Deficiency Records for Aperion Care Marion LLC
Updated as of July 01, 2020
This is not the most recent data for Aperion Care Marion LLC. For the most recent information, click here.
A list of the most recent deficiencies for Aperion Care Marion LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-12-12 | 2020-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-01 | 2020-01-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-01 | 2020-01-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-01 | 2020-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2020-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-10 | 2020-01-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-10 | 2020-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2020-01-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-01 | 2019-12-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-01 | 2019-12-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-25 | 2019-12-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-25 | 2019-12-12 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-09-25 | 2019-12-12 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-10 | 2019-12-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-10 | 2019-12-12 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-16 | 2019-12-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-16 | 2019-12-12 | Y |
| Post nurse staffing information every day. | Health | 2019-08-16 | 2019-12-12 | Y |
| 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. | Health | 2019-08-16 | 2019-12-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-16 | 2019-12-12 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-16 | 2019-12-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-16 | 2019-12-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-24 | 2019-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-24 | 2019-05-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-24 | 2019-05-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-31 | 2019-05-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-31 | 2019-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-31 | 2019-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-25 | 2019-05-16 | Y |
| 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. | Health | 2019-03-25 | 2019-05-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-25 | 2019-05-16 | Y |
| 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. | Health | 2019-03-25 | 2019-05-16 | Y |
| 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. | Health | 2019-02-07 | 2019-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-05-16 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| 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. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Be properly staffed | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-02-13 | 2019-05-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-31 | 2019-03-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-31 | 2019-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-31 | 2019-03-25 | N |
| 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. | Health | 2019-01-31 | 2019-03-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-31 | 2019-03-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-31 | 2019-03-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-31 | 2019-03-25 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-07 | 2019-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-12 | 2019-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-12 | 2019-01-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-12 | 2019-01-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2018-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2018-12-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-21 | 2018-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-21 | 2018-06-27 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-05-10 | 2018-05-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Develop a communication plan. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| 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. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-07 | 2018-03-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-23 | 2018-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-23 | 2018-02-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-01-23 | 2018-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-23 | 2018-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-23 | 2018-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-23 | 2018-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-23 | 2018-02-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-01-23 | 2018-02-23 | N |
| Post nurse staffing information every day. | Health | 2018-01-23 | 2018-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-23 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-23 | 2018-02-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-23 | 2018-02-23 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-06 | 2017-11-27 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-06 | 2017-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-06 | 2017-11-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-17 | 2017-09-12 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-19 | 2017-08-04 | Y |
| Make sure that all required doctor visits are made personally. | Health | 2017-07-19 | 2017-08-04 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-02-07 | 2017-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-07 | 2017-02-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-10 | 2017-02-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-10 | 2017-02-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-10 | 2017-02-21 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-01-10 | 2017-02-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-10 | 2017-02-21 | N |
