Aperion Care Demotte

In the surveyor’s words

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

• Actual harm, isolatedF692Jun 9, 2023

  Based on record review and interview, the facility failed to ensure residents maintained an acceptable parameter of nutritional status, related to weights not obtained as ordered by a Physician and interventions for documented weight loss not initiated timely resulting in a significant weight loss. (Resident D) The facility also failed to document all meal intakes, the percentage of dietary supplements consumed as weight loss interventions, initiate interventions of weight loss timely, and to notify the Physician and Responsible Party in a timely manner of weight loss for 3 of 3 residents reviewed for weight loss. (Residents D, G, and F) Findings include: 1. Resident D's record was reviewed on 6/8/23 at 9:10 a.m. […]

• Actual harm, isolatedF689Nov 9, 2022

  Based on record review and interview, the facility failed to ensure interventions were in place for a resident with a history of falls, which resulted in a fractured clavicle sustained during another fall for 1 of 5 residents reviewed for accidents. (Resident B) Finding includes: Resident B's record was reviewed on 11/3/22 at 9:20 a.m. The resident was admitted on [DATE]. Diagnoses included, but was not limited to, dementia. A Significant Change Minimum Data Set assessment, dated 9/27/22, indicated the resident had significant cognitive impairment, and required extensive two person assistance for bed mobility. A Fall Care Plan, dated 8/18/22, indicated the resident was at high risk for falls due to generalized weakness and impaired cognition. […]

• No harm, potential for more than minimal, patternF761Sep 9, 2025

  Based on observation, record review, and interview, the facility failed to ensure medications were stored properly, with appropriate labeling and not expired, for 2 of 2 medication carts observed and in 2 resident rooms. (ACU Cart, [NAME] Hall Cart, room [ROOM NUMBER], and room [ROOM NUMBER]) Findings include:1. On [DATE] at 10:24 a.m., the following was observed on the ACU Cart with RN 2.- A Basaglar KwikPen (insulin) was opened with no open date written on the pen. During an interview, RN 2 indicated she had used the insulin pen that day. She was unsure when it was opened, and staff should have written the open date on the insulin pen. 2. […]

• No harm, potential for more than minimal, patternF761Sep 23, 2024

  Based on observation and interview, the facility failed to ensure medications were properly stored for 2 of 4 medication carts observed. (ACU Cart, and [NAME] 1 Cart) Findings include: 1. On 9/20/24 at 2:33 p.m., the ACU Medication Cart was observed with Agency QMA 1. There were multiple pills of different sizes and colors that were loose and out of the packages throughout the bottoms of the drawers in the cart. The QMA indicated that was the first day she had worked on the cart. 2. On 9/20/24 at 2:47 p.m., the [NAME] 1 Medication Cart was observed with RN 2. There were multiple pills of different sizes and colors that were loose and out of the packages throughout the bottoms of the drawers in the cart. […]

• No harm, potential for more than minimal, patternF883Mar 13, 2024

  Based on record review and interview, the facility failed to ensure residents received the pneumococcal and influenza immunizations after the resident/Responsible Party had signed a consent for the immunizations, and failed to thoroughly investigate if prior immunizations had been completed, for 3 of 5 residents reviewed for immunizations. (Residents C, D, and J). The facility also administered the influenza and pneumococcal immunizations to a resident who had a declination signed by the Responsible Party for 1 of 5 residents reviewed for immunizations. (Resident E) Findings include: 1. During an interview on 3/12/24 at 11:54 a.m., Resident C indicated he was unable to remember if he had been questioned about his immunizations when he was first admitted to the facility. […]