Aperion Care Dekalb
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on interview and record review the facility failed to provide ordered wound care for 2 of 3 residents (Resident R2 and Resident R3) reviewed for nursing care/wound care in the sample of 13. The findings include: 1. Resident R3's admission Record showed diagnoses to include but not limited to dementia, diabetes type 2, heart failure, and an antibiotic resistant organism infection. Resident R3's 12/10/25 Wound Assessment Details Report showed he had an open venous stasis (poor venous circulation) ulcer to his left lower leg front measuring 7.5 centimeters (cm) by 2.0 cm by 0.1 cm deep. The wound assessment showed a second wound/skin tear to his right lower leg measuring 2.0 cm by 1.5 cm by 0.0 cm deep. Resident R3's November 2025 Treatment Administration Record (TAR) showed an order for daily wound treatments to his left and right legs. The treatments consisted of cleansing, ointments, oil emulsion dressings, and gauze wraps. The order was started on 10/16/25. The TAR showed treatments were not documented as having been done on 11/3/25, 11/16/25, 11/20/25, 11/25/25, and 11/28/25. Resident R3's December 2025 TAR showed the same ordered treatment for his right and left legs as the November 2025 TAR. The December 2025 TAR showed no documentation for these treatments on 12/11/25, 12/12/25, and 12/16/25. Resident R3's December 2025 progress notes showed no documented treatments for these days and showed no explanation for the missing treatments. On 12/19/25 at 11:10 AM, V2 Director of Nursing stated wound care should be documented on the TAR when it is done.
V2 stated if the resident refuses, he or she should educate and make another attempt, then document the refusal. V2 stated if the wound care is not documented on the TAR there is no proof the wound care was completed. V2 stated wound care is important for wound healing, infection prevention, and provides an opportunity to assess the wound. 2. Resident R2's 12/10/25 Wound Assessment Details Report showed a skin tear to his left foot measuring 1.0 centimeters (cm) by 1.0 cm by 0.0 cm deep. The left foot wound was identified
on 11/3/25. The wound report showed a second skin tear to his left knee measuring 0.8 cm by 0.5 cm by 0.0 cm. The left knee was identified on 12/3/25. Resident R2's December 2025 Treatment Administration Record (TAR) showed an order for Monday, Wednesday, and Friday wound care. The treatments including normal saline cleansing, oil emulsion dressing, and a bordered dressing. The TAR showed not documented treatments on 12/12/25 and 12/15/25. The TAR showed an identical treatment and schedule for his left knee. The TAR showed the left knee treatments were not documented as being done on 12/12/25 and 12/15/25. On 12/19/25 at 12:49 PM, Resident R2 stated Sometimes they are too busy to get to my wound treatments. On 12/19/25 a policy for wound care treatment was requested and was not provided.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aperion Care Dekalb
1212 South Second Street Dekalb, IL 60115
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
12/6/25, 12/7/25, 12/8/25, 12/9/25, 12/11/25, 12/14/25, 12/15/25, and 12/17/25. On 12/19/25 the medication was documented as Hold/See Progress Notes. On 12/18/25 at 8:51 AM, V3 Registered Nurse stated Resident R1's mirabegron was not available, and she was not able to administer it. (At this time Resident R1's MAR showed the Mirabegron was documented as given.) On 12/18/25 at 2:07 PM, V3 stated she has not looked to see if Resident R1's mirabegron was available in the facilities emergency supply. On 12/18/25 at 2:20 PM, Resident R1 was alert and oriented to person, place, time, and condition. Resident R1 stated she was uncertain if she was on a medication for her bladder; however, Resident R1 stated she has an overactive bladder and needed to use the bathroom frequently. Resident R1 stated she would expect the staff to notify her if she is out of a medication. Resident R1 stated she had not been notified of missing medications. On 12/23/25 at 1:10 PM, V2 Director of Nursing stated she expects staff to notify her if the pharmacy rejects filling a medication, so she can correct the reason for the rejection. V2 stated, lately, if a resident's medication is rejected, it is often related to insurance issues. V2 said, if she is notified, she can contact the provider for an alternative medication. V2 said Resident R1's missing medication is for her overactive bladder. V2 said Resident R1's medication was rejected by the pharmacy, and she was not notified of the rejection by nursing staff. V2 stated she was unable to determine
the last day Resident R1 received her mirabegron; however, if she had been notified some of the missed doses could have been prevented.
Event ID:
Facility ID:
If continuation sheet
APERION CARE DEKALB in DEKALB, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DEKALB, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from APERION CARE DEKALB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.