Aperion Care Midlothian

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 61.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 91 beds and averages 80.4 residents a day — about 88% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.65 hrs/resident/day on weekends vs 3.20 on weekdays — 17% thinner on weekends. RN hours go from 0.70 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Actual harm · Gcited beforedisputed · IDR2026-06-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to protect a resident's right to be free from physical abuse by a staff member. This failure affected one (R1) of three residents reviewed for abuse. R1 sustained redness and bruising on his left eye after he was hit by staff while providing care.Findings include:R1 is 77 years and have resided at the facility since 2023, face sheet listed the following past medical history: Benign neoplasm of cerebral meninges, chronic embolism and thrombosis of left popliteal vein, atherosclerotic heart disease of native coronary artery without angina pectoris, other seizures, hypertensive heart disease without heart failure, major depressive disorder, dementia in other diseases classified elsewhere, unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety, Alzheimer's disease unspecified, essential primary hypertension, etc.Review of R1's quarterly Minimum Data Set (MDS) dated [DATE] revealed under section C…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to have a treatment order in place and failed to perform dressing changes to the sacral wound for seven days. This affected one of three residents (R1) reviewed for wound care in a total sample of six. This failure resulted in the sacral wound deteriorating by becoming larger in size, and R1 being diagnosed with osteomyelitis of the sacral wound after being hospitalized for an elevated white blood cell count indicating an infection. Findings Include: R1 is an [AGE] year old with the following diagnosis: adult failure to thrive, dementia, cerebral infarction, type 2 diabetes, stage 4 pressure ulcer of the sacral region, pressure induced deep tissue damage of the left and right heel, stage 3 pressure ulcer of the right upper back, and osteomyelitis of the sacral region. The admission Hospital Records dated 1/17/24 document R1 had a skin and wound consult for a DTI (deep tissue injury) to the right anterior ear that measured 3 cm x 1 cm, a DTI to the right…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to prevent and protect a resident with a diagnosis of dementia from physical and verbal abuse by facility staff. This affected one of three residents (R2) reviewed for abuse. This failure resulted in R2 being yanked and tugged by V4 (certified nursing aide) and V4 telling R2, I'm not doing this with you, you're getting on my f nerves. Using the reasonable person concept may have resulted in R2 being fearful and displaying anxiety around facility staff. Findings include: R2 was admitted to the facility on [DATE] with a diagnosis of metabolic encephalopathy, pneumonia, atrial fibrillation, shock, difficulty walking, dysphagia, anemia, unspecified dementia without behavioral disturbances, delirium, restlessness and agitation. R2's brief interview for mental status documents a score of 0 which indicates resident is never/rarely understood. On 1/9/24 at 12:08 PM, V9 (CNA) said she was assisting R2 back to her room from the dining room with V8 (CNA) and V4…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-13 · tag F0807 — failed to offer suitable drinks — pattern
  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to make water available for residents in between meals to maintain residents' hydration and failed to make water pitchers available for residents. These failures affected five residents R2, R9, R10, R11, and R12, reviewed for water availability in between meals.On 5/11/26 between 11:45am and 12pm, during observation of residents on the units with V14(CNA/Certified nurse assistant), and later with 15(CNA), and V16(LPN/Licensed Practical Nurse Supervisor), several residents including R2, R9, R10, R11, and R12, were observed without water or water pitchers at the bedside. Other residents were observed with empty water pitchers. The Surveyor asked V14(CNA/Certified nurse assistant) why residents did not have any water pitchers or water available at their bedside to drink when needed before lunch is served. V14 responded that all residents get water on their trays during mealtimes. V14 later said that residents should be given water in the pitchers daily. V14 stated she was not sure if new water pitchers are…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-13 · tag F0909 — failed to maintain a comfortable temperature — pattern
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that residents' bed frames have functioning manual lift mechanism to raise or lower the bed and failed to ensure that a resident's electric bed was in good repair. These failures affected five residents, R3, R4, R5, R6, and R7, reviewed for functional beds that was in good repair.Findings include:On 5/11/26 between 11:15am and 12:00pm, during observation of residents on the units with V14(CNA/Certified nurse assistant), and later with V15(CNA), the following were observed: With V14, R7's electric bed frame control was not functioning; V14 looked under the mattress and found the electric cord and tried to connect it to the bed frame, but the bed still did not work. V14 stated that she(V14) would notify Maintenance staff. With V15, several other bed frames with manual crank handles including the bed frames for R3, R4, R5, and R6 were observed to not work properly. V15 stated that if the crank handle cannot lift the bed, then staff must bend too much to help residents who need assistance.On 5/11/26 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-15 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow the medical patient rights act which requires staff members to wear a visible name badge that discloses the employee's first name, licensure status, if any, and staff position of the person examining or treating the patient or resident. This has the potential to affect all 43 residents residing on Unit 1 at the facility.Findings include:Facility census dated 11/14/2025 documents 43 residents residing on Unit 1 at the facility.R1's face sheet documents diagnoses that include but are not limited to depression, acute kidney failure, type 2 diabetes, and chronic obstructive pulmonary disease.R1's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R1 is cognitively intact.On 11/14/2025 at 12:27pm, R1 said, No, there are very few staff that wear ID badges. It's a problem. I (R1) didn't even know who the guy was trying to get me to sign consents. I (R1) want…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-24 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based upon observation, interview, and record review the facility failed to ensure that sufficient nursing staff were available to meet the needs for 36 of 40 dependent residents (R2, -R6, R10, R12, R18, R20, R21, R28, R29, R32, R33, R34, R36, R38 - R40, R44, R51, R54, R56 - R59, R61, R67, R68, R74, R75, R80 - R82, R85, R96) in the sample reviewed for staffing. Findings include:The (7/20/25) facility census includes 87 residents. On 7/21/25 at 10:23am, long facial hair was observed on R6's face and his toenails were notably thick and long. Surveyor inquired if R6 prefers to be shaved R6 stated Yeah, I'm supposed to have shaves every day. On 7/21/25 at 10:26am, surveyor inquired about the appearance of R6's toenails V8 (LPN/Licensed Practical Nurse) responded I (V8) see long toenails, he (R6) could go for a good clipping. Surveyor inquired about R6's long facial hair V8 replied Do you (R6) wear a beard? R6 responded No, I never have one. Concerns were also identified with R6's LALM (Low Air Loss Mattress) on the incorrect setting (incorrect weight) while in use. On 7/21/25 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-24 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based upon observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that IV (Intravenous) medication was labeled properly, failed to ensure that medication rooms are locked, failed to ensure that medication refrigerators are maintained within the required range, and failed to store refrigerated medications at required temperatures. These failures have the potential to affect 87 residents. Findings include: The (7/20/25) facility census includes 87 residents. On 7/21/25 at 11:16am, an IVPB (Intravenous Piggyback) was infusing through R4's IV (Intravenous) access however the residents name was not on the bag. Vitamin C, B complex, B7, zinc, and amino blend were listed (on the IVPB label) with check boxes next to each supplement however none of the boxes were checked. On 7/21/25 at 11:19am, surveyor inquired if any of the listed medications were checked on R4's IVPB V11 (RN/Registered Nurse) inspected the IVPB and responded, No checks. Surveyor inquired if staff know what's in R4's IVPB if nothing was checked V11 replied We don't and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-24 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure that the outside dumpster was closed. These failures have the potential to affect all 87 residents residing at the facility.Findings include:Facility census, dated 7/21/2025, documents 87 residents residing at the facility.On 7/21/2025 at 9:39am, the outside facility dumpster was observed with V6 (Dietary Manager). The dumpster was observed opened at the outside facility dumpster area, with a swarm of flies flying inside and outside the dumpster. When asked about the opened dumpster, V6 replied, It (dumpster) should be kept closed to stop rodents and bugs. Housekeeping be dumping stuff too. Look at all those flies.On 7/22/2025 at 9:57am, the outside facility dumpster was observed with V22 (Housekeeping Director/Head of Laundry). The dumpster was observed opened at the outside facility dumpster area, with a swarm of flies flying inside and outside the dumpster. When asked about the opened dumpster, V22 replied, Yeah, the dumpster should be kept closed at all times. Gotta keep it closed to keep the smell…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-24 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based upon observation, interview, and record review the facility failed to follow policy procedures, failed to implement care plan interventions, and/or failed to ensure that ADL (Activities of Daily Living) care was provided to four of forty dependent residents (R3, R4, R6, R59) in the sample. Findings include: R6 is [AGE] years old with diagnoses which include arthritis and lack of coordination. R6's (6/18/25) BIMS (Brief Interview Mental Status) determined a score of 4 (severe impairment). R6's (6/18/25) functional assessment affirms resident is dependent on staff for personal hygiene. R6's (6/17/25) ADL care plan includes self-care performance deficit, personal hygiene – my usual performance is dependent. On 7/21/25 at 10:23am, long facial hair was observed on R6's face and his toenails were notably thick and long. Surveyor inquired if R6 prefers to be shaved R6 responded Yeah, I'm supposed to have shaves every day. On 7/21/25 at 10:26am, surveyor inquired about the appearance of R6's toenails V8 (Licensed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-24 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based upon observation, interview, and record review the facility failed to ensure that (R4's) IVPB (Intravenous Piggyback) was infusing at the correct rate and failed to ensure that prescribed medications were administered within regulatory requirements for 32 of 40 residents (R2, R3, R4, R5, R10, R18, R20, R21, R28, R29, R32, R33, R34, R36, R38, R39, R40, R44, R51, R54, R56, R57, R58, R59, R61, R67, R68, R74, R75, R81, R82, R85) in the sample. These failures have the potential to affect 87 residents.Findings include: On 7/21/25 at 11:16am, a 250 milliliter IVPB (Intravenous Piggyback) was infusing through R4's IV (Intravenous) access. R4's IVPB label stated 250/83ml/hr (milliliters per hour) however the rate was set on 250ml/hr. On 7/21/25 at 11:19am, surveyor inquired what rate R4's IVPB rate was set on V11 (Registered Nurse) inspected R4's dial-a -flow and stated 250 however the rate was supposed to be 83ml/hr. The (7/20/25) facility census includes 87 residents. On 7/22/25 at 10:00am, five (5) of V8's (LPN/Licensed Practical Nurse) assigned residents (R32, R36, R38, R58, R74)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-24 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to conduct hand hygiene prior to passing meal trays , and before providing meal time assistance. This affected 4 residents (R12, R22, R72 and R76) reviewed for hand hygiene in the sample of 40 residents. Findings include:On 7/21/25 at 12:54pm, surveyor observed V13 (certified nursing assistant/CNA) perform hand hygiene and wash her (V13) hands, retrieve a meal tray from the food cart, walk to the table R22 was sitting at, and serve R22 the meal tray. While serving R22 the meal tray, V13 was observed touching R22 while arranging the meal tray for R22. V13 then walked back to the food cart, did not perform hand hygiene, retrieved another meal tray from the food cart, walked to the table R72 was sitting at and served R72 the meal tray. After serving R72 the meal tray, V13 went back to the food cart, did not perform hand hygiene, retrieved another meal tray from the food cart, walked to the table R76 was sitting at and served R76 the meal tray. V13 then walked back to the food cart, did not perform hand hygiene,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-24 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to refer residents with possible serious mental disorders for Screening and Resident Review to the appropriate state-designated authority for further assessment as required. This failure affects 2 residents (R5 and R79) reviewed for pre-admission screening in the sample list of 54 residents.Findings include: R79 is [AGE] years old admitted to the facility on [DATE], medical history includes hemiplegia and hemiparesis following cerebral infraction affecting right dominant side, type 2 diabetes, essential primary hypertension, neuralgia, and neuritis unspecified, major depressive disorder severe without psychotic features, schizoaffective disorder bipolar type, etc. 07/22/2025 12:00 PM, R79 was observed in her room in bed, awake and alert and stated that she is doing okay. Resident said that she gets out of bed three times a week, will like to have more activities but does not want to get up more than three times. Per record review, R79 has diagnoses of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$19,565 in federal fines across 1 penalty.

• $19,565 — penalty dated 2024-04-17

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to APERION CARE — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 33 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL