Aperion Care Vincennes: Lab Order Missed Three Days - IN
The resident, identified in inspection records as Resident B, was cognitively intact and receiving dialysis when a physician ordered daily PT/INR testing starting May 13, 2026. A PT/INR measures how quickly blood clots. The order was placed because results had already come back elevated, and the physician wanted daily monitoring for two weeks.
The tests didn't happen on May 15, May 16, or May 17.
A nurse's note from May 16 at 6:15 p.m. read: "The lab can't come to facility this weekend to draw resident PT/INR. Physician is aware." The following morning, at 7:42 a.m., another note said the same thing. The lab couldn't come out that weekend.
The order was discontinued on May 18.
When inspectors interviewed the Director of Nursing and the Facility Administrator on May 27, both acknowledged the contracted lab service was "unreliable" and came to the facility only once a week. They said the facility had tried to arrange for a local hospital lab to send staff to draw the blood instead. That didn't happen either.
The administrator produced a copy of the lab contract, signed in March 2024. The agreement stated that the lab company would travel to the facility to draw and transport specimens for ordered tests. It also spelled out that STAT testing, meaning urgent, time-sensitive orders, was available for an additional $30 per patient per visit. PT/INR was listed explicitly on the STAT testing schedule.
The facility had a contract that included a mechanism for urgent draws. The tests still weren't done.
A registered nurse interviewed that same afternoon said the facility had no contract at all with the hospital lab, the backup the administrators described attempting to use.
For a resident whose blood-clotting levels were already running high enough to prompt a physician to order daily monitoring, three missed draws is not a scheduling inconvenience. Elevated INR levels in a patient on dialysis with liver disease and atrial fibrillation can signal serious bleeding risk. The physician had ordered daily testing precisely because the numbers were already abnormal. Nobody at the facility found a way to make that happen over a weekend.
The inspection, conducted as part of a complaint investigation, cited the facility for failing to ensure laboratory services were provided in accordance with physician orders. Inspectors reviewed three residents for quality of care and found the failure in one case.
Aperion Care Vincennes is a long-term care facility in Knox County. The violation was tagged at a level of minimal harm or potential for actual harm, the lower end of the federal harm scale, affecting a small number of residents.
What the harm scale doesn't capture is the specific situation Resident B was in: a body already burdened by kidney failure, a failing heart, a damaged liver, and a blood rhythm disorder, with a physician watching clotting times closely enough to order a daily lab draw. Three days passed. The lab didn't come. Nobody else came either. The order was eventually discontinued, and the inspection report does not describe what, if anything, happened to Resident B in the interval.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aperion Care Vincennes from 2026-05-28 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 21, 2026 · Our methodology
APERION CARE VINCENNES in VINCENNES, IN was cited for violations during a health inspection on May 28, 2026.
A PT/INR measures how quickly blood clots.
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.