Aperion Care Midlothian
3249 West 147th Street · Midlothian, IL · 60445 · 7083893141
91 certified beds For profit - Individual Chain: Aperion Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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.
Total nurse staffing below 3.0 hours per resident-day
2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 3 of 5
| Total nurse hours / resident-day | 2.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $19,565 |
Inspection citations (30 in the current record)
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Potential for harm · E November 15, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 17, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · E July 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · F July 24, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 16, 2025 · Nursing and Physician Services
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Potential for harm · D July 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 11, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 11, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Ensure that residents are free from significant medication errors.
Corrected August 11, 2025 · Pharmacy Service
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Potential for harm · F July 24, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 11, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected August 12, 2025 · Quality of Life and Care
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Potential for harm · F July 24, 2025
Dispose of garbage and refuse properly.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · E July 24, 2025
Provide and implement an infection prevention and control program.
Corrected August 11, 2025 · Infection Control
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Potential for harm · D September 6, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 7, 2024 · Resident Rights
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Potential for harm · D September 6, 2024
Ensure each resident receives an accurate assessment.
Corrected September 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 7, 2024 · Nutrition and Dietary
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Actual harm · G April 17, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 26, 2024 · Quality of Life and Care
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Actual harm · G January 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 17, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 17, 2024 | Fine | $19,565 |
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 145947 · certified since December 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.