Aperion Care Niles

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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: 51.9% 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 27 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 99 beds and averages 92.0 residents a day — about 93% occupied, or roughly 7 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 2.80 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 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 2.54 hrs/resident/day on weekends vs 2.91 on weekdays — 13% thinner on weekends. RN hours go from 0.56 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below 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.

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2025-01-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 follow R1's plan of care to provide supervision with meals (eating), ensure R1's assistive mobility device was within reach and ensure R1 was wearing appropriate footwear. R1 who is high risk for falls, was left in the room unsupervised. R1 had a fall incident on 11/13/24 that resulted in subdural hematoma. This past noncompliance occurred from 11/13/24 to 11/15/24. The findings include: R1's admission record documented initial admission date on 7/12/22 with diagnoses not limited to Other osteomyelitis upper arm, Type 2 diabetes mellitus, Atherosclerosis of coronary artery bypass graft(s), Cognitive communication deficit, Difficulty in walking, Unspecified protein-calorie malnutrition, Metabolic encephalopathy, History of falling, Nontraumatic acute subdural hemorrhage, Essential (primary) hypertension, Solitary pulmonary nodule, Contusion of right front wall of thorax, Other dysphagia, Latent tuberculosis, Hyperlipidemia, Unspecified glaucoma. MDS…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-05-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 effectively monitor a newly admitted resident and follow the facility practice of leaving doors open for residents identified to be at risk for falls. This affected one of three residents (R1) reviewed for safety and monitoring. This failure resulted in R1 being found on the floor. R1 was sent to the local hospital and treated for a laceration that required 2 staples, and 6 sutures in frontal scalp laceration and 1 staple left superior lateral scalp laceration. Findings include: R1 had an unwitnessed fall on 3/23/24. Facility Reported incident dated 3/24/24 reads in part: R1 was self-transferring, call night not on, resident found lying on the floor behind the door. Final Report Summary: R1 was admitted to the hospital for unwitnessed fall. R1 received staples to head for laceration to be removes in 7-10 days. After review of resident's medical record and staff interviews, it has been identified that R1 did not call for help when she…

  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 before2023-08-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 supervise a resident at high risk for falls for 1 of 3 residents (R1) reviewed for falls in the sample of 3. This failure resulted in R1 sustaining a fractured left hip from a fall. The findings include: R1's admission record shows he was admitted to the facility on [DATE] and re-admitted [DATE] following a hospital stay from 7/9/23 to 7/13/23. The same document shows R1 to have multiple diagnoses including dementia, history of falling, and difficulty in walking. R1's care plan initiated on 3/25/23 documents he is a high risk for falls related to weakness and being non-compliant with using his walker during ambulation. R1's quarterly resident assessment and care screening of 7/4/23 shows he has severe cognitive impairment. The same assessment documents he requires extensive assist of one person for transfers between surfaces, walking in his room, and walking in the corridor. The facility's final incident report of 7/13/23 shows R1 was in…

  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 · E2026-05-29 · tag F0761 — failed to label and store drugs safely — pattern
  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 on observation, interview, and record review the facility failed to ensure the expired multi-dose vial of tuberculin test was removed and discarded affecting 44 residents currently residing on 2nd floor.Findings Include: On 5/26/2026 at 6:48 AM on 2nd floor medication refrigerator a multi dose vial of tuberculin test with date expired on 5/11/2026. On 5/26/2026 at 6:51 AM V4 (Licensed Practical Nurse) said expired medications should be discarded and not kept in the refrigerator. The tuberculin multi dose vial has an opened date of 4/12/2026 and date expired of 5/11/2026. Vial should be removed and discarded.On 5/27/2026 at 9:30 AM V2 (Director of Nursing) stated all expired medications should be removed, discarded, and not kept in the refrigerator.Policy and ProcedurePolicy Title: Storage of Medications, no datePolicy: Medications and biologicals are stored, safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully…

  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 · Ecited before2026-05-29 · 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 implement infection control practices during medication administration affecting 4 of 7 residents (R39, R8, R77, R72) observed for medication pass for total sample of 19.Findings Include:On 5/26/2026 at 8:05 AM - 9:30 AM during medication administration V6 (Registered Nurse), V7 (Licensed Practical Nurse), and V8 (Registered Nurse) all failed to clean and disinfect their personal blood pressure (BP) machine between each residents used. V6 checked and measured BP for R39 prior to medication administration then proceeded to R8 also measured BP using the same blood pressure machine without cleaning and disinfecting. V7 measured BP for R72 and did not clean and disinfect BP equipment after using. V8 measured blood pressure for R77, cleaned the BP machine but did not disinfect according to manufacturer's recommendation.On 5/26/2026 V6, V7, and V8 said blood pressure machine and cuff should be cleaned and disinfected between each residents used.On 5/26/2026 at 8:05 AM - 8:25 AM V6 completed medication pass for R39…

  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 · Dcited before2026-05-29 · tag F0550 — failed to protect resident dignity and rights — isolated
  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

  Based on observation, interview and record review the facility failed to provide a dignity cover for a indwelling urinary catheter for one of two residents (R72) reviewed for indwelling urinary catheter in a sample of 19. Findings include:On 5/26/2026 at 10:30am this surveyor observed R72 in bed with her indwelling urinary catheter bag hanging on the side bed as you walk in the door from the hallway, with 400cc of urine and no privacy cover. On 5/26/2026 at 10:40am V7(Licensed Practical Nurse-LPN), observed with the surveyor R72 indwelling urinary catheter bag on the side where the door is located to hallway, filled with of 400cc of urine and no privacy cover.On 5/26/2026 at 10:45am V7 said the urinary catheter bag should have a privacy cover if it is by the door to the hallway.On 5/27/2026 at 9:40am V2(Director of Nursing-DON), said all urinary catheter bags should have a privacy cover if they are on the side of the door by the hallway.A resident information sheet indicates R72 is alert and oriented times three, non-ambulatory history of falls, and pressure ulcers, retention of the…

  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 · D2026-05-29 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 a person-centered comprehensive care plan was implemented for one of three residents (R72) reviewed for care plan interventions in a sample of 19. Findings include: On 5/29/2026 at 11:30am this writer was unable to locate a comprehensive care plan for R72's indwelling urinary catheter care.On 5/29/2026 at 11:38am V2(Director of Nursing-DON) said all residents with catheters should have a comprehensive care plan with interventions, staff placed a care plan in today for urinary catheter care. On 5/29/2026 at 12:07pm V18(Restorative Director) said it should be a care plan in place. A resident information sheet indicates R72 is alert and oriented times three, non-ambulatory history of falls, and pressure ulcers, retention of the urine presence of urogenital implants, an order summary dated 5/28/2026 order dated 10/24/2025 for monitor urinary catheter for pressure ulcers, monitor output change catheter tubing every month, foley catheter care every shift, 16 French millimeter balloon 30cc to gravity for…

  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
• Potential for harm · D2026-05-29 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 implement the restorative program recommendation for one (R77) of six residents reviewed for restorative program in the sample of 19.Findings include: On 5/27/2026 at 2:32 PM, V17 (REHAB DIRECTOR) said that V17 is familiar with R77. V17 said that R77 was under PT, OT, and Speech therapy from 3/3/2026 to 4/29/2026. V17 said that R77 was originally on her Part A USC insurance, and she was cut off. V17 said that the facility requested Part B of R77 insurance to continue therapy. V17 said that R77 part B insurance approved 6 sessions of PT and OT each. V17 said once those sections were completed, the insurance did not approve additional therapy sessions. V17 said that R77 was discharged from PT/OT and recommended that R77 continue with restorative program. V17 said that prior to R77 discharge from therapy, R77 was able to walk 50 feet with moderate assistance. On 5/28/2026 at 10:52 V17 said that after discharging a resident from therapy program, the…

  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 · D2026-05-29 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review the facility failed to follow facility guidelines in gastrostomy management care for one (R1) resident in the sample of 19 reviewed for gastrostomy management. Findings include:On 5/26/26 at 9:35 AM, Observed R1 gastrostomy syringe/piston hanging on pole with date 5/24/26.On 5/26/26 at 9:38AM, V6 (Registered Nurse) said that all syringes are to be changed daily by night staff, V6 checked date on syringe with date on it 5/24/26. On 5/27/26 at 11:55AM, V2 (Director of Nursing) made aware of above findings and said that she expects staff to change irrigation syringe on a daily basis.Facility Policy on Gastrostomy Tube-Feeding and Care revised 8/3/20Purpose: To provide nutrients, fluids and medications as per physician orders, to residents requiring feeding through an artificial opening into the stomach. 13. Feeding tube syringes and irrigation containers are to be changed every 24 hours.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-29 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 daily refrigerator temperature checks inside the resident's room to ensure proper temperature and food safety. This deficiency affects two residents (R10 and R84) in the sample of 19 reviewed for Resident safe food storage. Findings include:On 5/26/26 at 9:25AM, observed R10 personal refrigerator with no daily temperature checks recorded for 5/26/26 and missing daily temps, inside refrigerator with two milk cartons with expiration date 5/26/26.On 5/26/26 at 9:25 AM, V9 (Certified Nurse Aide) said that usually the temperatures are checked daily and recorded, V9 verified no temperature was recorded for R10 refrigerator and milk carton with expiration date 5/26/26. On 5/26/26 at 9:30AM, observed R84 personal refrigerator with no daily temperature checks recorded for 5/26/26 and missing daily temps, inside refrigerator with container of cut watermelon, and food container with ground meat not labeled or dated. On 5/29/26 at 10:41AM, V2 (Director of Nursing) said that refrigerators should be checked daily…

  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 · E2025-03-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 proper hot water temperatures were maintained in one shower room (Second Floor East Wing). This failure has the potential to affect 22 residents that currently reside on the Second Floor East Wing. Findings include: Per facility census report received during this survey, there are currently 22 residents residing on the second-floor east wing and have access to the shower room. On 3/2/2025 at 11:15AM, R46 said the water in the shower room does not get hot enough even when it is turned as far as it goes. Sometimes I do not want to take a shower because it is too cold. On 3/2/25 at 11:30AM, V6 (Certified Nursing Assistant) said the one shower room does not get very hot. I know maintenance has tried to fix the temperature in the past, but it remains the same temperature. Second Floor East Shower room was observed with V6. V6 ran the water for around five minutes. This surveyor and V6 felt the water to not get very warm. V6 said it will not get any warmer than this. On 3/3/2025 at 11:45AM, V12…

  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 · E2025-03-05 · tag F0813 — pattern
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  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 their policy and procedures for safe and sanitary food by not ensuring resident's personal refrigerator temperatures were consistently monitored and accurately documented, failed to ensure that food stored in resident's personal refrigerators were stored and labeled properly, and failed to ensure that staff remove old and expired food items from resident's refrigerators. These failures affected four (R23, R40, R56 ad R80) of four residents reviewed for food safety. Findings include: 03/03/25 at 11:39 AM V2 (Director of Nursing) said that the Assistant Director of Nursing checks the temperature in the refrigerators in residents' rooms and they are documented in the temperature log attached to the refrigerator. Staff is supposed to document the temperature in the log when it is checked and that is the standard procedure. Regarding the items inside the refrigerator, there are assigned staff for different rooms who are supposed to…

  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 · D2025-03-05 · 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 observation, interview, and record review, the facility failed to use a low air loss mattress in accordance with manufacturer guidelines, for a resident with a facility acquired, Stage 4 pressure ulcer. This failure applied to one (R3) of three residents reviewed for pressure ulcers in a sample of 33 residents. Findings include: R3 is an alert and oriented [AGE] year-old with diagnoses including but not limited to chronic obstructive pulmonary disease, asthma, heart failure, anxiety disorder and presence of a cardiac pacemaker. On 3/2/25 at approximately 9:50 AM, R3 was observed asleep in bed atop an air mattress and in a supine position (laying on his back) with his upper torso raised. On 3/4/25 at approximately 9:50 AM, R3 was observed on his backside but was awake. Surveyor asked how he was doing and R3 responded that he was fine but that his back hurt and mentioned that the bed was very uncomfortable. Surveyor asked if he made the nurse aware and if he obtained medications for his pain and R3…

  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

“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.

Fines & penalties

$12,425 in federal fines across 1 penalty.

• $12,425 — penalty dated 2025-01-13

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 32 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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