Aperion Care Dekalb
APERION CARE DEKALB in DEKALB, IL — inspection on December 24, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Based on interview and record review the facility failed to provide ordered wound care for 2 of 3 residents (R2 and R3) reviewed for nursing care/wound care in the sample of 13.
The findings include: 1. R3's admission Record showed diagnoses to include but not limited to dementia, diabetes type 2, heart failure, and an antibiotic resistant organism infection. 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. 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. 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. 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. 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. 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, 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.
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aperion Care Dekalb
1212 South Second Street Dekalb, IL 60115
SUMMARY STATEMENT OF DEFICIENCIES
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 R1's mirabegron was not available, and she was not able to administer it. (At this time 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 R1's mirabegron was available in the facilities emergency supply. On 12/18/25 at 2:20 PM, R1 was alert and oriented to person, place, time, and condition. R1 stated she was uncertain if she was on a medication for her bladder; however, R1 stated she has an overactive bladder and needed to use the bathroom frequently. R1 stated she would expect the staff to notify her if she is out of a medication. 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 R1's missing medication is for her overactive bladder. V2 said 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 R1 received her mirabegron; however, if she had been notified some of the missed doses could have been prevented.
Facility ID: