Aperion Care Monroe

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff prepared food in accordance with professional standards for food service safety for 1 of 2 kitchen observations. This had the potential to affect 31 out of 31 residents served from the kitchen.Findings include:During a kitchen tour on 8/3/25 at 10:45 a.m., a large pork loin was observed thawing in the bottom of a three compartment sink with running water flowing onto the meat. The meat was not submerged in water and the water was flowing down the drain.During an interview on 8/6/25 at 12:25 p.m., the Dietary Manager indicated the cook should have had the meat in a deep pot while the water was running onto the meat. […]

• No harm, potential for more than minimal, widespreadF812Nov 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored and served in a sanitary manner for 3 of 3 kitchen observations. The hand washing station did not have hot water, the air conditioning unit was dirty, items in the refrigerator and freezer were unlabeled, and the chemical strips used for the 3 compartment sink were expired. This had the potential to impact 30 of 30 residents residing in the facility. Findings include: 1. During an initial tour of the facility kitchen on [DATE] at 10:15 a.m., the following was observed: - The hot water in the handwashing sink would not get hot. The Dietary Manager (DM) indicated at that time to use the 3 compartment sink because the water from that pipe would get hot. […]

• No harm, potential for more than minimal, widespreadF851Nov 16, 2023

  Based on interview and record review, the facility failed to electronically submit to the Centers for Medicare and Medicaid (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS for Quarter 3 (April 1 to June 30) of fiscal year 2023. Findings include: On 11/13/23 at 11:30 a.m., the facility's Payroll Based Journal (PBJ) Staffing Data Report was reviewed. The report indicated the facility had no RN Hours for 4/2/23, 4/9/23, 5/7/23, 5/21/23, 6/4/23, and 6/18/23. […]

• No harm, potential for more than minimal, patternF921Aug 6, 2025

  Based on observations, interviews, and clinical records, the facility failed to ensure flies and gnats were not present in 1 of 10 resident rooms (Resident 5, Resident 6, Resident 25), sit to stand lift foot platforms were clean for 2 of 2 sit to stand lifts used by 3 residents (Resident 2, Resident 17, Resident 26), and exposed wires were covered for 1 of 4 communal resident bathrooms observed for environmental concerns. Findings include: 1. On 8/3/25 at 1:47 p.m., 8/5/25 at 2:20 p.m., and 8/6/25 at 10:15 a.m., gnats and flies were observed in the room of Resident 5, Resident 6, and Resident 25 on the privacy curtains, walls, bedside tables, and the residents themselves. […]

• No harm, potential for more than minimal, patternF727Nov 16, 2023

  Based on interview and record review, the facility failed use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 6 of 120 days reviewed. Findings include: On 11/13/23 at 11:30 a.m., the facility's Payroll Based Journal (PBJ) Staffing Data Report was reviewed. The report indicated the facility had no RN Hours for 4/2/23, 4/9/23, 5/7/23, 5/21/23, 6/4/23, and 6/18/23. On 11/15/23 at 11:46 a.m., the third quarter staffing schedules (4/1/23-6/30/23) were reviewed. The staffing schedules indicated the facility had no RN scheduled on 4/2/23, 4/9/23, 5/7/23, and 6/4/23. A further review of the last thirty days of staffing schedules indicated there were no RN scheduled for 10/21/23 and 10/22/23. During an interview on 11/16/23 at 12:00 p.m. […]