Aperion Care Oak Lawn

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 27, 2026

  Based on interview and record review, the facility failed to protect a resident's right to be free from physical and verbal abuse from staff. These failures affected one (R4) of three residents reviewed for abuse. These failures resulted in R4 suffering mental anguish and physical pain when a staff yelled at him for pulling his call light, and another staff forcefully yanked R4's shoulder to turn him around while providing care. R4 said that he was afraid for his life when the same staff that he requested not to care for him returned to his room a day or two later and R4 told her she was not supposed to be in his room.Findings include: R4 was admitted to the facility on [DATE], face sheet listed the following past medical history in part: Chronic inflammatory demyelinating polyneuritis,… […]

• Actual harm, isolatedF602Aug 27, 2026

  Based on interview and record review, the facility failed to protect a resident's right to be free from misappropriation of resident property and/or exploitation. This failure affected one resident (R6) of three residents reviewed for abuse. R6 lost 5 rings at the facility, one of which she said belonged to her grandmother and a family heirloom that she was intending to pass on to another family member. R6 also had some unauthorized charges to her credit card, facility has been aware of both incidents since March 2026, and nothing has been done. Applying a reasonable person concept, R6 suffered emotional and mental anguish as a result of losing her money and her grandmother's ring. […]

• Actual harm, isolatedF607Aug 27, 2026

  Based on interview and record review, the facility failed to implement and follow its Abuse Prevention Policy and Procedures by failing to protect a resident (R4) from physical and verbal abuse, failed to protect a resident from misappropriation of property (R6), and failed to take immediate actions to ensure resident's safety. These failures resulted in psychological harm for R4 who feared for his life when a staff he accused of physically abusing him came back to his room a day or two later, and R6 who lost a family heirloom that she intended to pass on to another family member.Findings include:1.) R4 was admitted to the facility on [DATE], face sheet listed the following past medical history in part: Chronic inflammatory demyelinating polyneuritis, primary osteoarthritis, type 2… […]

• Actual harm, isolatedF600May 30, 2025

  Based on observation, interview, and record review the facility failed to ensure a resident was free from physical abuse by another resident for 1 of 3 residents reviewed for abuse. This failure resulted in R2 being sent out to the local hospital and sustaining a human bite to the right forearm and required treatment of antibiotics. This deficiency is past non-compliance that occurred from 5/17/2025 to 5/22/2025. Findings include: Incident report submitted to the state surveying agency for the incident of 5/17/25 in part states the incident occurred in the facility dining room at around 6:30am on 5/17/25. R5 is non-verbal with a low BIMS score. R5 stood up from his wheelchair, lost his balance and fell to the floor in a seated position. […]

• Actual harm, isolatedF689May 30, 2025

  Based on interview and record review, the facility failed to ensure a resident was free from accident hazards, by not using the mechanical lift for a dependent resident transfer for 1 (R1) of 3 residents. This failure resulted in R1 sustaining a non-displaced oblique fracture through the lateral plateau of the right tibia and fibula. R1 was transferred to the local hospital and underwent a surgical procedure on 5/15/2025. This deficiency is past non-compliance that occurred from 5/13/2025 to 5/15/2025. Findings include: On 5/27/2025 at 1:30pm V3 (Certified Nursing Assistant/CNA) said that R1 requested to have incontinence care. V3 took R1 to the room, proceeded to retrieve the mechanical lift. R1 said no I can stand and pivot. […]