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Aperion Care Wilmington

555 West Kahler, Wilmington, IL 60481 · Will County · (815) 476-2200

171 certified beds, about 161 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145316 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 18, 2025, inspectors cited 10 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 50 health citations since January 2023, 6 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $153,859 in the last three years; the largest was $101,742, and the latest is dated February 14, 2025.

Nurses and nurse aides worked 2.15 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

43.3% 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.

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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
2L
Actual harm
3G
0H
0I
Potential for more than minimal harm
26D
11E
5F
Potential for minimal harm
0A
1B
1C
July 1, 2026Complaint inspection · 2 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 5, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to protect the residents' right to be free from physical abuse by another resident. This applies to 4 residents (R1, R2, R3 and R4) reviewed for abuse in a sample of 5.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 5, 2026
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate allegations of abuse. This applies to 4 residents (R1, R2, R3, R4) reviewed for abuse investigations in a sample of 5 residents.
June 4, 2026Complaint inspection · 1 citation
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to protect the residents' rights to be free from verbal and physical abuse by a resident who frequently demonstrated verbal and physical abuse to others in the facility. This applies to 4 of 6 residents (R20, R37, R93, R145) reviewed for abuse in the sample of 33. A reasonable person would feel targeted, paranoid, and not safe based on R133's behaviors and physical abuse to other residents.
April 30, 2026Complaint inspection · 2 citations
  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) May 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident. This applies to 1 resident (R2) reviewed for abuse in a sample of 3 residents.
  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) May 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to report a resident to resident abuse allegation to the state surveying agency and to the police. This applies to 2 of 2 residents (R1,R2) reviewed for abuse in a sample of 3 residents.
March 17, 2026Complaint inspection · 4 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure residents have a safe, functional, sanitary, and comfortable restroom environment. This applies to 18 of 18 residents (R3, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24) reviewed for restroom environment in sample of 24.
  2. 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) April 28, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to protect a resident's right to be free from resident-to-resident physical abuse. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of 3.
  3. 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) April 28, 2026
    Inspectors wroteBased on interview and record review, the facility failed to report an accurate allegation of abuse to the state surveying agency in a timely manner. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of 3.
  4. D
    Respond appropriately to all alleged violations.
    F610 · 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) April 28, 2026
    Inspectors wroteBased on interview and record review, the facility failed to follow their policy and investigate an allegation of resident-to-resident physical abuse. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of 3.
February 23, 2026Complaint inspection · 2 citations
  1. 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) April 28, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify law enforcement and the state surveying agency of the attempted diversion of narcotic medications. This applies to 2 of 2 residents (R7 and R8) reviewed for control of narcotic medications.
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on interview and record review, the facility failed to securely store controlled substances in the medication room. This applies to 2 of 2 residents (R7 and R8) reviewed for medication storage.
February 18, 2026Complaint inspection · 1 citation
  1. 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) April 28, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to follow their policy and report an allegation of abuse. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of 3.
October 17, 2025Complaint inspection · 2 citations
  1. 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) November 29, 2025
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of sexual abuse to the state surveying agency and the police within required timeframes. This applies to 1 of 3 residents (R1) reviewed for abuse allegations.
  2. D
    Respond appropriately to all alleged violations.
    F610 · 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) November 29, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow their abuse policy by failing to timely investigate an allegation of abuse and suspend the alleged perpetrator. This applies to 1 resident (R1) reviewed for abuse allegations in a sample of 3.
May 2, 2025Complaint inspection · 1 citation
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to protect a cognitively impaired resident who is at risk for abuse (R1) from being physically and emotionally abused by another resident (R2). The facility also failed to develop interventions to address the potential for abuse for two of three residents (R1, R2) reviewed for abuse in a sample of 4. This failure resulted in R2 physically slapping R1 on the face, scratching R1's upper body, and biting R1's hand, which caused R1 to experience emotional distress.
April 18, 2025Standard inspection · 10 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 · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain the kitchen in a manner to prevent foodborne illness. This applies to 163 residents in the facility receiving dietary services.
  2. E
    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, pattern · Corrected (the home has a date of correction) May 8, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement fall risk precautions for residents at risk for falls. This applies to 5 of 5 residents (R3, R15, R21, R48, and R117) reviewed for accidents and supervision in a sample of 32.
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 8, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to safely store resident medications. This applies to 4 residents (R37, R61, R103, and R137) reviewed for medication storage in a sample of 32.
  4. 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 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide residents and/or their representatives written notification of the reason for transfer to the hospital. This applies to 3 of 3 residents (R57, R93, and R113) reviewed for discharge in a sample of 32.
  5. 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 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide the resident and/or their representative of the facility's policy for bed hold in writing. This applies to 1 of 1 resident (R113) reviewed for discharge in a sample of 32.
  6. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide services to prevent decline and decrease in ROM (Range of Motion). This applies to 1 of 3 residents (R107) reviewed for range of motion in a sample of 32.
  7. D
    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 · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide catheter care in a sanitary manner, failed to utilize an indwelling catheter securing device, and failed to keep the indwelling catheter bag off the floor. This applies to 2 of 2 residents (R65 and 123) reviewed for catheter care in a sample of 32.
  8. 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 2, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' medications were available for administration. This applies to 2 of 2 residents (R134, R101) reviewed for pharmacy services in a sample of 32.
  9. C
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has May 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to maintain the minimum 12 hour per year competency training requirements of CNAs (Certified Nurse Assistants). This applies to all residents that receive care and assistance from CNAs.
  10. B
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has May 2, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the grievance policy to residents. This applies to 4 of 4 residents (R83, R101, R134, and R130) reviewed for grievances in a sample of 32.
February 14, 2025Complaint inspection · 1 citation
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from physical abuse. This applies to 1 of 4 residents (R1) reviewed for abuse in the sample of 4. This failure resulted in R1 being bitten by R2, causing bleeding, hospital transfer, and antibiotic therapy for injury.
December 10, 2024Complaint inspection · 1 citation
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to adequately maintain an effective infection prevention and control program to help prevent and control the transmission of a highly contagious communicable disease, the norovirus. This failure has the potential to affect all 165 residents that currently reside at the facility.
October 21, 2024Complaint inspection · 1 citation
  1. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 26, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow their policy and insert an indwelling catheter utilizing the smallest size catheter as ordered by the physician. This applies to 1 of 3 resident (R1) reviewed for indwelling catheters in a sample of 8.
September 9, 2024Complaint inspection · 1 citation
  1. L
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · Immediate jeopardy to resident health or safety, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was stored, distributed, and served to residents in a manner to prevent food contamination. The facility failed to have a system in place for sanitizing dishware and food service equipment during the renovations of the kitchen. This failure resulted in the local health department revoking the facility's permit to prepare food on site and resulted in an Immediate Jeopardy. This has the potential to affect all 161 residents that consume food from the facility.
April 29, 2024Complaint 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) April 30, 2024
    Inspectors wroteBased on observation, record review and interview the facility failed to timely complete a physician order for an X-Ray for 1 of 4 residents (R1) reviewed for change in condition.
March 28, 2024Standard inspection · 12 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assist residents identified as needing assistance with personal hygiene. This applies to 4 of 5 residents (R12, R46, R51 and R120) reviewed for ADLs (activities of daily living) in the sample of 34.
  2. E
    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, pattern · Corrected (the home has a date of correction) April 11, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that it was free of tripping hazard in a common area of the facility. This applies to 35 of 35 residents (R6, R12, R14, R15, R23, R27, R34, R37, R42, R50, R54, R55, R56, R57, R70, R74, R75, R78, R79, R82, R85, R88, R92, R94, R98, R101, R112, R114, R115, R143, R152, R156, R158, R162, and R164) reviewed for falls. The Findings Include: On March 26, 2024 at 12:05pm, there was a difference in height of 1½ inches between the concrete slab immediately outside the front door and the next slab, approximately 6 feet from the front door to the facility. All persons coming into the front door must navigate this uneven pathway. On March 26, 2024, R143 stated he tripped on the uneven concrete outside the front door to the facility on March 22, 2024 and on one time before. [...]
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's order for medication administration. There were 25 medication opportunities with 6 errors resulting to 24% medication error rate. This applies to 4 of 5 residents (R88, R110, R120 and R127) observed during medication administration in the sample of 34.
  4. 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) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the nutritive value was maintained during preparation of pureed diet. This applies to 10 of 10 residents (R56, R69, R71, R83, R100, R129, R131, R132, R133, R140) reviewed for pureed diet in the sample of 34.
  5. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to serve lunch meal as in accordance with their schedule meal service times. This applies to 4 of 4 residents (R93, R115, R124 and R156) review for mealtime preference in the sample of 34. The Findings Include: 1. R124 had multiple diagnoses including bipolar disorder, major depressive disorder and schizoaffective disorder, bipolar type, based on the face sheet. R124's quarterly MDS (minimum data set) dated 3/13/2024 showed that the resident was cognitively intact and required set up assistance with eating. On March 25, 2024 at 10:31 AM, R124 was in his room, alert, oriented and verbally responsive. R124 stated the facility's lunch service is slow and that he had to wait for a long time for his meals. On March 25, 2024 at 1:05 PM, R124 was served his lunch meal inside the main dining room. [...]
  6. 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) April 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a resident that was NPO (Nothing by Mouth) was not left in the dining room during meal service and failed to ensure that a resident was clothed adequately during dining. This applies to 2 of 4 (R52 and R64) residents reviewed for dignity in the sample of 34. The Findings Include: 1. R52's face sheet included diagnoses of gastrostomy, cognitive communication deficit, lack of coordination and anoxic brain damage. R52's admission MDS (minimum data set) showed that R52 was moderately impaired with cognition and required maximum assistance from the staff with mobility and transfers. On March 25, 2024 at 12:20 PM, R52 was seated in the dining room at a table with R18 who was eating her lunch. R52 was receiving tube feeding from a container that was hung on a pole and covered with a cloth. [...]
  7. 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) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident was safe to keep and administer his own medications. This applies to 1 of 5 residents (R127) reviewed for medication pass/administration in the sample of 34.
  8. D
    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 · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the urinary catheter tubing was off the floor. This applies to 1 of 2 residents (R107) reviewed for urinary catheter in the sample of 34.
  9. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify the diagnosis and specific behaviors for the use of antipsychotic medication. In addition, the facility also failed to attempt gradual dose reduction (GDR) for a resident on psychotropic medication. This applies to 2 of 5 residents (R73, R90) reviewed for psychotropic medications in the sample of 34.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to transcribe physician's order for an anticoagulant medication. This applies to 1 of 1 resident (R27) reviewed for anticoagulant medications in the sample of 34.
  11. D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide nutritional supplements as ordered by the Physician. This applies to 3 of 3 residents (R11, R86 and R140) observed during dining in the sample of 34.
  12. 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) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices with regards to hand hygiene and gloving during provisions of incontinence care and blood glucose level check. This applies to 3 of 34 residents (R38, R90, R105) reviewed for infection control in the sample of 34.
November 21, 2023Complaint inspection · 2 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident (R2) was free from abuse. This failure resulted in R2 being physically abused by V5 (Certified Nursing Assistant/CNA) on 11/2/23; R2 complaining of leg pain and limping on 11/5/23; a new order for morphine sulfate every six hours for pain being placed on 11/6/23; and R2 using a wheelchair for leg pain relief.
  2. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2023
    Inspectors wroteBased on interview and record review the facility failed to immediately report to the abuse coordinator an allegation of physical abuse to a resident (R2). This has the potential to affect all residents in the facility.
September 12, 2023Complaint inspection · 1 citation
  1. L
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to identify an infectious outbreak, implement measures to prevent the spread of this infectious outbreak, and failed to have an infection control program in place to monitor and track infectious diseases at the facility. This failure has the potential to affect all 166 residents residing at the facility. The Facility Data Sheet dated 8/29/2023 documents 166 residents reside at the facility. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 5/11/2023 at 12:37 PM after R1 tested positive for scabies and the facility failed to implement measures to prevent the spread. The Immediate Jeopardy was identified on 9/7/23. V1 (Administrator) was notified of the Immediate Jeopardy on 9/7/23 at 9am. [...]
January 20, 2023Standard inspection · 5 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents receive meals in a timely manner and at the required temperatures that affect palatability. This applies to R12, R76, R140, R144 and 73 of 78 residents reviewed for temperatures and timeliness of food delivery in the sample of 34
  2. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement an effective pest control program to prevent house flies and gnats in resident rooms and facility hallways. This applies to all 154 residents residing in the facility.
  3. 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) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe environment by failing to repair headboards and doors in residents rooms. This applies to 4 of 4 residents (R25, R69, R99, and R454) reviewed for safe environment.
  4. 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) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, The facility failed to provide monthly drug regimen review for 1 resident (R11) out of 5 residents reviewed for unnecessary medications in a sample of 34. On 01/19/23 at 01:28 PM a record review of R11 showed that she is a [AGE] year old female with impaired cognition (12/5/22 Minimum Data Set), and diagnoses including delusional disorders, major depressive disorders, anxiety disorders, essential hypertension, arteriosclerotic heart disease, long term use of anticoagulants, personal history of diseases of the circulatory system, and dependence on supplemental oxygen. [...]
  5. 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) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, The facility failed to maintain infection control practices while providing care to 3 residents (R108, R454 and R126) who were reviewed for infection control in a sample of 34. 1. R454 is an [AGE] year-old female with severe cognitive impairment per MDS dated [DATE]. Record review on wound assessment dated [DATE] documented a stage 4 (4.14 x 2.82 x 1.2 centimeter) sacral wound. On 1/17/23 at 12:41 PM, the surveyor observed V3 (Registered Nurse) providing wound care to R454's sacral wound. V3 removed the soiled dressing with drainage, cleaned the wound with wound cleanser and patted the wound dry. V3 did not wash hands or sanitize his hands after removing the old dressing with drainage. [...]

Fire safety inspections

2 fire safety citations on file: 1 on April 18, 2025, 1 on March 28, 2024.

Every fire safety citation2 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · April 18, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · March 28, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 14, 2025Fine $21,453
September 9, 2024Fine $30,664
November 21, 2023Fine $101,742

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 homeIllinoisUnited States
All nursing staff (RN, LPN and aides)2.153.453.86
Registered nurses0.460.720.69
All nursing staff on weekends1.943.073.42
Nurse aides1.26
Licensed practical nurses0.43
Nursing staff turnover (share who left in a year)43.3%44.5%45.8%
Registered nurse turnover52.0%41.8%42.9%
Administrators who left0

CMS expects 4.20 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 2.23 on weekdays and 1.94 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.07 in April to June 2025 to 2.15 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.150.462.231.94 3.1%0 of 90161
Oct to Dec 20252.130.472.241.84 1.3%0 of 92165
Jul to Sep 20252.180.532.341.78 1.4%0 of 92164
Apr to Jun 20252.070.562.201.73 10.1%0 of 91165
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%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. If you work here, your report helps start one.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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For Aperion Care Wilmington. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.413.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.63.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
6.82.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.914.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
71.821.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.013.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aperion Care Wilmington's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 20 eligible stays.

Potentially preventable readmissions

9.6% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 15 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.

Falls with major injury

3.3% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 30 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 30 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.

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: ISLAND CITY REHABILITATION CENTER, LLC. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
The Rajchenbach Family Trust5% or greater direct ownership interestOrganization17%09/01/2013
Frederick S Frankel TrustDirect ownership interestOrganization09/01/2013
Turofsky, StevenDirect ownership interestIndividual09/01/2013
Frank, MariaManaging control - governing bodyIndividual09/01/2013
Jude, JodieManaging control - governing bodyIndividual09/01/2013
Turofsky, StevenCorporate officerIndividual09/01/2013
Ulbert, LisaCorporate officerIndividual09/01/2013
Aperion Care IncOperational/managerial controlOrganization09/01/2013
Aladin, MustafaOperational/managerial controlIndividual09/01/2013
Frank, MariaOperational/managerial controlIndividual09/01/2013
Hardaman, LisaOperational/managerial controlIndividual09/01/2013
Spector, JenniferOperational/managerial controlIndividual09/01/2013
Turofsky, StevenOperational/managerial controlIndividual09/01/2013
Ulbert, LisaOperational/managerial controlIndividual09/01/2013
Wilhelm, NaftaliOperational/managerial controlIndividual09/01/2013
Berkowitz, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
Frankel, FrederickIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
Meystel, YosefIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
Rajchenbach, ChaimIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
Rajchenbach, MosheIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
555 W Kahler, LLCAdp of the SNFOrganization03/31/2025
Aci Equities, LLCAdp of the SNFOrganization09/01/2013
Aperion Care IncAdp of the SNFOrganization07/16/2025
Aperion Consulting, LLCAdp of the SNFOrganization09/01/2013
Curis Services LLCAdp of the SNFOrganization09/01/2013
David a. Berkowitz Revocable TrustAdp of the SNFOrganization09/01/2013
Declaration of Trust of Yosef MeystelAdp of the SNFOrganization09/01/2013
The Rajchenbach Family TrustAdp of the SNFOrganization09/01/2013
Aladin, MustafaAdp of the SNFIndividual09/01/2013
Frank, MariaAdp of the SNFIndividual09/01/2013
Hardaman, LisaAdp of the SNFIndividual09/01/2013
Jude, JodieAdp of the SNFIndividual09/01/2013
Lipshitz, RitaAdp of the SNFIndividual09/01/2013
Spector, JenniferAdp of the SNFIndividual09/01/2013
Turofsky, StevenAdp of the SNFIndividual09/01/2013
Ulbert, LisaAdp of the SNFIndividual09/01/2013
Wilhelm, NaftaliAdp of the SNFIndividual09/01/2013

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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 16 problems in this area, most recently on July 1, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on April 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on February 23, 2026: "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."
  4. 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 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.94 hours per resident per day, below the Illinois average of 3.07.

Other nursing homes nearby

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Common questions

What is Aperion Care Wilmington's Medicare star rating?
CMS rates Aperion Care Wilmington 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aperion Care Wilmington get at its last inspection?
10 health deficiencies at the standard inspection on April 18, 2025. The Illinois average is 12.6.
Has Aperion Care Wilmington been fined?
Yes. CMS lists 3 fines totaling $153,859 in the last three years.
Does Aperion Care Wilmington 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 Wilmington?
CMS lists 37 owners and managers, and links the home to Aperion Care. Legal business name: ISLAND CITY REHABILITATION CENTER, LLC.

Sources

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