Aperion Care Vincennes
APERION CARE VINCENNES in VINCENNES, IN — inspection on May 28, 2026.
Found 3 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.
Inspection Findings
Observation on 5/27/26 at 1:25 P.M., Resident B's dialysis communication binder was behind the nurse's station.
The binder was empty upon review.
Interview on 5/27/26 at 2:00 P.M., LPN 3 indicated dialysis communication forms were used to communicate information such as pre and post dialysis vital signs and any new orders or instructions from the dialysis center.
Interview on 5/27/26 at 3:15 P.M., the Facility Administrator indicated the resident's dialysis communication binder had been emptied after the resident passed away on 5/18/26.
The Facility Administrator indicated the ambulance service that provided transportation for the resident to and from dialysis also may have had the communication sheets. A handwritten note with dates of dialysis appointments indicated the resident had been scheduled two days per week and often missed dialysis appointments.
The Director of Nursing (DON) indicated the dialysis center changed the resident's order from three days per week to two days per week without notifying the facility.On 5/27/26 at 3:38 P.M., the Facility Administrator provided a copy of the dialysis contract, dated 3/9/26 and titled, Nursing Home Dialysis Transfer Agreement.
The contract included, .15.
Medical Records.
Center shall maintain reports of all services rendered by center in accordance with it's usual medical records procedures .
Facility shall have the right to photocopy any such reports, records or documents for inclusion in it's own records.On 5/27/26 at 3:58 P.M., the Facility Administrator provided a treatment attendance record from the dialysis center that included scheduled dialysis dates from 3/2/26 through 5/18/26. A noted on the attendance record included, Patient treatments were prescribed two treatments per week on Monday and Friday (morning) .This citation relates to intake 3020811. 410 IAC (Indiana Administrative Code ) 16.2-3.1-37(a) 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155042 05/28/2026
Aperion Care Vincennes 3801 Old Bruceville Road, Box 136 Vincennes, IN 47591
day (started 5/1/26), and diphenoxylate-atropine (Lomotil) oral tablet 2.5-0.025 MG one tablet by
times a day 5/1/26 through 5/4/26, and on 5/6/26, Artificial Tears one drop in both eyes four times a
5/1/26 through 5/4/26 and on 5/9/26.Nurse's notes included the following:5/2/26 at 11:01A.M. - Order Administration Note - Diphenoxylate-atropine oral tablet 2.5-0.025 MG pending from pharmacy.
Not available in the Emergency Drug Kit (EDK).
Physician aware.5/2/26 at 5:36 P.M. - Order Administration Note - Pregabalin oral capsule 225 MG pending from pharmacy, not in EDK, physician aware. 5/3/26 at 7:46 A.M. - Order Administration Note - Pregabalin oral capsule 225 MG pending from pharmacy.5/3/26 at 7:46 A.M. - Order Administration Note - Diphenoxylate-atropine oral tablet 2.5-0.025 MG pending from pharmacy.5/4/26 at 7:58 A.M. - Order Administration Note - Diphenoxylate-atropine oral tablet 2.5-0.025 MG pending from pharmacy.5/4/26 at 7:59 A.M. - Order Administration Note - Pregabalin oral capsule 225 MG pending from pharmacy.5/8/26 at 11:36 A.M. - Order Administration Note - Note Artificial Tears Ophthalmic Solution 0.2-0.2-1 % on order.
Physician aware.
Interview on 5/28/26 at 10:10 A.M. the Director of Nursing (DON) indicated the facility had been in between pharmacies and during the transition period some resident medications were briefly unavailable, and there had been an issue with insurance coverage for medications when a resident returned from a transfer to another facility. On 5/28/26 at 12:22 P.M., the Facility Administrator supplied a copy of the signed pharmacy contract, titled Pharmacy Services Agreement.
The contract included, .effective as of the 6th day of March 2026 . 1.2 Delivery Schedule.
The pharmacy agrees to deliver to the facility any prescriptions and supplies seven (7) days per week.
All medications will be delivered within reasonable times, except for circumstances and conditions beyond its control .
This citation relates to intake 3020811.410 IAC (Indiana Administrative Code) 16.2-3.1-25(a)
155042 05/28/2026
Aperion Care Vincennes 3801 Old Bruceville Road, Box 136 Vincennes, IN 47591
(Resident B)Finding includes:Resident B's record review on 5/26/26 at 1:30 P.M., indicated the
cirrhosis of liver, and atrial fibrillation (A-fib).
The most recent quarterly minimal data set (MDS) assessment, dated 5/11/26, indicated the resident was cognitively intact and received dialysis services.
Physician orders included but were not limited to, Prothrombin Time/ International Normalized Ration - PT/INR (lab test to measure how quickly blood clots) daily for two weeks due to increased results (started 5/13/26).
The May 2026 Medication Administration Record / Treatment Administration Record (MAR/TAR) included the PT/INR daily for two weeks order that started on 5/13/26 and indicated the lab test was not completed on 5/15/26, 5/16/26, and 5/17/26.
The order was discontinued on 5/18/26.
Nurse's notes included but were not limited to the following:5/16/26 at 6:15 P.M. - The lab can't come to facility this weekend to draw resident PT/INR.
Physician is aware. 5/17/26 at 7:42 A.M. - The lab can't come out this weekendInterview on 5/27/26 at 10:40 A.M., the Director of Nursing and Facility Administrator indicated the facility's contracted lab service was unrealizable and would only come to the facility once a week to provide lab services.
The facility attempted to use a local hospital lab service to complete Resident B's PT/INR lab orders; however the hospital lab staff was unable to come to the facility. On 5/27/26 at 11:03 A.M., the Facility Administrator supplied a copy of an outsourced lab contract, signed and dated 3/20/24.
The Laboratory Service Agreement included, This Laboratory Services Agreement . effective as of March 1, 2024 . I.
Services. [Lab Company] will travel to Client Locations to draw and/or collect patient specimens for duly ordered tests and will transport the specimens to one of [Lab Company] laboratories for testing all in accordance with the terms of the Laboratory Services Agreement and this Exhibit (or arrange for performance by a duly licensed reference laboratory) . a.
Testing ordered on an urgently time sensitive basis (STAT Testing) incurs an additional fee of $30.00 per patient per visit. ST AT Testing is based on the AHA Standard Testing Fee Schedule and is only available for the tests set forth on Schedule I (attached hereto); b.
Set-Time Collection fee of $30.00 per requested Set-Time Collection.
Set-Time Collection means a request by Facility for one or more patient specimens to be collected at a specific time . STAT Testing Schedule .
Hematology & Coagulation . 3.
Prothrombin Time (PT/INR) .An interview on 5/27/26 at 2:30 P.M., RN 4 indicated the facility did not have a contract with the hospital lab.
This citation relates to intake 3020811. 410 IAC (Indiana Administrative Code) 16.2-3.1-49(a)
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.