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Complaint Investigation

Aperion Care Vincennes

October 22, 2025 · Vincennes, IN · 3801 Old Bruceville Road, Box 136
Citations 1
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 October 22, 2025.

Found 1 citation. 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

FF0849
Administration Deficiencies
Potential for More Than Minimal Harm

During record review on 10/21/25 at 10:30 A.M., Resident C's diagnoses included but were not limited to large B-cell lymphoma lymph nodes of multiple sites.

Resident C's most recent MDS dated [DATE] indicated the resident was not receiving hospice care.

Resident C's physician orders included, but were not limited to, pain assessments every shift (started 9/9/25), Admit to hospice (started 9/17/25), supplemental oxygen at 2 liters per minute as needed for dyspnea/anxiety every shift (started 9/18/25), Lorazepam 0.5 mg every two hours as needed for anxiety/restlessness (started 9/18/25), morphine sulfate concentrate solution 20 mg/ml every 1 hour as needed for shortness of breath/pain (started 9/18/25)Resident C's facility care plan did not include a plan of care regarding hospice services.Resident C's nurse's notes included, but were not limited to the following: 10/6/25 at 4:55 P.M. - Morphine sulfate concentrate administered related to stomach pain.10/6/25 at 11:48 P.M. - Morphine sulfate concentrated administered was effective.

Resident sleeping.10/7/25 at 7:20 A.M. - Residents' respirations ceased, no apical pulse auscultated.

Resident C's medication administration record/ treatment administration record (MAR/TAR) for October 2025 indicated the resident's oxygen level was not assessed every shift as ordered during the day or night shift of 10/6/25 through 10/7/25.

During an interview on 10/22 at 11:25 A.M., RN 6 indicated following the administration of a PRN pain medication, nursing staff should reassess a resident within an hour to monitor if the medication was effective. RN 6 indicated that a resident requiring hospice services should be assessed and monitored more frequently. On 10/21/25 at 2:30 P.M., RN 8 supplied a facility policy titled Hospice Services, dated 11/18/2012.

The policy included, .The facility will provide hospice services either directly or through arrangements with a qualified service provider. 17.

All treatments and services are documented in accordance with the facility's medical record policies and nursing procedures.This citation relates to intakes 2641662 and 2639734. 3.1-35(g)(1)

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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