Aperion Care Monroe
120 E Miller Dr, Bloomington, IN 47401 · Monroe County · (812) 336-1055
38 certified beds, about 32 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155532 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 7 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 23 health citations since November 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 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
46.4% 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.
911/23
104/24
510/24
708/25
106/26
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
4E
3F
Potential for minimal harm
0A
0B
1C
June 23, 2026Complaint inspection · 1 citation
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a sanitary environment for 2 of 9 resident rooms and 1 of 1 sit to stand mechanical lift. The sit to stand mechanical lift was dirty and resident rooms had flies and gnats. (room [ROOM NUMBER], room [ROOM NUMBER], Sit to Stand mechanical lift)
August 6, 2025Standard inspection, Complaint inspection · 7 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 ensure staff prepared food in accordance with professional standards for food service safety for 1 of 2 kitchen observations. This had the potential to affect 31 out of 31 residents served from the kitchen.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations, interviews, and clinical records, the facility failed to ensure flies and gnats were not present in 1 of 10 resident rooms (Resident 5, Resident 6, Resident 25), sit to stand lift foot platforms were clean for 2 of 2 sit to stand lifts used by 3 residents (Resident 2, Resident 17, Resident 26), and exposed wires were covered for 1 of 4 communal resident bathrooms observed for environmental concerns.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents have the right to be informed of and participate in their treatment for 2 of 6 residents reviewed for unnecessary medications. (Resident 7 and Resident 33)
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's representative and physician was notified of significant weight loss for 1 of 3 residents reviewed for nutrition. (Resident 25)
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff submitted a comprehensive assessment within 14 days of a resident's discharge for 1 of 15 residents reviewed for MDS assessments and timing (Resident 13).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure an accurate assessment for 1 of 15 residents reviewed for MDS (Minimum Data Set) assessment accuracy. (Resident 27)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident received nutritional supplement for a resident with an assessed weight loss for 1 of 3 residents reviewed for nutrition. (Resident 25)
October 25, 2024Standard inspection · 5 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure the written notification required for a transfer and discharge was provided to the resident and the resident representative for 1 of 1 resident reviewed for hospitalization. (Resident 33)
- 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure the notification of the bed hold policy required for a resident who transferred to the hospital was provided in writing to the resident or the resident representative for 1 of 1 resident reviewed for hospitalization. (Resident 33)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for a 2 of 2 residents reviewed for nutrition. Weight loss and IV (intravenous) nutrition were coded inaccurately. (Resident 7, Resident 31)
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to label medications with an open and expiration dates for 1 of 1 medication rooms observed. (Medication Room, Resident 14)
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with a physician order for a carbohydrate controlled diet received the correct diet for 1 of 1 resident reviewed for food. (Resident 35)
April 5, 2024Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was free from misappropriation of resident property though the diversion of a resident's controlled substance for staff use for 1 of 3 residents reviewed for misappropriation of property. (Resident B)
November 16, 2023Standard inspection · 9 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 ensure food was stored and served in a sanitary manner for 3 of 3 kitchen observations. The hand washing station did not have hot water, the air conditioning unit was dirty, items in the refrigerator and freezer were unlabeled, and the chemical strips used for the 3 compartment sink were expired. This had the potential to impact 30 of 30 residents residing in the facility.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review, the facility failed to electronically submit to the Centers for Medicare and Medicaid (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS for Quarter 3 (April 1 to June 30) of fiscal year 2023.
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, the facility failed use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 6 of 120 days reviewed.
- E Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were provided with fresh water on a routine basis for 5 out of 5 residents reviewed for hydration. (Resident 133, Resident 25, Resident 22, Resident 23, Resident 29)
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to ensure a clean and sanitary environment for 6 of 11 resident rooms and 4 of 4 bathrooms observed. Water temperatures in resident room sink faucets were not hot, floor tiles were not in place and clean, and toilet bases were not clean. (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], Northeast Bathroom, Northwest Bathroom, Southeast Bathroom, Southwest Bathroom)
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents had full access to their facility managed personal funds account during the weekend hours for 1 of 16 residents reviewed for personal funds. (Resident 5)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to ensure a care plan was developed for a resident with a surgical wound who was on a long term antibiotic for 1 of 1 residents reviewed for antibiotic use. (Resident 9)
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to monitor a resident with a new medication order for 1 of 5 residents reviewed for unnecessary medications. Blood sugars were not obtained.(Resident 11)
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the daily posted nurse staffing sheet had the actual hours worked by staff for 4 of 4 days of daily posted nurse staffing reviewed.
Fire safety inspections
33 fire safety citations on file: 6 on August 6, 2025, 20 on October 25, 2024, 7 on November 16, 2023.
Every fire safety citation33 citations
- F Implement emergency and standby power systems.
- 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 Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Develop Emergency Preparedness policies and procedures.
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures for volunteers.
- F Establish roles under a Waiver declared by secretary.
- F Develop a communication plan.
- F Establish emergency prep training and testing.
- F Implement emergency and standby power systems.
- F Meet other general requirements that are deficient.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Install properly constructed windows in hallway walls or doors.
- D Have properly installed electrical wiring and gas equipment.
- C Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Meet other general requirements that are deficient.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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 | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.17 | 3.69 | 3.86 |
| Registered nurses | 0.37 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.25 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 46.4% | 45.9% | 45.8% |
| Registered nurse turnover | 60.0% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.17 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 3.28 on weekdays and 2.88 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.82 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 | 0.37 | 3.28 | 2.88 | 0.3% | 0 of 90 | 32 |
| Oct to Dec 2025 | 3.06 | 0.44 | 3.17 | 2.80 | 0.4% | 1 of 92 | 32 |
| Jul to Sep 2025 | 2.99 | 0.51 | 3.15 | 2.57 | 7.3% | 0 of 92 | 33 |
| Apr to Jun 2025 | 2.82 | 0.43 | 3.06 | 2.22 | 6.4% | 2 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 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.
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. If you work here, your report helps start one.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| 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 | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.4 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 35.5 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.2 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 58.3 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.4 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Aperion Care Monroe's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: DAVIESS COUNTY HOSPITAL. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Daviess County Hospital | 5% or greater direct ownership interest | Organization | 100% | 09/01/2017 |
| Arvin, Faith | Contracted managing employee | Individual | 03/01/2024 | |
| Radadiya, Pragneshkumar | Contracted managing employee | Individual | 03/01/2024 | |
| Steiner, Deron | Corporate director | Individual | 09/01/2017 | |
| Conroy, Tracy | Corporate officer | Individual | 09/01/2017 | |
| Rodewald, Amanda | Corporate officer | Individual | 09/01/2017 | |
| Aperion Care Inc | Operational/managerial control | Organization | 03/01/2024 | |
| Aperion Care Monroe, LLC | Operational/managerial control | Organization | 03/01/2024 | |
| Berkowitz, David | Operational/managerial control | Individual | 03/01/2024 | |
| Goldfarb, Brian | Operational/managerial control | Individual | 03/01/2024 | |
| Hoffman, Joshua | Operational/managerial control | Individual | 03/01/2024 | |
| Meystel, Jay | Operational/managerial control | Individual | 03/01/2024 | |
| Meystel, Yosef | Operational/managerial control | Individual | 03/01/2024 | |
| Spector, Jennifer | Operational/managerial control | Individual | 03/01/2024 | |
| Turofsky, Steven | Operational/managerial control | Individual | 03/01/2024 | |
| Ulbert, Lisa | Operational/managerial control | Individual | 03/01/2024 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on August 6, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 3 problems in this area, most recently on June 23, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Hearthstone Health Campus Bloomington, 0.3 mi · 5 of 5 stars · 10 citations
- Brickyard Healthcare - Bloomington Care Center Bloomington, 1.4 mi · 1 of 5 stars · 21 citations
- Bell Trace Health and Living Center Bloomington, 2.8 mi · 5 of 5 stars · 4 citations
- Majestic Care of Bloomington Bloomington, 2.8 mi · 3 of 5 stars · 8 citations
- Stonecroft Health Campus Bloomington, 4.1 mi · 5 of 5 stars · 4 citations
- Richland Bean Blossom Health Care Center Ellettsville, 8.5 mi · 1 of 5 stars · 25 citations
- McCormick's Creek Rehabilitation and Healthcare Spencer, 13.7 mi · 4 of 5 stars · 8 citations
- Brown County Health and Living Community Nashville, 16.1 mi · 5 of 5 stars · 3 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. 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: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Aperion Care Monroe's Medicare star rating?
- CMS rates Aperion Care Monroe 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Aperion Care Monroe get at its last inspection?
- 7 health deficiencies at the standard inspection on August 6, 2025. The Indiana average is 7.2.
- Has Aperion Care Monroe been fined?
- CMS lists no fines in the last three years.
- Does Aperion Care Monroe 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 Monroe?
- CMS lists 16 owners and managers, and links the home to Aperion Care. Legal business name: DAVIESS COUNTY HOSPITAL.
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.