Aperion Care Marion Llc

for wound care.Current care plans included the following:Potential for skin impairment (initiated on

disorder, gout, anemia, muscle spasms, hemiplegia and hemiparesis, diabetes mellitus, convulsions,

uropathy, and being noncompliant with care.

Interventions included minimize pressure over boney prominences (4/11/22).Non-compliant/resistive to care (initiated on 2/1/24) for refusing mediations, oxygen therapy, shower/bed baths, and oral supplement.The clinical record lacked indication the resident picked at his skin or used implements to cut his skin or wounds.A Braden Scale assessment (predicts pressure injury), dated 1/10/26, indicated that he was not at risk for developing pressure injuries. A Weekly Skin Observation note, dated 2/7/26 at 1:58 a.m., indicated his skin was warm, dry, and intact and within normal limits with good skin turgor. No foot concerns were noted. A functional abilities progress note, dated 2/13/26, indicated he required partial to moderate assistance with bathing, lower body dressing and putting on and taking off footwear. A shower sheet document, dated 2/13/26, indicated that he refused his shower because he did not feel good and a full body check was completed. A nurse's note, dated 2/13/26 at 4:55 p.m., indicated that he wasn't feeling well enough to shower and signed a refusal of shower form.A late entry weekly skin observation note, dated 2/14/26 at 11:40 p.m. and written on 2/19/26 at 6:41 p.m., indicated his skin was warm, dry, flaky and within normal limits. He refused his shower and the skin assessment with the shower, so his feet were not assessed. He had calloused areas to his feet prior to this date.A current facility policy, titled Pressure Injury and Skin Condition Assessment, and provided by the DON on 2/26/26 at 3:11 p.m. indicated the following: .4.

Each resident will be observed for skin breakdown daily during care and on the assigned bath day by the CNA.

Changes shall be promptly reported to the charge nurse who will perform the detailed assessment.This citation relates to Intake 2749190. 410 IAC (Indiana Administrative Code) 16.2-3.1-37(a)

155799 02/26/2026

Aperion Care Marion LLC 614 West 14th Street Marion, IN 46953