Aperion Care Hanover: Dialysis Port Care Gaps - IN
Federal inspectors who visited Aperion Care Hanover on August 29, 2025, found the gaps during a review of Resident D's medical records. The resident, described in his admission assessment as cognitively intact, had a physician's order in place since July 14 requiring that his dialysis port on his abdomen be soaked with a non-woven sponge for five minutes before his dialysis catheter was connected, every 24 hours without exception.
The electronic medication administration records told a different story. July 17. July 20. July 25. July 27. July 29. August 6. August 7. August 24. On each of those dates, the record that was supposed to confirm the care had been done was blank.
The facility's own policy, provided to inspectors by the Director of Nursing during the visit, was unambiguous about what nurses and aides are required to do. The policy stated that whoever administers a medication or treatment records it on the resident's record immediately after it is given, that at the end of every medication pass the person administering checks to confirm everything was documented, and that no one should clock out without first recording what they administered. The MAR, the policy continued, is initialed by the administering person in the space provided under the date, for each specific dose.
Eight dates. No initials.
What the records cannot answer, and what inspectors did not resolve, is the question underneath the documentation failure: whether the care happened and simply went unrecorded, or whether it did not happen at all. For a man with end-stage renal failure, that distinction carries real weight. A dialysis port is not a peripheral concern. It is the access point through which his treatment flows, and keeping it clean is a basic infection-control measure built into his daily care plan by his physician.
Inspectors rated the violation at the lowest level of harm, noting minimal harm or potential for actual harm. The citation covered one of four residents whose records were reviewed during the complaint inspection.
The facility's medication administration policy carried no date. The Director of Nursing handed it over the afternoon of the inspection, roughly two hours after inspectors had already pulled Resident D's chart and identified the gaps.
None of the documentation reviewed indicated that the facility had flagged the missing entries internally, or that anyone had followed up with nursing staff about the eight blank dates before federal inspectors arrived to ask about them.
Resident D, for his part, knew where he was and what was happening around him. His admission assessment, completed in June, found him cognitively intact. He was not a resident who could be easily overlooked or whose condition might obscure what was happening with his care. He was a man with serious illness, on dialysis, dependent on staff to perform a specific daily task and to write down that they had done it.
The policy said no one should go home without completing the record. On at least eight days across two months, someone did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aperion Care Hanover from 2025-08-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
APERION CARE HANOVER in HANOVER, IN was cited for violations during a health inspection on August 29, 2025.
Federal inspectors who visited Aperion Care Hanover on August 29, 2025, found the gaps during a review of Resident D's medical records.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.