Aperion Care Wilmington

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812Sep 9, 2024

  Based on observation, interview, and record review the facility failed to ensure food was stored, distributed, and served to residents in a manner to prevent food contamination. The facility failed to have a system in place for sanitizing dishware and food service equipment during the renovations of the kitchen. This failure resulted in the local health department revoking the facility's permit to prepare food on site and resulted in an Immediate Jeopardy. This has the potential to affect all 161 residents that consume food from the facility. […]

• Immediate jeopardy, widespreadF880Sep 12, 2023

  Based on observation, interview and record review, the facility failed to identify an infectious outbreak, implement measures to prevent the spread of this infectious outbreak, and failed to have an infection control program in place to monitor and track infectious diseases at the facility. This failure has the potential to affect all 166 residents residing at the facility. The Facility Data Sheet dated 8/29/2023 documents 166 residents reside at the facility. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 5/11/2023 at 12:37 PM after R1 tested positive for scabies and the facility failed to implement measures to prevent the spread. The Immediate Jeopardy was identified on 9/7/23. V1 (Administrator) was notified of the Immediate Jeopardy on 9/7/23 at 9am. […]

• Immediate jeopardy, patternF880Jun 30, 2022

  Based on observation, interview and record review, the facility failed to implement infection control policies and procedures for the isolation of roommates of Covid-19 positive residents to prevent the spread of infection. This failure has the potential to affect 37 residents (R1-R3, R5, R9-R41) in the secured behavior unit who were not Covid positive. The Census Sheet provided on 6/23/22 showed that R1-R5, and R9-R41 all reside in the secured behavior unit. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 6/19/2022 at approximately 3PM after R7 tested positive for Covid-19 and the facility started moving residents to different rooms. The Immediate Jeopardy was identified on 6/28/2022 at 10:00 AM. […]

• Immediate jeopardy, isolatedF600Nov 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure a resident (R2) was free from abuse. This failure resulted in R2 being physically abused by V5 (Certified Nursing Assistant/CNA) on 11/2/23; R2 complaining of leg pain and limping on 11/5/23; a new order for morphine sulfate every six hours for pain being placed on 11/6/23; and R2 using a wheelchair for leg pain relief. The findings include: The Immediate Jeopardy began on 11/2/23 at 9:00 PM when V3 (CNA) and V4 (CNA) witnessed V5 (CNA) physically abusing R2 during nighttime cares. V1 (Administrator) was informed of the Immediate Jeopardy on 11/17/23 at 1:03 PM. […]

• Actual harm, isolatedF686Aug 27, 2026

  Based on observation, interview, and record review, the facility failed to prevent residents from developing facility acquired pressure ulcers. The facility also failed to provide the necessary treatments and services to promote healing and prevent infection. These failures affected 3 of 3 residents (R1, R3, R5) reviewed for facility acquired pressure ulcers in the sample of 7. R1 obtained a stage 3 pressure ulcer to the coccyx that required surgical debridement at the hospital and IV (intravenous) antibiotics. R3 and R5 also developed facility acquired stage 3 pressure ulcers. […]