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Complaint Investigation

Aperion Care Hanover

August 29, 2025 · Hanover, IN · 410 W Lagrange Rd
Citations 2
CMS Rating 1/5
Beds 125
Provider ID 155208
Healthcare Facility
Aperion Care Hanover
Hanover, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

APERION CARE HANOVER in HANOVER, IN — inspection on August 29, 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

FF0584
Resident Rights Deficiencies

During an observation and interview, on 8/29/25 at 12:54 P.M., room [ROOM NUMBER]'s heating and cooling unit showed visible light from the outside around the unit.

The wall around the unit was soft and spongy to the touch.

The Maintenance Supervisor indicated he just replaced all the units down that hallway over the last six months. A lot of the units had pans that were leaking. He had drilled holes in the backs of the units to allow water to drain.During an observation, on 8/29/25 at 11: 25 A.M., room [ROOM NUMBER] had signs of water damage.

The drywall was buckling to the left of the heating and cooling unit.

During an observation, on 8/29/25 at 11:48 A.M., room [ROOM NUMBER] had signs of water damage around the heating and cooling unit.

The paint and drywall was peeling and gapping with a white-water stain mark on the floor below the left corner of the unit.2.

During an interview, on 8/29/25 at 11:57 A.M., Resident E indicated they previously lived on the skilled side of the facility.

She did experience flooding in her room while living in room [ROOM NUMBER].

The water from the flooding ruined all of her cross-stitch supplies.

She had to throw it all away, and the facility never replaced it.

She ended up just buying new supplies herself.

The clinical record for Resident E was reviewed on 8/29/25 at 12:05 P.M. An admission Minimum Data Set (MDS) assessment, dated 3/4/25, indicated the resident was cognitively intact.

The diagnoses included, but were not limited to, anxiety, hypertension, and asthma.During an interview, on 8/29/25 at 10:34 A.M., the Maintenance Director indicated that the only flooding the facility had was in room [ROOM NUMBER], and during heavy rains water sometimes water would creep in under the doorway in the large dinning room or by the Director of Nursing's office. It was caused by a clogged drainpipe. He was unaware of any other issues in residents' rooms related to water leaks.The current facility policy, dated 3/15/17, titled, Resident Rights was provided by the Director of Nursing on 8/29/25 at 1:00 P.M.

The Policy indicated, .You have the right to a safe, clean, comfortable, and homelike environment, including but not limited to receiving treatment and supports for daily living safely .The following citation relates to Intake 2567302.3.1-19(f)(5) 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

155208 08/29/2025

Aperion Care Hanover 410 W Lagrange Rd Hanover, IN 47243

in accordance with accepted professional standards.

for 1 of 4 residents reviewed. (Resident D)Findings include:The clinical record for Resident D was

06/20/25, indicated the resident was cognitively intact.

The resident's diagnoses included, but were not limited to, anemia, end-stage renal failure, and heart failure. A current open ended physician's order, with the start date of 7/14/25 at 5:00 P.M., indicated Resident D was to have his dialysis port on his abdomen soaked with a non woven sponge for five minutes before hooking up his dialysis catheter every 24 hours.The July 2025 and August 2025 Electronic Medication Administration Record (EMAR) indicated the following dates lacked documentation the resident received his dialysis port care: July 17, July 20, July 25, July 27, July 29, August 6, August 7, and August 24, 2025.The current undated facility policy, titled Medication Administration General Guidelines, was provided by the Director of Nursing on 8/29/25 at 2:19 P.M.

The policy indicated, .The individual who administers the medication dose records the administration on the resident's MAR directly after the medication is given. At the end of each medication pass, the person administering the medications reviews the MAR to ensure necessary doses were administered and documented. In no case should the individual who administered the medication report off-duty without first recording the administration of any medications .

The resident's MAR is initialed by the person administering the medication, in the space provided under the date, and on the lines for that specific medication dose administration .This citation relates to Intake 2584623.

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 HANOVER, 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 HANOVER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.