Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aberdeen Rehabilitation And Skilled Nursing Center during CMS and state inspections, most recent first.
A resident with CHF, COPD, type 2 DM, peripheral vascular disease, morbid obesity, moderate cognitive impairment, and documented dependence for transfers had active orders and a care plan requiring a mechanical lift with two-person assist due to muscle weakness and fall risk. On one occasion, a CNA used a mechanical lift alone to transfer the resident into a wheelchair, contrary to the physician order, care plan, and facility policy requiring at least two staff for Hoyer lift transfers. The resident subsequently slid from the wheelchair onto the floor in their room, reported low back pain, and was evaluated by nursing and a PA, with a lumbar x-ray ordered and pain management provided.
A resident with severe cognitive impairment, mobility limitations, and multiple diagnoses was found unable to reach her call light while seated in a wheelchair. The call light was observed to be about three feet away, and both an activity aide and the DON confirmed it was not accessible. The resident's care plan and facility policy required the call light to be within reach at all times.
Surveyors observed that the Unit 300 shower room was left unclean, with used linens, gloves, and a patient gown on the floor after use. A CNA admitted to neglecting to clean the area at the end of her shift, and the DON confirmed that staff are required to clean the shower room and properly dispose of soiled items after each use, as outlined in facility policy.
The facility failed to address MRR recommendations timely for two residents, risking unnecessary medication use and poor communication between pharmacist and physician. One resident's sliding scale insulin use was not evaluated as recommended, and another resident's pharmacist recommendations were not initially located or signed off by a physician. The facility did not follow its policy for timely MRR actions.
The facility failed to maintain accurate medical records for two residents, leading to unclear pharmacy recommendations not being documented in their EHRs. For one resident, the pharmacist's recommendations were missing, and for another, the facility had to search for the pharmacy recommendations, which were not readily available.
A facility failed to follow infection control protocols when a nurse and CNA provided care to a resident with a Stage II pressure ulcer without wearing gowns, despite signage indicating the need for enhanced barrier precautions. The resident had intact cognition, and the unit manager acknowledged the oversight.
Improper One-Person Mechanical Lift Transfer Leading to Resident Fall
Penalty
Summary
The deficiency involves the facility’s failure to provide proper transfer assistance and adequate supervision during a mechanical lift transfer, resulting in a fall. A resident with diagnoses including congestive heart failure, COPD, type 2 DM, peripheral vascular disease, and morbid obesity was admitted in mid-January and discharged in late February. An MDS assessment documented moderate cognitive impairment and dependence on staff for transfers. The resident’s physician order dated 1/19/26 specified transfers with a mechanical lift and two-person assist, and the care plan documented that the resident needed help with transfers due to muscle weakness, with an approach specifying two-person assist with a mechanical lift and assistance with all transfers due to fall risk. On the date of the incident, documentation shows that the resident reported sliding from their wheelchair onto their back in their room, with the fall witnessed and described as the resident sliding from the wheelchair onto the floor. Nursing notes recorded mild back pain initially, followed by complaints of low back pain related to the fall, and a PA ordered a lumbar x-ray and pain management. A fall assessment completed the same day documented the resident’s current transfer status as requiring a two-person assist. The DON later identified a CNA as the person who witnessed the fall and stated that the CNA had been alone when using a mechanical lift to transfer the resident into the wheelchair, despite the resident’s transfer order and facility policy requiring a minimum of two staff for Hoyer/mechanical lift transfers.
Call Light Not Kept Within Reach for Resident with Mobility and Cognitive Impairments
Penalty
Summary
The facility failed to ensure that a call button was within reach for a resident who required assistance, as observed during a survey. The resident, who was seated in her wheelchair in her room, was heard calling for help and expressing pain, stating she needed to get in bed. Upon observation, the call light was found to be approximately three feet away from the resident, making it inaccessible. An activity aide confirmed that the resident was unable to reach the call light. The Director of Nursing also acknowledged that the call light was not within the resident's reach during a subsequent observation. The resident's clinical record indicated diagnoses including chronic obstructive pulmonary disease, hemiplegia and hemiparesis, muscle weakness, and difficulty walking, with documentation of severe cognitive impairment and wheelchair use for mobility. The resident's care plan specifically required that the call light be kept within reach at all times while in the room. Facility policy also mandated that the call light be within easy reach for residents in bed or confined to a chair. No additional documentation or information was provided by facility leadership during the exit conference.
Shower Room Not Maintained in Clean and Sanitary Condition
Penalty
Summary
The facility failed to maintain the Unit 300 shower room in a clean and sanitary condition. During an observation, surveyors found a wet, used face cloth and gloves on the floor of one shower stall, and a used patient gown along with two wet, used face cloths on the floor of another stall. A CNA acknowledged that she neglected to clean the shower at the end of her shift, and stated that the shower rooms should not have been left in that condition. The DON confirmed that approximately 18 residents use the shower room and that staff are required to clean the shower room after each use for infection control, with used linens to be bagged and placed in the soiled utility room. Facility policy also requires all towels, bath cloths, and soiled clothing to be discarded in the soiled laundry container and equipment to be cleaned with disinfectant after use. No additional documentation or information was provided by facility leadership during the exit conference.
Failure to Address Medication Regimen Review Recommendations
Penalty
Summary
The facility failed to obtain and address Medication Regimen Review (MRR) recommendations in a timely manner for two residents, resulting in the potential for the continuance of unnecessary medications and lack of communication between the pharmacist and physician. For one resident, identified as R12, the pharmacist recommended evaluating the use of sliding scale insulin due to the risk of hypoglycemia, as per the AGS Beers Criteria. However, there was no documented response from the physician or the facility to this recommendation, and the Director of Nursing (DON) later admitted that the recommendation had been missed. For another resident, identified as R3, the facility could not initially locate the pharmacist's recommendations from two separate reviews. The Director of Nursing reported that these recommendations were not part of the clinical record and were stored in an office. Eventually, the recommendations were retrieved, but there was no indication that the physician had been notified or had signed off on them. The Regional Director of Operations confirmed that the pharmacist's reports and recommendations should be part of the resident's medical record and communicated to the physician. The facility's policy on Pharmacy Medication Review outlines that the MRR should be conducted monthly, and recommendations should be submitted to the DON and Medical Records Designee within 48-72 hours. The physician is required to sign off on all recommendations and provide a rationale if they disagree. However, in these cases, the facility did not adhere to its policy, leading to a lack of timely action on the pharmacist's recommendations.
Failure to Maintain Accurate Medical Records
Penalty
Summary
The facility failed to maintain complete and accurate medical records for two residents, R3 and R12, which resulted in unclear pharmacy recommendations not being maintained in the residents' Electronic Health Records (EHR). For resident R3, the pharmacist's drug reviews indicated recommendations on two occasions, but there was no further documentation to describe these recommendations. The Director of Nursing (DON) was unable to locate the pharmacist's recommendations, and the Regional Director of Operations (RDO) confirmed that the facility could not find the actual recommendations, which should have been part of the resident's medical record. For resident R12, the clinical record showed that the resident was admitted with multiple diagnoses, including diabetes mellitus, acute respiratory failure, congestive heart failure, dementia, and asthma. The pharmacy recommendations for R12 were not readily available in the electronic medical record, and the facility had to search for them. An email from the pharmacist was submitted by the DON, indicating an attempt was made to update the electronic medical record with the pharmacy recommendation from several months prior.
Infection Control Breach During Resident Care
Penalty
Summary
The facility failed to adhere to proper infection control techniques for a resident who required enhanced barrier precautions. During an observation, a registered nurse and a certified nursing assistant were seen providing care to a resident without wearing a gown, despite the resident having a pertinent diagnosis of Stage II pressure ulcer to the buttocks. The resident's electronic medical record indicated intact cognition with a Brief Interview of Mental Status score of 14/15. The unit manager confirmed that there was a sign on the door indicating the need for gown usage during care, which was not followed by the staff.
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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 Trenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Applewood Nursing Center, Inc | 0.8 mi | — | 0 | 0 |
| Aerius Health Center | 3 mi | — | 0 | 0 |
| Rivergate Terrace | 4.8 mi | — | 13 | 0 |
| Rivergate Health Care Center | 4.8 mi | — | 4 | 0 |
| Belle Fountain Nursing & Rehabilitation Center | 4.9 mi | — | 0 | 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 August 2026) and official state health department websites.