Aperion Care Midlothian

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 17, 2026

  Based on observation, interview and record review, the facility failed to protect a resident's right to be free from physical abuse by a staff member. This failure affected one (R1) of three residents reviewed for abuse. R1 sustained redness and bruising on his left eye after he was hit by staff while providing care.Findings include:R1 is 77 years and have resided at the facility since 2023, face sheet listed the following past medical history: Benign neoplasm of cerebral meninges, chronic embolism and thrombosis of left popliteal vein, atherosclerotic heart disease of native coronary artery without angina pectoris, other seizures, hypertensive heart disease without heart failure, major depressive disorder, dementia in other diseases classified elsewhere, unspecified severity without… […]

• Actual harm, isolatedF686Apr 17, 2024

  Based on interview and record review, the facility failed to have a treatment order in place and failed to perform dressing changes to the sacral wound for seven days. This affected one of three residents (R1) reviewed for wound care in a total sample of six. This failure resulted in the sacral wound deteriorating by becoming larger in size, and R1 being diagnosed with osteomyelitis of the sacral wound after being hospitalized for an elevated white blood cell count indicating an infection. […]

• Actual harm, isolatedF689Mar 22, 2024

  Based on interviews and record reviews, the facility failed to safely transfer using the mechanical lift. This affected one of three residents (R1) reviewed for safety during transfers. This failure resulted in R1 being transferred to the local hospital and treated for an acute, displaced, and comminuted fracture of right distal femur with impaction. Findings include: R1's medical record notes R1 with diagnoses including, but not limited to, stroke with hemiplegia (paralysis) affecting left non-dominant side, dementia, bilateral partial foot amputations, and weakness. On 3/16/24 at 3:10 PM, V2 DON (director of nursing) stated that V2 does not know how R1 fractured R1's right femur. V2 stated that V2 was informed R1 complained of pain and x-rays were ordered and showed right femur fracture. […]

• Actual harm, isolatedF600Jan 17, 2024

  Based on interview and record review the facility failed to prevent and protect a resident with a diagnosis of dementia from physical and verbal abuse by facility staff. This affected one of three residents (R2) reviewed for abuse. This failure resulted in R2 being yanked and tugged by V4 (certified nursing aide) and V4 telling R2, I'm not doing this with you, you're getting on my f****** nerves. Using the reasonable person concept may have resulted in R2 being fearful and displaying anxiety around facility staff. Findings include: R2 was admitted to the facility on [DATE] with a diagnosis of metabolic encephalopathy, pneumonia, atrial fibrillation, shock, difficulty walking, dysphagia, anemia, unspecified dementia without behavioral disturbances, delirium, restlessness and agitation. […]

• Actual harm, isolatedF689Feb 17, 2023

  Based on interviews and record reviews, the facility failed to prevent or determine how an injury of unknown origin occurred for 1 of 3 residents (R1) reviewed in a total sample of five. This failure resulted in R1 being found with swelling to the right hand and having a fracture to the right middle finger. Findings Include: R1 is a [AGE] year old with the following diagnosis: osteoporosis, vitamin D deficiency, Alzheimer's disease, and lung cancer. R1 admitted to the facility on [DATE]. A Nursing note dated 1/29/23 documents swelling was noted to the back of the right palm of the hand. […]