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Complaint Investigation

Aperion Care Wilmington

February 23, 2026 · Wilmington, IL · 555 West Kahler
Citations 2
CMS Rating 1/5
Beds 171
Provider ID 145316
Healthcare Facility
Aperion Care Wilmington
Wilmington, IL  ·  View full profile →
Inspection Summary

APERION CARE WILMINGTON in WILMINGTON, IL — inspection on February 23, 2026.

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.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

regulation will be notified.

Robbery: Immediately following the robbery: Notify the police

145316 02/23/2026

Aperion Care Wilmington 555 West Kahler Wilmington, IL 60481

professional principles; and all drugs and biologicals must be stored in locked compartments,

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on

medication room.

This applies to 2 of 2 residents (R7 and R8) reviewed for medication storage.The findings include:On 02/13/26 at 11:15 AM, V3 (Registered Nurse/RN) stated on 08/09/25 he left two bingo cards of Norco, one for R7 and one for R8 on top of the cabinet in the medication room. V3 stated he took a break and when he returned from break, the medications were not where he placed them. V3 stated only him and V4 (RN) had keys to the medication room. V3 stated he searched the medication room and found both of the bingo cards inside of V4's unzipped shoulder bag. V3 stated he contacted V2 (Director of Nursing/DON) and informed her of the situation. V3 stated V2 and V1 (Administrator) immediately came to the unit. On 02/14/26 at 1:44 PM, V2 stated on 08/09/25, she received a call from V3. V3 stated he had placed two narcotic medications (Norco) on the counter in the medication room that were due to be wasted. V2 stated V3 took his break, and when he returned, the medications were not where he put them. V2 stated V4 had two bingo cards with Norco for two separate residents in her personal bag. V2 stated the bingo cards were visible and wrapped with the narcotic sheets still attached to them. V2 stated she removed the medications from V4's personal bag. V2 stated when narcotic medications are in the medication room, they should be double locked.

On 02/23/26 at 3:18 PM, V1 stated the narcotic medications found in V4's personal bag belonged to R7 and R8. On 02/23/26 at 3:41 PM, V12 (Assistant Director of Nursing) stated narcotic medications stored in the medication room should have been double locked and not stored on the cabinet. V12 stated the medications should have been placed back in the narcotic drawer in the medication cart, and locked. R7 was admitted to the facility on [DATE] with multiple diagnoses which included major depressive disorder, bipolar, anxiety, osteoarthritis, cervicalgia, and left-hand contracture per R7's Face Sheet. R7's Order Sheets for 07/01/25 through 08/30/25 showed a discontinued order for Norco Tablet 10-325 mg, give one tablet every 12 hours as needed for pain, start date 07/11/25.

The same orders showed another discontinued order for Norco Tablet 10-325 mg, give one tablet every 8 hours as needed for pain, start date 08/09/25. R8 was admitted to the facility on [DATE] with multiple diagnoses which included acquired absence of right leg below knee, cognitive communication deficit, end stage renal disease, anxiety disorder, gout, and diabetes per R8's Face Sheet. R8's Order Sheets for August 2025 showed an order for Norco Tablet 5-325 mg (milligrams) give one tablet by mouth every 12 hours as needed for sever pain (7-10 on pain scale), for 5 days.

The same orders showed the medication was ordered and started on 08/01/25 and ended on 08/06/25.

The facility's Storage of Medications Policy showed Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier.

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.


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