Aperion Care Burbank
5701 West 79th Street · Burbank, IL · 60459 · 7084995400
56 certified beds For profit - Corporation Chain: Aperion Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $69,388 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$69,388 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 5 · $90,114 |
Inspection citations (25 in the current record)
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Potential for harm · F April 6, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Actual harm · G May 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2025 · Quality of Life and Care
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Actual harm · G November 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Actual harm · G September 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 21, 2024 · Quality of Life and Care
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Actual harm · G August 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 6, 2024 · Quality of Life and Care
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Potential for harm · F August 15, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 21, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 6, 2024 · Pharmacy Service
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Potential for harm · D August 15, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected September 6, 2024 · Quality of Life and Care
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Potential for harm · F August 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 6, 2024 · Nutrition and Dietary
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Potential for harm · F August 15, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 6, 2024 · Environmental
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Actual harm · G March 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 11, 2024 · Quality of Life and Care
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Actual harm · G October 25, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · E October 25, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected November 8, 2023 · Pharmacy Service
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Potential for harm · D October 25, 2023
Provide routine and 24-hour emergency dental care for each resident.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · D October 25, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 8, 2023 · Quality of Life and Care
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Potential for harm · E October 25, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 8, 2023 · Pharmacy Service
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Potential for harm · D October 25, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 8, 2023 · Quality of Life and Care
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Actual harm · G September 8, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 8, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 4, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 22, 2022 · Resident Rights
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Potential for harm · D August 4, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 22, 2022 · Pharmacy Service
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Potential for harm · E August 4, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected August 22, 2022 · Pharmacy Service
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Potential for harm · F August 4, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 30, 2025 | Fine | $12,438 |
| November 21, 2024 | Fine | $14,050 |
| August 15, 2024 | Fine | $42,900 |
| August 15, 2024 | Payment Denial | 9 days |
| March 8, 2024 | Fine | $10,839 |
| September 8, 2023 | Fine | $9,887 |
| September 8, 2023 | Payment Denial | 44 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145913 · certified since November 13, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.