Aperion Care DeKalb: Missed Bladder Medication - IL
The resident, identified in inspection records only as R1, takes mirabegron for an overactive bladder. She told inspectors she uses the bathroom frequently and would expect staff to let her know if one of her medications ran out. Nobody had.
Inspectors documented missed doses across multiple dates in December: the 6th, 7th, 8th, 9th, 11th, 14th, 15th, and 17th. On December 19th, the medication was listed in her records as "Hold/See Progress Notes." The pharmacy had rejected the prescription, most likely over an insurance issue, according to the Director of Nursing. The rejection was never passed up the chain.
On the morning of December 18th, a registered nurse told inspectors that mirabegron simply wasn't available and she hadn't been able to give it. That same morning, R1's medication administration record showed the drug as having been given. When inspectors returned that afternoon, the nurse said she hadn't checked the facility's emergency supply to see if any was on hand.
R1 was alert and oriented when inspectors spoke with her at 2:20 that afternoon. She said she wasn't entirely sure whether she was on a bladder medication, but she knew she had an overactive bladder and needed to use the bathroom often. She said she had not been told anything about a missing medication. She said she would have expected to be told.
The Director of Nursing laid out, clearly, how the system was supposed to work. When a pharmacy rejects a fill, nursing staff are supposed to notify her. She can then contact the prescribing provider to arrange an alternative. She said pharmacy rejections have been coming up frequently lately, and they often trace back to insurance problems. She said if she had known about R1's rejection, she could have intervened and prevented at least some of the missed doses.
She was not notified. She told inspectors she could not determine the last date R1 had actually received her mirabegron.
The violation was cited at the level of minimal harm or potential for actual harm, and inspectors noted few residents were affected. The citation falls under F0755, which covers the safe and accurate dispensing and administration of medications.
What the inspection captures, in plain terms, is a gap between what the medication record said and what was actually happening. The record showed doses given. The nurse said the drug wasn't available. The Director of Nursing said she was never told. And the resident, who relies on the medication to manage a condition that affects her daily life, was left to assume everything was fine.
Mirabegron is prescribed to reduce the urgency and frequency of urination in people with overactive bladder. Going without it for days or weeks doesn't produce the kind of harm that shows up in an emergency room, but it does mean a resident is managing a disruptive condition without the treatment her doctor ordered, without knowing why, and without anyone offering an explanation or an alternative.
R1 told inspectors she would expect the staff to notify her if she ran out of a medication. That expectation, reasonable as it is, went unmet for the better part of a month.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aperion Care Dekalb from 2025-12-24 including all violations, facility responses, and corrective action plans.
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: August 19, 2026 · Our methodology
APERION CARE DEKALB in DEKALB, IL was cited for violations during a health inspection on December 24, 2025.
The resident, identified in inspection records only as R1, takes mirabegron for an overactive bladder.
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.