Aperion Care Greenfield

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 17, 2021

  Based on interview and record review, the facility failed to ensure 1 of 6 residents, reviewed for abuse, with allegations of verbal, mental and sexual abuse by a peer did not suffer from psychological harm as demonstrated by tearfulness and expressing being nervous and upset since that time when the alleged perpetrator is seen by this resident . (Residents B, F and G) Findings include: In an interview on 6-15-21 at 1:52 p.m., with Resident B, she indicated about 2 weeks ago during the middle of second shift, I had a male resident ask to come into my room, he said to give me a gift. When he came in, he said he wanted to suck my t-----s and said 'I won't tell if you won't tell.' That right there is the sign of someone who has done that before and will try it again. […]

• No harm, potential for more than minimal, widespreadF814Aug 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure trash was contained within the dumpster and lids were closed on the dumpster for 52 of 52 residents in the facility. Findings include: A tour of the kitchen was conducted with the DM (Dietary Manager) on 8/27/24 at 11:15 a.m. During the tour, an observation was made of the outside dumpster area. There were two dumpsters next to each other located near the outside dry storage food shed. Each dumpster had two lids. The left lid of the left dumpster, when facing the dumpsters, was completely opened. There was a clear bag of trash on the ground to the left of the left dumpster. There was a blue glove on the ground to the right of the left dumpster. There were several bags of trash inside of the opened dumpster. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2022

  Based on observation, interview and record review, the facility failed to ensure proper food storage related to having expired foods in the main refrigerator. This had the potential to affect all 42 residents that reside in the facility. Findings include: A brief kitchen tour was conducted with Dietary Manager (DM) 10 on [DATE] at 11:45 a.m. The main refrigerator was observed and noted the following: A container labeled chicken salad with no open date and a use by date of [DATE], A container of hot dogs dated [DATE], & A container of mushrooms dated [DATE]. DM 10 indicated she only keeps leftovers for one day and if it's not utilized, they then discard it. A policy titled Storage Guidelines, dated ,d+[DATE], was provided by DM 10 on [DATE] at 11:45 a.m. […]

• No harm, potential for more than minimal, patternF684Sep 30, 2025

  Based on observation, interview, and record review, the facility failed to implement interventions as care planned for Resident 7's edema, failed to follow the user manual's guidelines for safe operation of a Broda chair for Resident 5, failed to set up a gynecologist appointment for Resident 18, failed to complete neurological checks for Resident 40 after an unwitnessed fall, and failed to monitor, document, and address drooling for Resident 8. The deficient practice affected 5 of 5 residents reviewed for quality of care. Findings include: 1. The clinical record for Resident 7 was reviewed on 9/29/2025 at 2:35 p.m. […]

• No harm, potential for more than minimal, patternF755Sep 30, 2025

  Based on observation, interview and record review, the facility failed to ensure the narcotic reconciliation records were signed by the on-going nursing staff and the off-going nursing staff at each of three (3) shift changes daily to reflect the accuracy of the narcotic medication counts and the facility did not maintain expired medications within the facility for 1 of 1 resident. These actions had the potential to adversely affect all residents of the facility that receive narcotic medications and 1 of 1 resident who had one expired medication. (Resident 24) Findings include:1. An observation of the narcotic count sheets was conducted with Qualified Medication Aide (QMA) 3, on 9-26-25 at 11:55 a.m., for the facility's east medication cart for September, 2025. […]