APERION CARE
Ownership rollup across 33 nursing homes in 2 states: Illinois, Indiana. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 1.9 of 5 stars on the CMS overall rating — about 0.8 stars below the ~2.8 average of the 2 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 33 homes rated throughout, the average rose 0.33 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.0 of 5 | 33 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.6 of 5 | 33 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.3 of 5 | 33 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 32 of 33 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Aperion Care DoltonDolton, IL | 1 of 5 | Abuse flag $134,969 fined |
| Aperion Care Forest ParkForest Park, IL | 1 of 5 | 4 immediate-jeopardy Abuse flag $387,772 fined |
| Aperion Care InternationalChicago, IL | 1 of 5 | Abuse flag $106,504 fined |
| Aperion Care LakeshoreChicago, IL | 1 of 5 | 1 immediate-jeopardy Abuse flag $208,986 fined |
| Aperion Care MidlothianMidlothian, IL | 1 of 5 | $19,565 fined |
| Aperion Care Oak LawnOak Lawn, IL | 1 of 5 | Abuse flag $52,921 fined |
| Aperion Care WesleyChicago, IL | 1 of 5 | $83,467 fined |
| Aperion Care WilmingtonWilmington, IL | 1 of 5 | 3 immediate-jeopardy Abuse flag $293,067 fined |
| Arcadia Care MortonMorton, IL | 1 of 5 | 1 immediate-jeopardy $324,200 fined |
| Aperion Care Arbors Michigan CityMichigan City, IN | 1 of 5 | — |
| Aperion Care DemotteDemotte, IN | 1 of 5 | — |
| Aperion Care HanoverHanover, IN | 1 of 5 | 1 immediate-jeopardy $53,874 fined |
| Aperion Care KokomoKokomo, IN | 1 of 5 | — |
| Aperion Care LincolnEvansville, IN | 1 of 5 | SFF candidate $53,454 fined |
| Aperion Care MonroeBloomington, IN | 1 of 5 | — |
| Aperion Care Tolleston ParkGary, IN | 1 of 5 | — |
| Aperion Care VincennesVincennes, IN | 1 of 5 | — |
| Alta Rehab At FairmontChicago, IL | 2 of 5 | $98,784 fined |
| Alta Rehab At Oak BrookOak Brook, IL | 2 of 5 | $76,863 fined |
| Aperion Care Chicago HeightsChicago Heights, IL | 2 of 5 | Abuse flag |
| Aperion Care DekalbDekalb, IL | 2 of 5 | $44,190 fined |
| Aperion Care West ChicagoWest Chicago, IL | 2 of 5 | 2 immediate-jeopardy Abuse flag $289,723 fined |
| Park Ridge Healthcare CenterPark Ridge, IL | 2 of 5 | Abuse flag |
| Aperion Care GreenfieldGreenfield, IN | 2 of 5 | — |
| Aperion Care Marion LLCMarion, IN | 2 of 5 | Abuse flag $15,935 fined |
| Aperion Care PeruPeru, IN | 2 of 5 | — |
| Aperion Care BurbankBurbank, IL | 3 of 5 | $90,114 fined |
| Aperion Care ElginElgin, IL | 3 of 5 | 1 immediate-jeopardy $56,661 fined |
| Aperion Care WestchesterWestchester, IL | 3 of 5 | $53,141 fined |
| Alta Rehab At WaucondaWauconda, IL | 5 of 5 | — |
| Aperion Care Fox RiverElgin, IL | 5 of 5 | — |
| Aperion Care NilesNiles, IL | 5 of 5 | $12,425 fined |
| Aperion Care SummerfieldCloverdale, IN | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.