms were found, and the representative was unaware of the medications until after requesting a list.
A resident with severe cognitive impairment was moved to a different room without the required written notification or explanation being provided to their representative, as confirmed by both the Social Service Director and Administrator. This action was not in accordance with facility policy, which mandates written notice prior to any room or roommate change.
A facility failed to maintain a clean and odor-free environment, affecting three residents. Observations revealed strong odors and dirty wheelchairs, with one resident's room having a pungent smell and liquid on the bathroom floor. Two residents were found in unclean wheelchairs, with a family member expressing concern over the lack of cleanliness. The DON admitted that the facility lacked an effective plan to ensure regular cleaning, and staff were expected to clean wheelchairs as needed.
Improper Food Labeling and Unsanitary Refrigerator Conditions
Penalty
Summary
Food items in the kitchen were not properly labeled, dated, or stored, and one refrigerator was not maintained in a clean condition. During the initial kitchen tour, Refrigerator #1 contained an open 5-pound container of pimento cheese spread, an open package of boiled eggs with five eggs, and an open carton of liquid whole eggs, all undated. Freezer #1 contained frozen fish fillets in a clear gallon zip-lock bag that was undated. The kitchen pantry contained an open 5-pound bag of Quick Grits that was unlabeled and not secured in a storage bag. Refrigerator #3 contained sliced onions in a metal container covered with aluminum foil, but the container was not labeled with the date of storage. Refrigerator #3 also contained numerous small circular black spots scattered throughout the interior back portion, the left inner side panel, and three refrigerator racks. The black spots were described as having a fuzzy texture, and Dietary Staff #1 stated it looked like mold and could contaminate food and make a resident or staff member sick. Dietary Staff #1 confirmed the undated items and stated they should be discarded because there was no way to determine how long they had been stored. The Dietary Manager confirmed the refrigerator was not clean and stated the substance could contaminate food items stored inside. The Administrator stated opened food items should be labeled, dated, and stored appropriately and kitchen equipment should remain clean according to the cleaning schedule.
Incorrect MDS Coding for Medications and Hospice Services
Penalty
Summary
The facility failed to accurately complete MDS assessments by incorrectly coding information during the 7-day observation look-back period for three sampled residents. Facility policy stated that accurate MDS coding must be based on resident assessment and documented information in the chart within the required time frames, and that the RAI Manual serves as the primary reference for coding guidelines. The MDS Nurse confirmed that Resident #3’s quarterly MDS with an ARD of 01/12/26 was not coded to reflect an active order for Rivaroxaban 20 mg, an anticoagulant documented on the January 2026 MAR. Resident #3’s face sheet listed diagnoses including paroxysmal atrial fibrillation and presence of a cardiac pacemaker, and the BIMS score was 15, indicating cognitive intactness. The MDS Nurse also confirmed that Resident #7’s quarterly MDS with an ARD of 04/07/26 was not coded to reflect hospice services, despite an order for hospice services for COPD dated 08/05/2025. Resident #7’s face sheet listed diagnoses including COPD and major depressive disorder, and the BIMS score was 15. For Resident #53, the MDS with an ARD of 04/08/26 was coded seven of seven days for anticoagulant use in Section N, but the MDS Nurse confirmed the resident was not taking an anticoagulant and was instead receiving an antiplatelet medication that had been incorrectly coded as an anticoagulant. Resident #53’s face sheet listed diagnoses including diabetes, hypertension, and cardiac murmur, and the BIMS score was 03, indicating severe cognitive impairment.
Care Plans Not Followed for Tube Feeding and ADL Needs
Penalty
Summary
The facility failed to ensure Resident #5’s feeding tube care plan was implemented. The resident’s care plan and physician’s order required continuous enteral feeding of Diabetasource at 59 mL per hour for 24 hours, and the resident had diagnoses including encounter for attention to gastrostomy, type 2 diabetes mellitus, and unspecified sequelae of cerebral infarction. On 5/4/2026, the enteral feeding pump was observed paused and actively beeping, and later that same day a CNA was observed feeding the resident a mechanically chopped meal and stated the resident received pleasure trays, which was why the pump had been turned off; the CNA did not know how long the feeding had been off. On 5/6/2026, the resident was again observed sitting in the front foyer without the tube feeding infusing. The MDS nurse confirmed the care plan and physician’s order required continuous feedings and stated that if the resident was not getting feedings, the plan of care was not being followed. The facility also failed to implement Resident #17’s ADL care plan. The care plan identified that the resident needed assistance with ADLs, including bathing, personal hygiene, and nail care, and stated the resident was dependent on staff for personal hygiene and that nails were to be cleaned, cut, and filed. On 5/4/2026, 5/5/2026, and 5/6/2026, observations showed the resident’s fingernails were about one inch long, jagged, and had a dark brown/black substance underneath them. An LPN confirmed the nails were long, jagged, and dirty under the nails, and stated they should have been trimmed during bathing or showering. The MDS nurse confirmed the ADL care plan had been developed appropriately, but the interventions were not implemented by facility staff.
Failure to Monitor Blood Sugar for Resident on Insulin
Penalty
Summary
The facility failed to ensure blood sugar monitoring was provided in accordance with professional standards of practice for one resident who was reviewed for medication monitoring. Resident #94 had an order for Novolin 70/30 Flex Pen, 8 units subcutaneously twice daily, but the Medication Administration Record contained no documentation of blood sugar monitoring. A Blood Sugar Summary showed the resident's blood sugar was checked only on 4/28/2026 and 4/29/2026. The facility also stated in a typed letter on facility letterhead that it did not have a policy on insulin/glucose monitoring. The DON confirmed that blood sugars should be monitored when a resident has an insulin order and stated the house supervisor was responsible for entering admission orders and adding a supplementary task for blood sugar checks, but failed to do so. Resident #94 was admitted with diabetes mellitus due to underlying condition with diabetic neuropathy and had a BIMS score of 10, indicating moderate cognitive impairment.
Failure to Maintain Personal Hygiene Through ADL Care
Penalty
Summary
The facility failed to provide ADL care necessary to maintain personal hygiene for one resident. The facility policy titled Activities of Daily Living stated that ADLs include personal hygiene, bathing, voiding, toileting, repositioning, and meals offered. Observations of the resident on 5/4/2026 at 5:48 PM, 5/5/2026 at 8:47 AM, and 5/6/2026 at 8:26 AM showed fingernails approximately one inch long with jagged edges and a dark brown/black substance underneath them. During an observation and interview on 5/6/2026 at 8:30 AM, an LPN confirmed the resident's fingernails were long, jagged, and contained a dark brown/black substance underneath. The LPN stated the fingernails should have been trimmed during bathing or showering and that the long, jagged nails placed the resident at risk for skin tears or scratches that could lead to infection. The DON later stated that all residents' fingernails should be kept trimmed and clean, that fingernails should be checked during bathing or showering, and that long, jagged fingernails could easily cause skin tears, which could lead to infection. Record review showed the resident was admitted with Alzheimer's disease and the MDS indicated a BIMS was not conducted because the resident was rarely or never understood.
Continuous Tube Feeding Not Maintained as Ordered
Penalty
Summary
The facility failed to ensure physician-ordered continuous enteral feedings were consistently administered for one resident who had an order dated 02/23/2026 for Diabetasource at 59 mL per hour for 24 hours, providing 1700 kcals, 88 grams of protein, and 1189 mL of fluid. Facility policy stated that all tube feedings would be administered in accordance with verified medical necessity, infection control policies and procedures, and physician orders. The resident’s record also showed diagnoses including encounter for attention to gastrostomy, type 2 diabetes mellitus, and unspecified sequelae of cerebral infarction, and the MDS documented a BIMS score of 01 indicating severe cognitive impairment. During observation, the resident’s enteral feeding pump was found paused and actively beeping while the resident was being fed a mechanically chopped meal by a CNA. A CNA stated the resident received pleasure trays and that was why the pump had been turned off, and another CNA did not know how long the pump had been off. On another observation, the resident was sitting in the front foyer without the tube feeding infusing. An LPN stated the resident received Diabetisource through a PEG tube and pleasure trays for all meals, and was unsure whether the pump should be brought into the foyer because of foot traffic. The DON confirmed the resident should have remained connected to the feeding pump regardless of location and acknowledged that when the feeding was not infusing, the resident’s nutritional needs were not being met as ordered.
Failure to Obtain Consent for Psychotropic Medication Administration
Penalty
Summary
The facility failed to ensure that a resident was free from the use of chemical restraints by administering psychotropic medications without obtaining the required consent. Specifically, a resident with severe cognitive impairment and a diagnosis of unspecified dementia with behavioral disturbances was given Haldol, an antipsychotic medication, and Sertraline, an antidepressant, without documented consent from the resident's representative. The facility's policy required consent for the use of antipsychotic and psychoactive medications, but the Director of Nursing confirmed that no such consent was found for either medication. The resident's representative discovered the use of Haldol only after requesting a list of medications and reported being unaware of its administration, never having signed a consent form. Medication records showed that Haldol was administered over several weeks and Sertraline was ongoing, with no evidence of informed consent being obtained. The Minimum Data Set confirmed the resident was receiving both antipsychotic and antidepressant medications during this period.
Failure to Provide Written Notice for Resident Room Change
Penalty
Summary
The facility failed to honor a resident's right to receive written notification, including the reason for a room change, prior to moving the resident to a different room. According to the facility's policy, the Social Service Designee or Social Worker, in conjunction with the DON, is responsible for ensuring that residents or their representatives receive written notice before any room or roommate change occurs. In this case, the Social Service Director acknowledged that while she had previously discussed a room change with the resident's representative, she moved the resident again at a later date without providing the required written notification or explanation to the representative. The resident involved had a diagnosis of dementia and a BIMS score of 6, indicating severe cognitive impairment, which further underscores the importance of notifying the resident's representative. Both the Social Service Director and the Administrator confirmed during interviews that the facility did not provide the necessary written notice or reason for the room change, as required by policy and resident rights.
Facility Fails to Maintain Clean and Odor-Free Environment
Penalty
Summary
The facility failed to maintain a clean and odor-free environment for its residents, as evidenced by observations of dirty wheelchairs and strong, offensive odors affecting three residents. During an inspection, a strong, pungent odor was detected in a resident's room, with a puddle of liquid on the bathroom floor that appeared to be urine. The resident, who had mild cognitive deficits, did not notice the odor, but the facility's administrator confirmed the issue and acknowledged the need for a clean environment. Additionally, two residents were observed in dirty wheelchairs, with one resident's family member expressing concern over the lack of cleanliness since the resident's admission. The wheelchairs were found to have accumulated grime, dust, and other substances, indicating a lack of regular cleaning. The Director of Nursing (DON) revealed that the responsibility for cleaning wheelchairs was assigned to CNAs on the night shift, but there was no effective system in place to ensure compliance, and staff were expected to clean wheelchairs as needed. Interviews with staff and a complainant highlighted ongoing issues with cleanliness and odor in the facility. The complainant reported persistent urine odors and dirty wheelchairs, despite having raised these concerns with staff. The DON admitted that the facility lacked an effective plan to ensure wheelchairs were cleaned regularly, and the administrator confirmed the need for immediate corrective action.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Aberdeen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Amory | 11.2 mi | ★★★★★ | 11 | 0 |
| River Place Nursing Center | 11.4 mi | ★★★★★ | 6 | 0 |
| West Point Community Living Center | 14.7 mi | ★★★★★ | 0 | 0 |
| Dugan Memorial Home | 15.8 mi | ★★★★★ | 3 | 0 |
| Shearer-richardson Memorial Nursing Home | 17.7 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.