Aperion Care Fox River
355 Raymond Street, Elgin, IL 60120 · Kane County · (847) 697-6636
94 certified beds, about 82 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145447 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2025, inspectors cited 3 health deficiencies (the Illinois average is 12.6, the national average 9.2).
None of its 10 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.17 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.
39.7% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Aperion Care, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
104/23
605/24
303/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
2F
Potential for minimal harm
0A
0B
0C
March 13, 2025Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop control measures for identified internal factors that increase the risk of Legionella growth and failed to have ways to intervene when control measures were not met. The facility also failed to follow their policy for Enhanced Barrier Precautions and hand hygiene. This applies to all 81 residents residing in the facility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement fall interventions for a resident that had a history of a fall. This applies to 1 of 3 residents (R68) reviewed for falls in the sample of 18.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review the facility failed to identify and provide interventions for tube feeding intolerance and fluid needs, that meet the nutritional needs of a resident dependent on enteral feeding in accordance with the facility policy. This applies to 1 of 3 residents (R28) reviewed for nutrition in the sample of 18.
May 17, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a dependent resident's transferring status, failed to safely use a transfer device, and safely assist residents with positioning when in wheelchairs. This applies to 4 of 4 (R41, R49, R57, and R275) residents reviewed for accidents and hazards in sample of 21.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide correct-sized wheelchairs and wheelchair devices for residents who require the use of a wheelchair. The facility also failed to provide a toilet riser to accommodate a resident's toileting needs. This applies to 2 out of 2 (R49 and R41) residents reviewed for assistive devices in a sample of 21.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assist residents needing assistance with eating during meal service. This applies to 2 of 5 residents (R40 and R44) reviewed for activities of daily living when eating in a sample of 21.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to evaluate and treat residents with skin conditions. The facility also failed to ensure a resident with an implanted pacemaker had the pacemaker transmitter functioning at the bedside and failed to ensure all staff were aware of the residents who had a pacemaker. This applies to 3 of 3 residents (R44, R5, R35) reviewed for quality of care in a sample of 21.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on Observation, Interview and Record Review the facility failed to ensure the resident received respiratory care and services that is in accordance with professional standards of practice for 2 of 2 residents (R7 and R16) reviewed for oxygen therapy in the sample of 21.
April 20, 2023Standard inspection · 1 citation
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to accurately assess and implement interventions for residents at risk for elopement. This applies to 5 of 5 residents (R6, R30, R53, R57 and R58) reviewed for wandering in a sample of 16.
Fire safety inspections
40 fire safety citations on file: 11 on March 13, 2025, 23 on May 17, 2024, 6 on April 20, 2023.
Every fire safety citation40 citations
- F Install a two-hour-resistant firewall separation.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have exits that are accessible at all times.
- E Provide properly protected cooking facilities.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Have simulated fire drills held at unexpected times.
- F Conduct risk assessment and an All-Hazards approach.
- F Address patient/client population and determine types of services needed.
- F Establish policies and procedures including evacuation.
- F Establish policies and procedures for sheltering.
- F Establish policies and procedures for medical documentation.
- F Establish policies and procedures for volunteers.
- F List the names and contact information of those in the facility.
- F Establish staff and initial training requirements.
- F Implement emergency and standby power systems.
- F Install a two-hour-resistant firewall separation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F Install a two-hour-resistant firewall separation.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- D Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.17 | 3.45 | 3.86 |
| Registered nurses | 1.09 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.07 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.18 | ||
| Nursing staff turnover (share who left in a year) | 39.7% | 44.5% | 45.8% |
| Registered nurse turnover | 10.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.32 on weekdays and 2.79 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.17 | 1.09 | 3.32 | 2.79 | 0.4% | 0 of 90 | 82 |
| Oct to Dec 2025 | 3.21 | 1.18 | 3.36 | 2.82 | 0.5% | 0 of 92 | 83 |
| Jul to Sep 2025 | 3.34 | 1.19 | 3.51 | 2.91 | 0.2% | 0 of 92 | 80 |
| Apr to Jun 2025 | 3.57 | 1.27 | 3.75 | 3.11 | 0.2% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Illinois
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 0.9 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.9 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.1 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.2 | 1.8 |
Owners and operators
Legal business name: APERION CARE FOX RIVER LLC. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goldfarb, Brian | Direct ownership interest | Individual | 07/01/2023 | |
| Geigel, Katherine | Managing control - governing body | Individual | 07/01/2023 | |
| Laptapon, Maria | Managing control - governing body | Individual | 07/01/2023 | |
| Spector, Jennifer | Corporate officer | Individual | 07/01/2023 | |
| Ulbert, Lisa | Corporate officer | Individual | 07/01/2023 | |
| Aperion Care Inc | Operational/managerial control | Organization | 07/01/2023 | |
| Lagtapon, Enrico Gregario | Operational/managerial control | Individual | 07/01/2023 | |
| Laptapon, Maria | Operational/managerial control | Individual | 07/01/2023 | |
| Shroff, Pranav Kumar | Operational/managerial control | Individual | 07/01/2023 | |
| Spector, Jennifer | Operational/managerial control | Individual | 07/01/2023 | |
| Turofsky, Steven | Operational/managerial control | Individual | 07/01/2023 | |
| Ulbert, Lisa | Operational/managerial control | Individual | 07/01/2023 | |
| Wilhelm, Naftali | Operational/managerial control | Individual | 07/01/2023 | |
| Berkowitz, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/25/2025 | |
| Lagtapon, Enrico Gregario | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/08/2025 | |
| Meystel, Yosef | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/25/2025 | |
| Aperion Care Exec Holdings LLC | Adp of the SNF | Organization | 07/01/2023 | |
| Aperion Care Inc | Adp of the SNF | Organization | 07/01/2023 | |
| Aperion Consulting, LLC | Adp of the SNF | Organization | 07/01/2023 | |
| Curis Services LLC | Adp of the SNF | Organization | 07/01/2023 | |
| David a Berkowitz Delta Trust | Adp of the SNF | Organization | 07/01/2023 | |
| Fox Prop, LLC | Adp of the SNF | Organization | 03/25/2025 | |
| Joshua Hoffman Trust | Adp of the SNF | Organization | 07/01/2023 | |
| Yosef Meystel Declaration of Tr of Yosef Meystel Ttee | Adp of the SNF | Organization | 07/01/2023 | |
| Yosef Meystel Delta Trust | Adp of the SNF | Organization | 07/01/2023 | |
| Frankel, Frederick | Adp of the SNF | Individual | 07/01/2023 | |
| Geigel, Katherine | Adp of the SNF | Individual | 07/01/2023 | |
| Lagtapon, Enrico Gregario | Adp of the SNF | Individual | 07/01/2023 | |
| Laptapon, Maria | Adp of the SNF | Individual | 07/01/2023 | |
| Seitler, Dovid | Adp of the SNF | Individual | 07/01/2023 | |
| Shroff, Pranav Kumar | Adp of the SNF | Individual | 07/01/2023 | |
| Spector, Jennifer | Adp of the SNF | Individual | 07/01/2023 | |
| Turofsky, Steven | Adp of the SNF | Individual | 07/01/2023 | |
| Ulbert, Lisa | Adp of the SNF | Individual | 07/01/2023 | |
| Wilhelm, Naftali | Adp of the SNF | Individual | 07/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 13, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 17, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 17, 2024: "Reasonably accommodate the needs and preferences of each resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Crescent Care of Elgin Elgin, 0.5 mi · 4 of 5 stars · 23 citations
- Aperion Care Elgin Elgin, 2.1 mi · 3 of 5 stars · 35 citations
- River View Rehab Center Elgin, 2.2 mi · 2 of 5 stars · 46 citations
- The Pearl of Fox River Valley Elgin, 2.6 mi · 3 of 5 stars · 30 citations
- Tower Hill Healthcare Center South Elgin, 2.7 mi · 1 of 5 stars · 55 citations
- South Elgin Living & Rehab Center South Elgin, 2.9 mi · 2 of 5 stars · 49 citations
- Pearl of Elgin, the Elgin, 3.5 mi · 4 of 5 stars · 37 citations
- Highland Oaks Elgin, 4 mi · 5 of 5 stars · 11 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Aperion Care Fox River's Medicare star rating?
- CMS rates Aperion Care Fox River 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Aperion Care Fox River get at its last inspection?
- 3 health deficiencies at the standard inspection on March 13, 2025. The Illinois average is 12.6.
- Has Aperion Care Fox River been fined?
- CMS lists no fines in the last three years.
- Does Aperion Care Fox River accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Aperion Care Fox River?
- CMS lists 35 owners and managers, and links the home to Aperion Care. Legal business name: APERION CARE FOX RIVER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.