Deficiency Index

Aperion Care Hanover

Hanover, Indiana · CCN 155208

53 surveys since 2011. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
229
Surveys
53
Harm or worse
7
Immediate jeopardy
6
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file40/53

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
125
Ownership
For profit - Corporation
Chain
APERION CARE
County
Jefferson · rural
Medicare-certified since
1982

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 67 for-profit facilities of 100–127 beds in Indiana.

Last survey on record

Apr 16, 2026

207 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.433.43
Registered-nurse hours per resident day0.64—
Annual nurse turnover55.2%48.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$53,874 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ11.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3561.4%E1831.6%F35.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 57 of the 229 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7404×

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7553×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7563×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7613×

    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.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Sep 27, 2023

    Based on interview and record review, the facility failed to ensure resident to resident abuse did not occur related to sexual abuse resulting in a severely cognitive resident and a cognitive resident found in an unsupervised sexual situation for 2 of 5 residents reviewed for abuse. (Resident C and Resident D) The immediate jeopardy began on 8/24/23, when the facility failed to prevent resident to resident sexual abuse when a cognitively alert male resident was found with a severely cognitively impaired female resident in an inappropriate sexual position. The DON, ADON, MDSC, and the consultant were notified of the immediate jeopardy on 9/22/23 at 2:55 p.m. […]

  • Actual harm, isolatedF684Nov 30, 2022

    Based on interview and record review, the facility failed to identify, monitor, and provide needed care and services to prevent dehydration, weight loss, and physician notification resulting in hospitalization for 1 of 9 residents reviewed for Quality of Care. (Resident B). Findings include: The clinical record for Resident B was reviewed on [DATE] at 3:18 p.m. The resident's diagnoses included, but were not limited to, dementia with behavior, edema, and hypertension. A Physician's Order, dated [DATE], indicated the resident was prescribed Lasix 40 mg (milligrams) twice daily. The Admission MDS (Minimum Data Set) assessment, dated [DATE], indicated the resident was severely cognitively impaired. […]

  • No harm, potential for more than minimal, widespreadF925Mar 27, 2025

    Based on observation, record review, and interview, the facility failed to ensure an effective pest control was in place for residents' bathrooms and bedrooms related to gnats or drain flies. This deficient practice had the potential to affect 70 of 70 residents that resided in the facility. Findings include: During an observation of Wing 2, on 03/21/25 through 03/25/25, the following concerns were observed on the following dates and times: - On 03/21/25 at 10:25 A.M., the Wing 2 Shower Room had sticky floors; a strong urine odor; the toilet base had one inch by eight-inch band of black debris around toilet base; and a one-foot-long, a two-foot-long, and a three-foot-long stripe of black/brown residue around the tile areas in the shower stall. […]

  • No harm, potential for more than minimal, widespreadF925Apr 25, 2024

    Based on observation, interview, and record review, the facility failed to ensure an effective pest control program was maintained and the facility was free of rodents. This deficient practice had the potential to affect 65 of 65 residents that resided in the facility. Findings include: During an observation and interview on 04/24/24 at 2:14 P.M., while in the Social Service Director's (SSD) office a gray colored mouse ran from the doorway along the baseboard of the wall, towards the back corner of the office, behind a filing cabinet. The SSD apologized and indicated there was a mouse that had ran across the room and that the pest control company had been there to set up a trap in her office, but she didn't feel like it was doing any good. […]

  • No harm, potential for more than minimal, widespreadF812Jan 10, 2024

    Based on observation, interview, and record review, the facility failed to store food safely, monitor the dishwasher, and provide a clean kitchen environment for 3 of 3 kitchen observations. This deficient practice had the potential to effect 67 of 67 residents that resided in the facility. Findings include: During an initial tour of the kitchen on 01/04/24 at 10:48 A.M., the following areas of concern were observed: The walk-in refrigerator contained the following: - an undated, five pound bag of shredded cheddar cheese, 1/3 full. The bag was open to air. - an undated, gallon sized bag of sliced Swiss cheese. […]

Read 27 findings in full →The most serious and the most recent: 27 of 229 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 16, 2026Standard9 findings
  • Mar 12, 2026Complaint2 findings
  • Aug 29, 2025Complaint2 findings
  • Jun 27, 2025Complaint1 finding
  • Mar 27, 2025Standard and complaint10 findings
  • Jan 13, 2025Complaint1 finding
  • Sep 4, 2024Complaint1 finding
  • Aug 20, 2024Complaint1 finding
Show the 45 earlier surveys
  • Jul 18, 2024Complaint1 finding
  • Apr 25, 2024Complaint4 findings
  • Jan 10, 2024Standard and complaint14 findings
  • Nov 20, 2023Complaint2 findings
  • Sep 27, 2023Complaint9 findings · 1 harm
  • Mar 23, 2023Complaint1 finding
  • Feb 27, 2023Standard and complaint16 findings
  • Jan 19, 2023Complaint1 finding
  • Nov 30, 2022Complaint4 findings · 1 harm
  • Aug 9, 2022Complaint1 finding
  • May 4, 2022Standard6 findings
  • Apr 20, 2022Infection control1 finding
  • Jan 5, 2022Complaint1 finding
  • Dec 13, 2021Complaint1 finding
  • Nov 23, 2021Complaint1 finding
  • Oct 13, 2021Complaint1 finding
  • May 3, 2021Standard8 findings
  • Nov 16, 2020Infection control1 finding
  • Oct 28, 2020Infection control1 finding
  • Sep 9, 2020Infection control1 finding
  • Jul 22, 2020Complaint1 finding
  • Jan 27, 2020Complaint1 finding
  • Jan 17, 2020Complaint2 findings · 1 harm
  • Dec 17, 2019Standard11 findings · 1 harm
  • Nov 22, 2019Complaint1 finding
  • Sep 25, 2019Complaint1 finding
  • Jun 20, 2019Complaint1 finding
  • Jan 10, 2019Standard14 findings
  • Dec 7, 2018Complaint2 findings · 1 harm
  • Oct 25, 2018Complaint7 findings
  • Jul 18, 2018Complaint5 findings
  • Mar 29, 2018Complaint2 findings
  • Feb 23, 2018Complaint1 finding
  • Jan 24, 2018Standard13 findings · 2 harm
  • Dec 6, 2017Complaint1 finding
  • Feb 15, 2017Standard6 findings
  • Nov 29, 2016Complaint1 finding
  • Jan 15, 2016Standard7 findings
  • Feb 9, 2015Standard8 findings
  • Aug 5, 2014Complaint1 finding
  • Jan 16, 2014—9 findings
  • Jul 12, 2013—1 finding
  • Oct 10, 2012—12 findings
  • Jul 15, 2011—14 findings
  • Jun 23, 2011—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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