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Complaint Investigation

Aperion Care Tolleston Park

February 24, 2026 · Gary, IN · 2350 Taft St
Citations 3
CMS Rating 1/5
Beds 178
Provider ID 155580
Healthcare Facility
Aperion Care Tolleston Park
Gary, IN  ·  View full profile →
Inspection Summary

APERION CARE TOLLESTON PARK in GARY, IN — inspection on February 24, 2026.

Found 3 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

FF0677
Quality of Life and Care Deficiencies

During an interview on 2/19/26 at 11:15 a.m., CNA 3 indicated she was able to shave the resident that day.

During an interview on 2/19/26 at 11:20 a.m., the Assistant Director of Nursing indicated the resident was shaved that day and had no additional information to provide. 6.

The closed record for Resident B was reviewed on 2/17/26 at 2:35 p.m.

Diagnoses included, but were not limited to, non-traumatic subarachnoid hemorrhage (bleeding of the brain) and chronic respiratory failure.

The resident was admitted to the facility on [DATE] and discharged to the hospital on [DATE].

The 11/24/25 admission Minimum Data Set (MDS) assessment indicated the resident was not cognitively intact for daily decision making.

The resident required substantial to maximum assistance for bathing. A Care Plan, dated 11/22/25, indicated the resident had an ADL (activities of daily living) self-care/mobility performance deficit that would fluctuate throughout the day related to activity intolerance.

Interventions included, but were not limited to, adjust provision of ADLs to compensate for resident's changing abilities and the resident required substantial to maximum assistance with bathing.

Shower documentation provided by the facility indicated the resident did not receive a shower on 11/24, 12/1, and 12/8/25.

The resident received a shower on 12/4 and 12/11/25 and a bed bath on 11/27 and 12/15/25. A Nurse's Note, dated 12/3/25 at 1:54 p.m., indicated the resident had received a shower and her hair was washed. A Nurse's Note, dated 12/7/25 at 8:20 a.m., indicated the resident received patient care from the CNA.

During an interview on 2/19/26 at 11:50 a.m., the Director of Nursing was informed the resident did not receive at least two showers a week and she had no additional information to provide.

This citation relates to Intake 2705437. 3.1-38(a)(3)(A)3.1-38(a)(3)(C)3.1-38(a)(3)(D)3.1-38(a)(3)(E)

155580 02/24/2026

Aperion Care Tolleston Park 2350 Taft St Gary, IN 46404

During an interview on 2/19/26 at 3:48 p.m., Unit Manager 1 indicated the resident had doppler (a test of blood flow) and x-rays of his foot completed, but he did not tell her how it started hurting.

She indicated she would have maintenance come fix the closet door.

During an interview on 2/24/26 at 10:15 a.m., the Director of Nursing was informed of the findings and offered no additional information.

This citation relates to Intake 2705437. 3.1-45(a)

155580 02/24/2026

Aperion Care Tolleston Park 2350 Taft St Gary, IN 46404

in accordance with accepted professional standards.

accurately documented related to a resident death for 1 of 5 residents reviewed for accidents.

included, but were not limited to, end stage renal disease.A Death in Facility Minimum Data Set (MDS) entry was completed on 12/11/25.A Progress Note, dated 12/11/25 at 9:39 a.m., indicated the resident had left the facility to go to dialysis. No acute distress noted at this time.

There were no further progress notes documented.

During an interview on 2/24/26 at 10:25 a.m., the Director of Nursing indicated the resident had gone out to dialysis and coded while there.

She had passed away that day and had not returned to the facility.

The resident's death had not been documented in the progress notes, but her discharge would have been reflected in the midnight census.This citation relates to Intake 2712287.3.1-50(a)(1)

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 GARY, IN, (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 TOLLESTON PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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