Aperion Care Dekalb

In the surveyor’s words

From the most serious findings on record at Aperion Care Dekalb, in the surveyor’s own words.

• Immediate jeopardy, patternF880May 21, 2021

  I. Based on observation, interview, and record review the facility failed to have a policy following the Centers for Disease Control (CDC) recommendations for Personal Protective Equipment (PPE) for new admissions, the facility failed to follow recommendations from the CDC by not wearing N-95 masks or eye protection when caring for a newly admitted resident (R272) on contact/droplet precautions being monitored for COVID-19, and the facility failed to have appropriate signage up for a resident on contact/droplet precautions. […]

• Immediate jeopardy, isolatedF689May 2, 2023

  Based on interview and record review the facility failed to ensure a resident with dementia and exit seeking behaviors was supervised and failed to ensure a service door was alarmed or monitored. These failures resulted in R1exiting the building through the non supervised and non alarmed door and was found approximately 0.3 miles from the facility by staff at a local school. This applies to 1 of 5 residents (R1) reviewed for safety/supervision in the sample of 5. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 4/26/23, when the facility failed to provide adequate supervision to R1 during a vendor supply delivery. The service door alarm was turned off during the delivery and R1 and the delivery door were left unsupervised. […]

• Actual harm, isolatedF684Jun 23, 2025

  Based on observation, interview, and record review the facility failed to follow wound treatment orders for 1 of 3 residents (R1) reviewed for wounds in the sample of 3. This failure resulted in R1's wound deteriorating and requiring R1 to be hospitalized and recieve a surgical intervention. The findings include: On 6/17/25 at 9:00 AM, R1 was in bed with an intravenous antibiotic infusing to a peripherally inserted central catheter in his left arm. R1's left leg was amputated below the knee and was wrapped in a dressing with a wound vacuum attached. R1 said he originally had surgery on his knee back around the Superbowl of this year. R1 said the wound had been infected and he has had pills and shots and surgery and now this. […]

• Actual harm, isolatedF689Mar 19, 2025

  Based on interview and record review the facility failed to safely reposition a resident in bed for one of three residents (R1) reviewed for safety/supervision in the sample of three. This failure resulted in R1 rolling out of bed onto the floor and experiencing increased pain and a humeral fracture. This past noncompliance occurred from March 11, 2025- March 17, 2025. The findings include: R1's Face Sheet dated March 19, 2025, shows she was admitted to the facility on [DATE], with diagnoses including hemiplegia, dysphagia, aphasia, unsteadiness on feet, contracture left knee, low back pain, adjustment disorder with anxiety, depression, and heart failure. […]

• Actual harm, isolatedF686Mar 7, 2025

  Based on observation, interview, and record review the facility failed to identify a wound prior to becoming an unstageable wound, failed to have pressure ulcer interventions in place, and failed to ensure wound treatment orders were in place for 2 of 3 residents (R1, R2) reviewed for pressure ulcers in the sample of 3. These failures resulted in R1 being at an increased risk of infection and delayed wound healing. The findings include: 1. R1's face sheet printed on 3/6/25 showed diagnoses including but not limited to encephalopathy, atrial fibrillation, diabetes mellitus, malnutrition, Alzheimer disease, and chronic kidney disease. R1's facility assessment dated [DATE] showed severe cognitive impairment and total staff assistance required for hygiene, transfers, and bed mobility. […]