Aperion Care Arbors Michigan City

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/08/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aperion Care Arbors Michigan City

1101 E Coolspring Ave Michigan City, IN 46360

SUMMARY STATEMENT OF DEFICIENCIES