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Aperion Care Marion LLC

614 West 14th Street, Marion, IN 46953 · Grant County · (765) 662-3701

70 certified beds, about 60 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2012

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155799 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 22, 2026, inspectors cited 9 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 53 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $15,935 in the last three years; the largest was $15,935, and the latest is dated February 26, 2026.

Nurses and nurse aides worked 4.00 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

56.7% of nursing staff left within the year CMS measured (Indiana average 45.9%).

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.

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 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
40D
7E
4F
Potential for minimal harm
0A
0B
0C
July 22, 2026Complaint inspection · 1 citation
  1. G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · deficient, provider has August 7, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure urinary catheters were inflated and anchored with the correct size catheter balloon according to physician's orders for 1 of 3 residents reviewed for urinary catheters. (Resident D)
April 22, 2026Standard inspection · 9 citations
  1. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the designated Infection Preventionist (IP) worked the required hours to manage the Infection Prevention and Control Program (IPCP), including infection surveillance, staff training, and antibiotic stewardship monitoring to mitigate the risk of the spread of infection. This deficient practice had the potential to affect 62 of 62 residents living in the facility.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on observation and interviews, the facility failed to ensure a safe environment for residents when steam tables were left on and unattended in the main dining room. This deficient practice had the potential to affect 9 cognitively impaired and independently mobile residents of 62 residents residing in the facility.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on observation and interview, the facility failed to provide notification of Medicare Non-Coverage (NOMNC) at the end of Medicare A-covered services for 1 of 3 residents reviewed for beneficiary notification. (Resident 7).
  4. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was free from the use of a chemical restraint related to the use of an antipsychotic medication without clinical indication and without the development of non-pharmacological interventions for 1 of 5 residents reviewed for unnecessary medications. (Resident 21)
  5. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide residents and/or their representatives with written notice of transfer/discharge and bed hold policy for 2 of 3 residents reviewed for hospitalizations (Resident 2 and Resident 70).
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure shift to shift narcotic count and reconciliation was completed to mitigate risk of misappropriation for 2 of 3 carts reviewed for medication reconciliation. (D1 Hall and E1 Hall)
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure non-pharmacological interventions were developed and implemented for a resident prior to ordering an antipsychotic medication for insomnia for 1 of 5 residents reviewed for unnecessary medications. (Resident 3)
  8. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was prepared and served under safe and sanitary conditions when food was handled with bare hands during a meal service observation.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was served under safe and sanitary conditions regarding food handling during a meal observation for 1 of 16 residents observed in the dining room. (Resident 49)
February 26, 2026Complaint inspection · 2 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on interview and record review, the facility failed to identify the risk for the development of wounds and failed to develop and implement interventions to prevent wounds for 1 of 3 residents reviewed for wounds. (Resident B) This deficient practice resulted in the resident requiring hospitalization and surgical intervention to treat a severely infected diabetic ulcer to their foot.
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on record review and interview, the facility failed to develop and implement individualized interventions to mitigate the risk of pressure injuries for a resident experiencing decreased mobility while recovering from a hip fracture for 1 of 3 residents reviewed for pressure injuries. (Resident E)
September 30, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was free from verbal abuse and intimidation by a staff member for 1 of 3 residents reviewed for abuse. (Resident C)
September 9, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure physician orders for blood pressure and heart rate parameters were followed when medications were administered for 2 of 3 residents reviewed for blood pressure medications. (Resident B and Resident D)
July 17, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and ensure the resident environment remained free of potential hazards for 2 of 4 residents reviewed for smoking. (Resident B, Resident E)
May 2, 2025Standard inspection · 14 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Dietary Manager completed the required education to meet the qualifications for a dietary manager. This deficiency had the potential to impact 58 of 58 facility residents who received meals from the facility kitchen.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure food was prepared and served under safe sanitary conditions regarding food handling and hand washing. This deficient practice had the potential to affect 55 of 55 residents who received their meals from the kitchen.
  3. E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure mail was distributed to the residents on Saturdays. This deficiency had the potential to affect 58 of 58 residents who resided in the facility.
  4. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents and/or resident representatives received a copy of their baseline care plans on admission for 5 of 5 residents reviewed for care plans. (Resident 8, 52, 57, 61, and 264)
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteDuring observation, record review, and interview, the facility failed to change, label, and date oxygen and nebulizer supplies for 4 of 4 residents (Resident 5, 34, 56, and 264) and ensured residents received the correct flow rate of oxygen for 1 of 4 residents reviewed for oxygen use of 8 residents in the facility who required supplemental oxygen (Resident 56).
  6. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure meals were at an appetizing temperature for 12 of 15 residents reviewed for palatable meals. (Resident 17, 35, 61, 116, 23, 4, 53, 38, 56, 7, 2, and 30)
  7. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to honor a resident's right to self-determination and communication for 1 of 1 resident reviewed for Resident Rights. (Resident 19)
  8. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide an accurate code status for 1 of 1 resident reviewed for advance directives. (Resident 10)
  9. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow physician orders regarding physician/nurse practitioner notification of a resident's weight gain for 1 of 23 residents reviewed for medications. (Resident 17)
  10. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a homelike environment related to a clean, sanitary environment in a resident's room for 1 of 3 resident's reviewed for environment. (Resident 34)
  11. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's representative or resident was notified in writing of transfer/discharge appeal rights for 2 of 3 residents reviewed for hospitalizations. (Resident 31 and 52)
  12. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's representative or resident received a written notice of the bed hold policy at the time of transfer for 2 of 3 residents reviewed for hospitalizations. (Resident 31 and 52)
  13. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a recapitulation of the resident's stay was included in the discharge summary when the resident discharged from the facility. (Resident 27)
  14. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow physician orders regarding daily weight monitoring and administration of blood pressure medication according to ordered parameters for 2 of 23 residents reviewed for medications. (Residents 17 and 5)
February 13, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be protected from sexual abuse perpetrated by an employee engaging in sexually-toned conversations and behavior for 1 of 1 resident reviewed for sexual abuse. (Resident B)
February 3, 2025Complaint inspection · 1 citation
  1. D
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 2, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the active licensure of a Practical Nurse (PN) who provided care to residents for 1 of 55 employees reviewed for active licensure. (PN 2)
December 16, 2024Complaint inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record review and interview and observation, the facility failed to ensure sanitary kitchen food storage and handling conditions. This deficient practice had the potential to effect 59 of 59 facility residents who received their meals from the facility kitchen.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record review and interview, the facility failed to report a resident to resident altercation to the State Agency. (Resident F and Resident G)
November 15, 2024Complaint inspection · 2 citations
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record review and interview, the facility failed to prevent a significant medication administration error for 1 of 5 residents reviewed for medication administration. (Resident B)
  2. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure nursing staff were competent in the administration of controlled medications as evidenced by RN 1 administering two opioid analgesics together to a resident (Resident B).
July 1, 2024Standard inspection, Complaint inspection · 11 citations
  1. E
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a qualified dietary manager supervised the kitchen staff and operations. This deficiency had the potential to affect 54 of 55 residents who received meals from the facility kitchen.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to obtain physician orders for medications and assess residents for self-administration of medications for 2 of 2 residents with medications stored in their rooms. (Resident 35 and Resident 52)
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure advance directives were developed and signed by the resident, who was cognitively intact and their own representative, for 1 of 2 residents reviewed for advance directive. (Resident 35)
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on record review and interview, the facility failed to accurately code medications on the Minimum Data Set (MDS) assessments for 1 of 3 residents reviewed for medication use. (Resident D)
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide grooming assistance (Resident C and D) and provide scheduled showers (Resident D) for 2 of 4 residents reviewed for activities of daily living (ADLs).
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement interventions to prevent the development of a pressure injury for 1 of 3 residents reviewed for pressure injuries. (Resident 31)
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to address the dietary needs for a dialysis resident related to impaired nutrition for 1 of 1 resident reviewed for dialysis. (Resident 28)
  8. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wrote2. Resident 108's clinical record was completed on 6/26/24 at 9:36 a.m. Diagnoses included Chronic Obstructive Pulmonary Disease (COPD), abnormalities of gait and mobility, unsteadiness on feet, and a need for assistance with personal care. An admission MDS assessment, dated 6/22/24, indicated the resident was cognitively intact. A physician's order, dated 6/20/24 at 6:00 p.m., indicated the resident should be assessed for pain every shift. A physician's order, dated 6/19/24 at 5:00 p.m., included Hydrocodone-Acetaminophen (a narcotic pain reliever) 5-325 mg, 1 tablet by mouth, every 4 hours, as needed, for moderate pain. A current care plan, dated 6/20/24, indicated to give medications as ordered by physician and to monitor and document side effects and effectiveness of medications. [...]
  9. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow pharmacy recommendations for 1 of 5 residents reviewed for unnecessary medications. (Resident 1)
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide prompt dental services for ill-fitting dentures to 1 of 2 residents reviewed for dental services (Resident 28).
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement infection prevention strategies related to enhanced barrier precautions (EBP) for 2 of 4 residents reviewed for transmission-based precautions. (Resident 44 and Resident 53)
February 8, 2024Complaint inspection · 4 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to honor a resident's preference to utilize a foot pedal for her wheelchair for 1 of 3 resident reviewed for resident rights. (Resident C)
  2. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure competent treatement for a pressure injury was completed according to physician's orders for 1 of 2 residents reviewed for wound care. (Resident D)
  3. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure annual resident rights training was completed for 1 of 4 employees (the Administrator) reviewed for annual resident rights training.
  4. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure required abuse training was completed for 2 of 4 employees reviewed for annual abuse training. (Administrator and LPN 12)
December 12, 2023Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to report a communicable disease outbreak to the Indiana Department of Health (IDOH) involving 7 of 44 residents who resided in the facility (Residents 3, 7, 16, 24, 33, 34, and 36).
November 9, 2023Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteA. Based on interview and record review, the facility failed to develop a care plan to prevent further falls for 1 of 3 residents reviewed for falls. (Resident C) B. Based on observation and interview, the facility failed to develop care plans for residents with pressure related wounds for 3 of 3 residents reviewed for wounds (Resident B, D and F).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a wound VAC (Vacuum - Assisted Closure) was placed on a resident's wound after a surgical procedure in a timely manner for 1 of 3 residents reviewed for wounds (Resident B).

Fines and payment denials

DatePenaltyAmount or length
February 26, 2026Fine $15,935

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)4.003.693.86
Registered nurses0.520.670.69
All nursing staff on weekends3.513.253.42
Nurse aides2.68
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)56.7%45.9%45.8%
Registered nurse turnover20.0%40.3%42.9%
Administrators who left0

CMS expects 5.29 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 4.20 on weekdays and 3.51 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.31 in April to June 2025 to 4.00 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.000.524.203.51 0.6%0 of 9060
Oct to Dec 20254.020.504.233.49 2.0%2 of 9260
Jul to Sep 20253.360.423.562.86 10.8%0 of 9261
Apr to Jun 20253.310.393.512.81 9.0%0 of 9160
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% 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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.911.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.93.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.611.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.43.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.713.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.622.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.710.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.41.8

Owners and operators

Legal business name: MAJOR HOSPITAL. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Aperion Indiana Investor Group, LLC5% or greater direct ownership interestOrganization12%09/21/2018
Berkowitz, BenjaminDirect ownership interestIndividual09/21/2018
Attinger, JefferyManaging control - governing bodyIndividual09/21/2018
Marshall, LatishaManaging control - governing bodyIndividual09/21/2018
Claxton, RyanCorporate officerIndividual03/27/2025
Spector, JenniferCorporate officerIndividual09/21/2018
Ulbert, LisaCorporate officerIndividual09/21/2018
Aperion Care IncOperational/managerial controlOrganization09/21/2018
Major HospitalOperational/managerial controlOrganization09/21/2018
Marshall, LatishaOperational/managerial controlIndividual09/21/2018
Mazhar, AlizaOperational/managerial controlIndividual09/21/2018
Shirels, TameraOperational/managerial controlIndividual09/21/2018
Spector, JenniferOperational/managerial controlIndividual09/21/2018
Turofsky, StevenOperational/managerial controlIndividual09/21/2018
Ulbert, LisaOperational/managerial controlIndividual09/21/2018
Wilhelm, NaftaliOperational/managerial controlIndividual09/21/2018
Berkowitz, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/05/2026
Meystel, YosefIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/05/2026
Aperion Care IncAdp of the SNFOrganization04/16/2025
Aperion Consulting, LLCAdp of the SNFOrganization09/21/2018
Curis Services LLCAdp of the SNFOrganization09/21/2018
Major HospitalAdp of the SNFOrganization04/16/2025
Attinger, JefferyAdp of the SNFIndividual09/21/2018
Claxton, RyanAdp of the SNFIndividual03/27/2025
Marshall, LatishaAdp of the SNFIndividual09/21/2018
Mazhar, AlizaAdp of the SNFIndividual09/21/2018
Shirels, TameraAdp of the SNFIndividual09/21/2018
Spector, JenniferAdp of the SNFIndividual09/21/2018
Turofsky, StevenAdp of the SNFIndividual09/21/2018
Ulbert, LisaAdp of the SNFIndividual09/21/2018
Wilhelm, NaftaliAdp of the SNFIndividual09/21/2018

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 14 problems in this area, most recently on April 22, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on July 22, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on April 22, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on April 22, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."

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Common questions

What is Aperion Care Marion LLC's Medicare star rating?
CMS rates Aperion Care Marion LLC 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aperion Care Marion LLC get at its last inspection?
9 health deficiencies at the standard inspection on April 22, 2026. The Indiana average is 7.2.
Has Aperion Care Marion LLC been fined?
Yes. CMS lists 1 fine totaling $15,935 in the last three years.
Does Aperion Care Marion LLC 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 Marion LLC?
CMS lists 31 owners and managers, and links the home to Aperion Care. Legal business name: MAJOR HOSPITAL.

Sources

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