Aperion Care Marion: Medication Missed Six Times - IN
The resident, identified in the report only as Resident B, carried diagnoses of atherosclerotic heart disease, combined systolic and diastolic heart failure, and hypertension. A physician had ordered midodrine 5 mg to be given whenever the resident's systolic blood pressure dropped below 90. The order had been in place since March 2025.
It was not followed.
On July 1, the resident's blood pressure was 88/54. No midodrine was given. On July 11, it was 83/49. No midodrine. On July 19, 88/61. No midodrine. On July 24, the reading hit 73/41 in the morning and 86/54 that afternoon. No midodrine either time. On August 1, 88/57. No midodrine. On September 8, 86/54. No midodrine. Six separate dates. Six missed doses. Each one documented in the medication administration record only by its absence.
When inspectors interviewed two licensed practical nurses on September 9, both described following exactly the kind of protocol that the records showed wasn't being followed. LPN 5 said it was "important to pay attention to the orders." The medication records suggested otherwise.
The Director of Nursing told inspectors the staff should have been following the physician's parameters and that the medications should have been given or held accordingly.
Then the administrator spoke.
Asked about the facility's policy on following physician orders, the administrator told inspectors the facility did not have one. It followed federal and state guidelines instead.
Resident B was moderately cognitively impaired, according to an assessment completed in August 2025, and would not have been in a position to flag the missed doses or demand the medication the order required.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aperion Care Marion LLC from 2025-09-09 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 22, 2026 · Our methodology
APERION CARE MARION LLC in MARION, IN was cited for violations during a health inspection on September 9, 2025.
A physician had ordered midodrine 5 mg to be given whenever the resident's systolic blood pressure dropped below 90.
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.