Aperion Care Marion LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 3, 2023

  Based on observation, interview, and record review, the facility failed to provide adequate supervision for a resident with a known risk of elopement. This deficient practice resulted in the resident ambulating with his walker approximately 1.4 miles away from the facility, in a busy residential area, with temperatures exceeding 84 degrees F (Fahrenheit) for 1 of 3 residents reviewed for elopement risks (Resident B). The immediate jeopardy began on 5/30/23 when Resident B, a severely cognitively impaired resident, eloped from the facility on foot, down a 30 degree driveway decline, without staffs' knowledge. His whereabouts were unknown for approximately two hours, and he was found unsupervised in a busy residential area approximately 1.4 miles away from the facility. […]

• Actual harm, isolatedF600Aug 21, 2026

  Based on observation, interview, and record review, the facility failed to ensure services were provided to prevent neglect for a resident with a malignant neoplasm (cancer) facial wound for 1 of 3 residents reviewed for wound care. (Resident B) This deficient practice resulted in the resident not receiving services to remove and treat an active maggot wound infestation in the facial wound for more than 7.5 hours. Findings include:An anonymous report made to the Indiana Department of Health indicated Resident B had a wound with maggots in it and the facility refused to send him to the hospital for treatment.Resident B's clinical record was reviewed on 8/19/26 at 10:40 a.m. […]

• Actual harm, isolatedF684Feb 26, 2026

  Based on interview and record review, the facility failed to identify the risk for the development of wounds and failed to develop and implement interventions to prevent wounds for 1 of 3 residents reviewed for wounds. (Resident B) This deficient practice resulted in the resident requiring hospitalization and surgical intervention to treat a severely infected diabetic ulcer to their foot.Findings include:An anonymous report submitted to the Indiana Department of Health indicated Resident B had developed a wound to his foot the facility failed to notice and then had blamed the resident of causing it by using nail clippers to cut his skin.Resident B's clinical record was reviewed on 2/25/26 at 9:44 a.m.A nurse practitioner progress note, dated 2/16/26, for a follow up related to a urinary… […]

• Actual harm, isolatedF550Feb 9, 2023

  Based on observation, interview, and record review, the facility failed to ensure a resident's preferences were met for 1 of 2 resident's reviewed for accommodation of needs. This deficient practice resulted in psychosocial harm related to the resident's fear of the mechanical lift (Resident B). Findings include: Resident B's clinical record was reviewed on 2/6/23 at 11:04 a.m. Diagnoses included amyotrophic lateral sclerosis (ALS), anxiety disorder, peripheral vascular disease, hereditary and idiopathic neuropathy, neuralgia and neuritis, foot drop, unspecified foot, and other abnormalities of gait and mobility. A quarterly MDS (Minimum Data Set), dated 11/25/22, indicated he was cognitively intact. […]

• Actual harm, isolatedF622Feb 9, 2023

  Based on record review and interview, the facility failed to provide adequate education and preparation prior to discharge. This deficient practice resulted in the resident (Resident E) being discharged to a location unprepared for his arrival, and consequently being moved out of state temporarily, while appropriate placement was sought. Using the reasonable person concept, this alleged deficient practice would cause prolonged anxiety and fear. Findings include: The clinical record for Resident E was reviewed on 2/7/23 at 10:00 a.m. Diagnoses included hemiplegia and hemiparesis following cerebral infarction, dysphagia, depressive disorder. The resident was assessed as being moderately cognitively impaired. […]