Aperion Care Wilmington
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm
abuse. has been reported and is being investigated. The policy further showed Informing Local Law Enforcement. The facility shall also contact local law enforcement authorities. in the following situations:.
Sexual abuse of a resident by a staff member, another resident, or visitor. When there is a reasonable suspicion that a crime has been committed in the facility by a person other than a resident .
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
10/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aperion Care Wilmington
555 West Kahler Wilmington, IL 60481
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 F0610
F 0610
Respond appropriately to all alleged violations.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to follow their abuse policy by failing to timely investigate an allegation of abuse and suspend the alleged perpetrator. This applies to 1 resident (Resident R1) reviewed for abuse allegations in a sample of 3.The findings include:On 10/9/25 at 4:00 PM, Resident R1 stated that on 9/28/25, V3 (Nurse) was applying cream to her buttocks during wound care and then V3 applied the cream to her vaginal area and labia. Resident R1 said that she felt that it felt sexual and that the nurse was violating her. Resident R1 said that she reported the incident to V10 (Psychiatric Rehabilitation Service Coordinator/PRSC) on 10/2/25.Resident R1 is a [AGE] year-old female admitted to the facility on [DATE REDACTED] with diagnoses of major depressive disorder, bipolar disorder, anxiety disorder, and suicidal ideations. Resident R1's 8/15/25 MDS (Minimum Data Set) shows that Resident R1's cognition is intact.On 10/10/25 at 1:14 PM, V10 (PRSC) stated that on 10/2/25, Resident R1 told her that V3 (Nurse) had provided wound care to Resident R1. V10 stated Resident R1 told her that V3 applied a cream on and around her wound and then to Resident R1's genital area, where it should not have been put on. V10 said Resident R1 told her that V3 then touched her genital areas. V10 said that Resident R1 told her that it made her feel bad and that she had to clean
the area to clean the fingerprints off. V10 said she immediately reported the incident to her supervisor, V11 (Social Service Director), and then V11 went with V10 to V1's (Administrator) office to report the incident to V1. On 10/10/25 at 1:31 PM, V11 verified he went with V10 to V1's office on 10/2/25 and was present when V10 reported Resident R1's alleged abuse to V1.On 10/9/25 at 3:40 PM, V2 (Director of Nursing/DON) said that Resident R1 alleged sexual abuse because she felt that V3 touched her inappropriately during wound care. V2 said that
she was informed by V1 of the incident on 10/5/25 (three days after originally reported) and she interviewed Resident R1 on 10/6/25. V2 said that she received a document from V10 dated 10/2/2025 stating that Resident R1 was allegedly sexually abused, but V2 said she could not recall when she received the document. V2 said that V3 (Nurse) remained working until 10/10/25 when V3 was suspended pending the investigation (eight days
after the initial allegation). V2 said that the facility is to report allegations of abuse to the state surveying agency within 2 hours of it being reported and the facility did not do that. V2 said that the facility notified the state surveying agency on 10/9/25 and the incident was reported to the facility staff on 10/2/25. V2 said that
the facility should have reported it to the state surveying agency on 10/2/25.On 10/15/25 at 12:53 PM, V1 (Administrator) said Resident R1's allegation of sexual abuse was reported to V10 on 10/2/25, and the facility reported it to the state surveying agency on 10/9/25. V1 said that V3 was not suspended on 10/2/25 as per
the facility's policy and was not suspended until 10/10/25. V1 said based on the facility's policy, the person alleged to have abused a resident is to be suspended for the safety of all residents.Under Protection of Residents in the facility's Abuse Prevention and Reporting policy (rev. 10/24/2022), it showed .Employees of
this facility who have been accused of abuse .will be removed from resident contact immediately. The employee shall not be permitted to return to work until the results of the investigation have been reviewed
The Internal Investigation portion of the policy showed .Any incident or allegation involving abuse .will result
in an investigation .
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
APERION CARE WILMINGTON in WILMINGTON, 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 WILMINGTON, 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 WILMINGTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.