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Complaint Investigation

Aperion Care Vincennes

September 23, 2025 · Vincennes, IN · 3801 Old Bruceville Road, Box 136
Citations 2
CMS Rating 1/5
Beds 170
Provider ID 155042
Healthcare Facility
Aperion Care Vincennes
Vincennes, IN  ·  View full profile →
Inspection Summary

APERION CARE VINCENNES in VINCENNES, IN — inspection on September 23, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

resident states that the CNA told her she had heated the cup of water for two and a half minutes.

The resident raised the head of the bed with her remote control, and the cup of hot water was knocked over and spilled on the resident's torso and traveled to her back.

Skin was red, and blisters were noted forming.

The physician was notified, and orders were received to send to the hospital.

The area was draped with a cool compress.9/15/25 at 9:57 A.M. - Blistering present at burn site.

Some blisters open.

Resident C's wound assessments included, but were not limited to the following:9/15/2025 1:24 PM - abdomen, facility acquired burn, partial thickness, wound tissue intact skin 20%, pale pink or red epithelial 20%, bright pink or red 60%, pain rated at 5 on scaled 0 - 10 (0 being no pain and 10 being the most pain), wound measurement 34 cm (centimeters) x 10 cm x 0.10 cm (L x W x D).9/15/2025 1:28 PM - left side lower back, facility-acquired burn, partial thickness, wound tissue intact skin 15%, pale pink non-granulating 15%, bright pink or red 70%, pain rated at 5 on scale 0 - 10, wound measurement 19 cm x 12 cm x 0.10 cm.9/16/25 at 7:19 A.M. - Left trochanter (hip), facility-acquired burn, partial thickness, wound tissue 100% bright pink or red, pain rated at 4 on scale 0 - 10, wound measurement 15 cm x 8 cm x 0.10 cm.

During an interview on 9/18/25 at 10:55 A.M., the Director of Nursing (DON) indicated that staff should monitor the temperature of heated liquids that are served to residents and that there was no documentation or indication that the temperature of the water served to Resident C was monitored.

The DON indicated education was provided to staff regarding water/drinking temperatures, thermometers were provided near microwaves, and signage to remind staff to monitor temperatures had been added in the dining areas near microwaves. On 9/18/25 at 11:06 A.M., the Facility Administrator supplied a facility policy titled Precautions for Handling Hot Beverages, dated 2020.

The policy included, Staff will monitor, serve, and hold hot beverages in a safe manner to prevent potential burns. 1.

The temperature for brewing and serving hot beverages will be based on the manufacturer's recommendations for the beverage equipment utilized in the community.

Although the recommended settings for proper brewing may vary based on equipment, it is recommended that the temperature of the equipment be set at the lowest possible temperature for adequate brewing, anticipated to be in the range of 160 - 170 degrees Fahrenheit.

The serving temperature should be approximately 10 15 degrees less than the brewing temperature . 4.

Additional precautions may be implemented: a.

Assessing and identifying those individuals served who are at high risk for burning themselves with hot beverages. b. ensuring staff monitor the identified high-risk resident(s) during meal times and/or when hot beverages are served .

The deficient practice was corrected on 9/15/25 after the facility implemented a systemic plan that included the following actions: an action plan included in-service review of policy for heating or reheating food and beverages, use of microwave with staff and residents, and ongoing monitoring of the use of thermometers on each unit when reheating food and beverages.

This citation relates to intake 2605036.3.1-45(a)(1)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Aperion Care Vincennes

3801 Old Bruceville Road, Box 136 Vincennes, IN 47591

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 9/23/25 at 1:00 P.M., the maintenance director indicated that when residents move out of their room, the room is then repaired and renovated.

The maintenance director indicated that he had been at the facility for approximately four weeks and the facility was soon hiring an assistant maintenance personnel.

The window in room [ROOM NUMBER] had been broken by a lawnmower, and the facility was waiting on a repair window, and an outside source was scheduled to be at the facility the following day to bid on the work for the dining room.

Facility maintenance could not complete the larger projects and required outside sources to make those repairs. On 9/23/25 1:30 P.M., The Facility Administrator supplied an undated facility policy titled Environmental Services Policy.

The policy included, Purpose: To ensure that the facility is designed, equipped, and maintained in accordance with all governing rules and regulations and standards . It is the policy of the facility that it is constructed, equipped, and maintained to carry out the function of all services and to protect the health and safety of residents, personnel, public, and in compliance with all applicable Federal, State, and Local regulations.This citation relates to intakes 2603099, 2600442, and 2596108. 3.1-19(a)(4)

Facility ID:

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


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