Aperion Care Fox River

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Mar 13, 2025

  Based on observation, interview, and record review, the facility failed to develop control measures for identified internal factors that increase the risk of Legionella growth and failed to have ways to intervene when control measures were not met. The facility also failed to follow their policy for Enhanced Barrier Precautions and hand hygiene. This applies to all 81 residents residing in the facility. The findings include: 1. The facility's Long-Term Facility Application for Medicare and Medicaid dated March 10, 2025, showed the facility census was 81. […]

• No harm, potential for more than minimal, widespreadF812May 17, 2024

  Based on observation, interview and record review the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: The facility's Longterm-Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated [DATE] documents that the total census was 73 residents. On [DATE] at 12:14 AM, V2 (DON-Director of Nursing) stated, there are zero NPO (Nothing by Mouth) residents that do not eat from the facility kitchen. […]

• No harm, potential for more than minimal, patternF689May 17, 2024

  Based on observation, interview, and record review, the facility failed to assess a dependent resident's transferring status, failed to safely use a transfer device, and safely assist residents with positioning when in wheelchairs. This applies to 4 of 4 (R41, R49, R57, and R275) residents reviewed for accidents and hazards in sample of 21. Findings include: 1. The EMR (Electronic Medical Record) showed R41 had multiple diagnoses including hemiplegia affecting the right side following a cerebral infarction, osteoporosis, seizures, and generalized osteoarthritis. R41's MDS (Minimum Data Set) dated 05/01/2024 showed she was severely cognitively impaired and was dependent on staff for transfers and bed mobility. […]

• No harm, potential for more than minimal, patternF689Apr 20, 2023

  Based on observation, interview and record review, the facility failed to accurately assess and implement interventions for residents at risk for elopement. This applies to 5 of 5 residents (R6, R30, R53, R57 and R58) reviewed for wandering in a sample of 16. The findings include: 1. Face sheet, dated 4/19/23, shows R53's diagnoses include dementia. MDSs (Minimum Data Sets), dated 2/28/23, 11/28/22, 8/30/22, all show R53's cognition was severely compromised and R53 was not identified as having wandering behaviors. Dementia care plan, dated 2/28/23, shows R53 wanders into other residents rooms. […]

• No harm, potential for more than minimal, isolatedF689Mar 13, 2025

  Based on observation, interview and record review, the facility failed to implement fall interventions for a resident that had a history of a fall. This applies to 1 of 3 residents (R68) reviewed for falls in the sample of 18. The findings include: Care Plan, revised February 25, 2024, shows R68's diagnoses included right hip fracture, history of falls, dementia, osteoarthritis, osteopenia. The care plan shows R68 was at risk for falls related to impaired cognition, impaired mobility, and need to for assistance with ADLs (Activities of Daily Living.) The care plan shows R68 had a history of fall at the facility resulting in a right femur fracture. […]