Aperion Care Niles

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 30, 2023

  Based on interviews and record reviews, the facility failed to provide adequate supervision for a cognitively impaired resident assessed to be at high risk for elopement and failed to ensure the resident did not leave the facility without staff knowledge or supervision. This failure affected one (R3) of four residents reviewed for elopement risk and supervision. This failure resulted in R3 leaving the facility unsupervised. R3 was found by a bystander. R3 had fallen on the ground and sustained a right facial contusion which required hospital evaluation. The Immediate Jeopardy began on 5/14/23 when the facility failed to monitor R3, who was assessed to be at high risk for elopement, which resulted in the resident leaving the building unsupervised. […]

• Actual harm, isolatedF689Jan 13, 2025

  Based on interview and record review, the facility failed to follow R1's plan of care to provide supervision with meals (eating), ensure R1's assistive mobility device was within reach and ensure R1 was wearing appropriate footwear. R1 who is high risk for falls, was left in the room unsupervised. R1 had a fall incident on 11/13/24 that resulted in subdural hematoma. This past noncompliance occurred from 11/13/24 to 11/15/24. The findings include: R1's Admission record documented initial admitted on 7/12/22 with diagnoses not limited to Other osteomyelitis upper arm, Type 2 diabetes mellitus, Atherosclerosis of coronary artery bypass graft(s), Cognitive communication deficit, Difficulty in walking, Unspecified protein-calorie malnutrition, Metabolic encephalopathy, History of falling,… […]

• Actual harm, isolatedF689May 16, 2024

  Based on observation, interview and record review, the facility failed to effectively monitor a newly admitted resident and follow the facility practice of leaving doors open for residents identified to be at risk for falls. This affected one of three residents (R1) reviewed for safety and monitoring. This failure resulted in R1 being found on the floor. R1 was sent to the local hospital and treated for a laceration that required 2 staples, and 6 sutures in frontal scalp laceration and 1 staple left superior lateral scalp laceration. Findings include: R1 had an unwitnessed fall on 3/23/24. Facility Reported incident dated 3/24/24 reads in part: R1 was self-transferring, call night not on, resident found lying on the floor behind the door. […]

• Actual harm, isolatedF689Aug 12, 2023

  Based on observation, interview, and record review the facility failed to supervise a resident at high risk for falls for 1 of 3 residents (R1) reviewed for falls in the sample of 3. This failure resulted in R1 sustaining a fractured left hip from a fall. The findings include: R1's admission record shows he was admitted to the facility on [DATE] and readmitted [DATE] following a hospital stay from 7/9/23 to 7/13/23. The same document shows R1 to have multiple diagnoses including dementia, history of falling, and difficulty in walking. R1's care plan initiated on 3/25/23 documents he is a high risk for falls related to weakness and being non-compliant with using his walker during ambulation. […]

• Actual harm, isolatedF689Jun 16, 2023

  Based on interview and record review, the facility failed to follow their policy and ensure that effective interventions were identified and implemented to prevent one resident (R49) of three residents reviewed in a sample of 19 from falling. The facility also failed to ensure that all staff are aware of fall risk status and interventions. This failure resulted R49 falling and suffering an injury to her head that required three staples. Findings include: Review of R49's final incident report dated 6/7/2023 documents resident was found sitting on the floor by her bathroom door. Resident did not know the cause of the fall. Laceration found to the back of the head and resident was sent to the emergency room . R49 was diagnosed with a head laceration and received 3 staples. […]