Aperion Care Vincennes

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from accident hazards for 1 of 3 residents reviewed for accidents. Staff provided hot water to a resident without monitoring or checking the temperature of the water. The resident spilled the hot water which resulted in second-degree burns to the resident's abdomen, left hip, and lower back. This deficient practice resulted from a failure to follow the facility's procedure for serving hot beverages and contributed the development of second-degree burns that required routine treatment and the resident pain rated at a 5 on a scale of 0 - 10 (zero indicating no pain and 10 indicating the most pain). […]

• Actual harm, isolatedF686Feb 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure necessary treatment and services were provided to prevent and promote healing of facility acquired pressure injuries for 3 of 8 residents reviewed for pressure ulcers. Specific care plans were not developed, physician orders and other interventions not followed, and assessments were not completed thoroughly or accurately. This deficient practice resulted in facility acquired unstageable, Stage 3, and Stage 4 pressure ulcers. (Resident 20, Resident 7, Resident 25) Findings include: 1. On 2/5/25 at 11:05 A.M., Resident 20 was observed by the nurses' station sitting in a wheelchair. The resident was wearing slip on shoes on both feet. The left foot was wrapped with a gauze wrap and dated 2/4/25. […]

• Actual harm, isolatedF689Apr 12, 2022

  Based on observation, interview, and record review, the facility failed to ensure supervision to prevent multiple falls, resulting in a fall with a fracture to left clavicle (shoulder), for 1 of 3 residents reviewed for falls. (Resident H) Findings include: On 4/11/22 at 8:40 A.M., the Unit Manager indicated Resident H had recently fallen. The clinical record of Resident H was reviewed on 4/11/22 at 4:15 P.M. Diagnoses included, but were not limited to Congenital Disorder. A care plan, initially dated 9/25/20, indicated a problem of, Falls, potential for r/t [related to] muscle weakness, lack of coordination, difficulty walking, and abnormal gait. The Interventions included: 1/01/22 Educated not to get up without using the call light first for assist. […]

• No harm, potential for more than minimal, widespreadF801Feb 13, 2025

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills set to carry out the functions of the food and nutrition service for 1 of 1 kitchens observed. The Dietary Manager was not certified. (Dietary Manager) Finding includes: On [DATE] at 9:51 A.M., the Dietary Manager was asked to provide her certification certificate. At that time, she indicated she was not certified yet, but she was working on it. She indicated she started working at the facility in August of 2024 and her previous certification had expired. During an interview on [DATE] at 10:49 A.M., the Administrator indicated they knew the Dietary Manager needed to take her test again because she failed the first time, but the new test date was unknown. […]

• No harm, potential for more than minimal, widespreadF838Jan 26, 2024

  Based on interview and record review, the facility failed to ensure a complete and accurate facility assessment for 1 of 1 reviewed based on the resident population and identification of resources needed to provide the necessary care and services required for their residents. Finding includes: On 1/17/24 at 10:00 A.M., the Administrator provided a facility assessment form dated 1/16/24. The form listed general staff as Licensed Nurses, direct care staff, and other, but lacked specific staff titles and lacked the staffing plan to ensure sufficient staff were in the building to meet the needs of the residents. The form lacked training topics and competencies specific to the facility, and only listed those trainings and competencies included in the facility assessment template. […]