Aperion Care Forest Park
APERION CARE FOREST PARK in FOREST PARK, IL — inspection on February 26, 2026.
Found 4 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
shelves.
Surveyor requested if there were any blankets in the linen closet or on the unit. V27,
having enough linen.
On 2/23/2026 at 11:11 AM, V21, LPN stated, We are frequently run out of linen for the residents, it's like three times a week. We call down to laundry to get more, and hopefully it comes up.
On 2/23/2026 at 11:18 AM, V8, Maintenance Director observed R94's room and confirmed that there was not an overbed light for R94. V8 explained, These rooms used to all be single occupancy rooms, but when COVID hit, they were remade back into 2 person rooms.
They are licensed for 2 beds; we just never remodeled the second side.
Record review of Illinois Long-Term Care Ombudsman Program Resident's rights booklet, dated 11/18, states in part that the facility must be safe, clean, comfortable, and homelike.
The residents should receive the services and/or items included in the plan of care.
Record review of facility policy titled, Resident Rights, dated 1/04/19, documents, in part, Purpose: To promote the exercise of rights for each resident, including any who face barriers (such as communication problems, hearing problems and cognition limits) in the exercise of these rights.
Exercising rights means that residents have autonomy and choice, to the maximum extent possible, about how they wish to live their everyday lives and receive care, subject to the facility's rules, as long as those rules do not violate a regulatory requirement.
Record review of facility job description titled, Certified Nursing Assistant, dated 5/02/17, documents, in part, The Certified Nursing Assistant (CNA) is responsible for providing resident care and support in all activities of daily living and ensures the health, welfare and safety of all residents.
Provide assistance in personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assisting with travel to the bathroom; helping with showers and baths.
Provide for resident comfort by utilizing resources and materials; answering call lights and requests; reporting observations of the residents to the nursing supervisor.
Record review of facility job description titled, Laundry Aide, dated 3/23/17, documents, in part, The primary purpose of your job position is to perform the day-to-day Laundry Department functions, to assure that quality laundry services are provided on a daily basis, to safeguard d the health, safety and welfare of all residents of the facility, and to assure the facility laundry is maintained in a clean, safe and sanitary manner, in accordance with the facility's established policies and procedures, applicable laws and regulations and the directions of your supervisors, who include the Laundry Supervisor, Administrator, Assistant Administrator, and other members of the facility's management to whom such persons report, in order to assure that the highest level of laundry services for the facility's residents is maintained at all times. As a Laundry Aide, you are delegated the authority, responsibility, and accountability necessary for carrying out your assigned duties.
Record review of facility job description titled, Administrator, dated 5/02/17, documents, in part, The Administrator directs the day to day functions of the facility in accordance with current federal and local standards, guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times.
145969 02/26/2026
Aperion Care Forest Park 8200 West Roosevelt Road Forest Park, IL 60130
and verbal abuse.
Mental abuse is the use of verbal or non-verbal conduct which causes or has the
oral, written. Or gestured communication, or sounds, to residents within hearing distance, regardless
limited to harassing a resident, mocking, insulting, ridiculing, yelling or hovering over a resident with the intent to intimidate, threatening residents, etc.Resident-resident abuse (any type).A resident -to-resident altercation should be reviewed as a potential of abuse.
Not all resident-resident altercations result in abuse, for example infrequent arguments or disagreements that occur during the course of normal social interactions (e.g. dinner table discussions) would not necessarily constitute abuse but should be investigated to make this determination.Internal reporting requirements and identification of allegation.Any allegation of abuse or any incident that results in bodily injury will be reported to the department of public health immediately, but not more than two hours after the allegation of abuse.
Any incident that does not involve abuse and does not result in serious bodily injury shall be reported within 24 hours.
145969 02/26/2026
Aperion Care Forest Park 8200 West Roosevelt Road Forest Park, IL 60130
revised 10/24/2022 states in part under guidelines: the facility affirms the right of our residents to be
the facility has attempted to establish a resident sensitive and resident secure environment.
The
------------------------------------------------------------- and mistreatment of residents.Definitions: Mental and verbal abuse.
Mental abuse is the use of verbal or non-verbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation.Verbal abuse may be considered a type of mental abuse.
Verbal abuse includes the use of oral, written. Or gestured communication, or sounds, to residents within hearing distance, regardless of age, ability to comprehend or disability.Examples of mental and verbal abuse include, but are not limited to harassing a resident, mocking, insulting, ridiculing, yelling or hovering over a resident with the intent to intimidate, threatening residents, etc.Resident-resident abuse (any type).A resident -to-resident altercation should be reviewed as a potential of abuse.
Not all resident-resident altercations result in abuse, for example infrequent arguments or disagreements that occur during the course of normal social interactions (e.g. dinner table discussions) would not necessarily constitute abuse but should be investigated to make this determination.Internal investigation: all incidents will be documented, whether or not abuse neglect, exploitation, mistreatment misappropriation of resident property occurred, was alleged or suspected.
Any incident or allegation involving abuse, neglect, exploitation, mistreatment, or misappropriation of resident property will result in an investigation.
145969 02/26/2026
Aperion Care Forest Park 8200 West Roosevelt Road Forest Park, IL 60130
in the total sample of 67 residents.
Findings include:R210's census list documented that R210 was
02/28/2026) order Recap Report documented that R1's diagnoses include but are not limited to hemiplegia (paralysis) and hemiparesis (muscle weakness), cerebral infarction, and COPD (Chronic Obstructive Pulmonary Disease). R210's (01/16/2026) Minimum Data Set documented, in part Section C.
Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: 14.
Indicating R210's mental status as cognitively intact.
The (02/24/2026) email correspondence with V5 (Social Services Director) documented, in part Subject: (R210) Notes.
Kindly include any dental notes.
The (02/24/2026) email correspondence between National Preventive solutions and V36 (Social Services Assistant) documented, in part The most recent notes we have for (R210) are from 2024. (V49 - Dentist National Preventive Solutions) saw (R210) for an exam and wrote a referral for her to have extractions. (R210) is not enrolled in our dental program so she may not be added to the list to be seen regularly unless we receive a request from the facility or family. I would be happy to send you the forms from 2024 or add her to be seen during the next visit, if needed. R210's (04/01/2024) Dental Consult National Preventive Solutions documented, in part Treatment Type: Exam.
Referral extract 14, 3, 8, 9.R210's (04/01/2024) Patient Referral Form documented, in part Reason For Referral: Extract #8, 9, 3, 14. Of note, no additional dental services note received from facility including extraction of teeth # 8, 9, 3, and 14.On 02/26/2026 at 12:42pm, V50 (Clinical Support National Preventive Solutions) stated she (R210) was never enrolled in the dental program. (V49) saw her on 04/01/2024 and they never heard anything after April 01, 2024. V50 stated he (V49) did the exam and made a recommendation for teeth extraction of #3, 8, 9 and 14.
The facility should take the referral to an outside dental office. It is the facility's responsibility to schedule. V50 stated for Medicaid residents they were usually seen by their dentist 3-4 x a year and by their dental hygienist 8 times a year.
The program is paid for by Medicaid. On 02/24/2026 at 10:09am, V5 (Social Services Director) stated she (R210) was on medicaid and she should be scheduled to see a dentist and an ophthalmologist at least once every year.
She can get a pair of glasses and can have dental cleaning once a year and as needed if she needed more attention.
Nursing would let the Social Services know if she needed to be seen and she would put her on the list and she would send an email out for eye and dental appointment. On 02/25/2026 at 9:44am, V2 (Director Of Nursing) stated dental services should be provided to the resident at least yearly. If the dental service was last provided in 2024, it means she (R210) was not provided dental service the whole year of 2025. On 02/25/2026 at 1:38pm, V43 (Assistant Administrator) stated the facility did not have Dental services policy and procedure as it relates to frequency of providing the services.
Requested V43 to send an email as to the facility expectation.
The (undated) Dental Visits documented, in part Based on Centers for Medicare and Medicaid Services (CMS) regulations, nursing home facilities are required to ensure residents have access to dental services, but there is no rigid, universally mandated, specific timeframe (such as every 6mnths) for a dentist to physically see a resident.
Residents will be seen on an as needed basis.
Authored by V1 (Administrator).
The (undated) Residents' Rights for People in Long-Term Care Facilities documented, in part As a long-term care resident in the State, you are guaranteed certain rights, protections and privileges according to State and Federal laws.
Your rights to safety.
Your facility must provide services to keep your physical and mental health at their highest practicable levels.