Aperion Care Arbors Michigan City
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Based on record review and interview, the facility failed to ensure a dependent resident's family or representative was notified of changes related to a dislodged gastrostomy tube (g-tube; a tube inserted through the skin into the stomach to provide nutrition and mediations) and antibiotic orders for 1 of 3 residents reviewed for g-tubes. (Resident C)Finding includes:Resident C's record was reviewed on 10/8/25 at 9:34 a.m. Diagnoses included, but were not limited to, flaccid hemiplegia affecting the right side, aphasia (a language disorder that affects communication), dysphagia (swallowing difficulty) and g-tube status.The Quarterly Minimum Data Set assessment, dated 8/4/25, indicated the resident had severe cognitive deficits and was dependent for bed mobility and transfers.A care plan dated 11/14/21, indicated the resident had impaired cognition related to impaired short term and long-term memory and decision making. The family manages her care.The resident's profile indicated she was her own responsible party. Her family members were listed as emergency contacts.A Nurse Note, dated 9/1/25 at 5:56 a.m., indicated the resident's g-tube had become dislodged. The Nurse Practitioner (NP) had been notified, there was no documentation family had been notified.A Nurse Note, dated 9/1/25 at 9:15 a.m., indicated the NP had given orders to cleanse
the g-tube site with normal saline, pat dry and cover with a dry dressing daily and as needed. The resident was her own responsible party and aware.A Nurse Note, dated 9/11/25, indicated the Physician had given
an order for amoxicillin-pot clavulanate (an antibiotic) 875-125 milligrams (mg), twice daily for ten days and doxycycline hyclate (an antibiotic) 100 mg, twice daily for ten days related to an infection of the g-tube site.
The resident was her own responsible party and aware.A Nurse Note, dated 9/22/25, indicated the NP had given an order for Levaquin (an antibiotic) 500 mg, daily for seven days related to an infection of the g-tube site. The resident was her own responsible party.During an interview on 10/8/25 at 1:20 p.m., the Nurse Consultant indicated the resident should not be listed as her own responsible party as the family managed her care.The citation relates to Intake 2632273.3.1-5(a)(3)
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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
10/08/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aperion Care Arbors Michigan City
1101 E Coolspring Ave Michigan City, IN 46360
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 F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm
A Physician's Order, dated 9/25/25, indicated meropenem intravenous solution reconstituted, 500 milligrams (mg) intravenously every 6 hours until 10/6/25.
A Physician's Order, dated 10/6/25, indicated meropenem intravenous solution reconstituted, 500 milligrams (mg) intravenously every 6 hours until 10/20/25.
Residents Affected - Few
The September and October 2025 Medication Administration Record indicated the meropenem antibiotic was not administered as ordered on 9/25/25 at 6:00 a.m., 10/5/25 at 12:00 p.m. and 10/7/25 at 12:00 a.m.
During an interview on 10/8/25 at 2:15 p.m., the Nurse Consultant indicated she had no further information to provide.
This citation relates to Intake 2632273. 3.1-37(a)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
APERION CARE ARBORS MICHIGAN CITY in MICHIGAN CITY, IN 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 MICHIGAN CITY, 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 ARBORS MICHIGAN CITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.