Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aperion Care Dolton during CMS and state inspections, most recent first.
Surveyors found that the facility failed to protect several residents from misappropriation of their funds, as evidenced by improper or unauthorized financial transactions involving their money or belongings. Through observation, interviews, and record review, it was determined that multiple residents experienced wrongful use of their funds during a defined period, demonstrating that the facility did not adequately safeguard resident finances.
A resident’s physician order for anticoagulation medication was not followed after readmission, as identified through interview and record review. The ordered anticoagulation therapy was not administered as prescribed, representing a failure to carry out the physician’s medication order for that resident.
A resident with multiple medical conditions, including quadriplegia and a urinary catheter, was observed with their catheter drainage bag uncovered and resting on the floor, visible to passersby. An RN was unsure how to prevent the bag from touching the floor, and the DON confirmed that the bag should be covered for privacy. The facility's policy requires maintaining resident dignity, including covering catheter bags.
A resident with an indwelling urinary catheter was found with the drainage bag resting directly on the floor and without a privacy bag, making it visible to passersby. The RN responsible was unsure how to prevent the bag from touching the floor due to the bed's low position. The DON confirmed that the drainage bag should not touch the floor and should be covered, in accordance with facility policy. The resident had a history of quadriplegia, neuromuscular bladder dysfunction, and prior UTI.
A resident with acute transverse myelitis did not receive a scheduled dose of Enspryng due to the facility's failure to securely store the medication. The resident's family had delivered three doses, but the third was missing when needed. The nurse and DON confirmed the medication was stored correctly but could not locate it, suspecting it was discarded in error. The facility lacked a policy for family-delivered medications.
Two residents in an LTC facility were left unsupervised, leading to injuries. A female resident with dysphagia was unsupervised during meals, resulting in a mouth injury. A male resident fell during an unsupervised smoking break. Staff confusion and failure to follow facility policies contributed to these incidents.
A resident with a history of sexually inappropriate behavior touched another resident without consent in the dining room. Despite previous reports and a care plan addressing his behavior, the facility failed to prevent the incident, resulting in a deficiency in resident safety.
A resident reported mental abuse by a CNA who was unprofessional and rude during assistance with bathing. The CNA left the resident without necessary help, made derogatory comments, and expressed a desire to avoid working with the resident. Other staff members corroborated the resident's account, leading to the CNA's termination for unprofessional conduct.
Misappropriation of Resident Funds Involving Multiple Residents
Penalty
Summary
The facility failed to protect residents from misappropriation of funds, resulting in wrongful use of the belongings or money of three residents (R1, R2, and R3). Based on observation, interview, and record review, surveyors determined that from 3/23/2026 through 3/25/2026, there were instances of misappropriation involving these residents’ funds, indicating that the facility did not keep them free from unauthorized or improper financial transactions during this period. This deficiency was identified during a survey that reviewed eight residents for misappropriation of funds, with three of those residents found to be affected by improper handling or use of their money or belongings.
Failure to Follow Physician Order for Anticoagulation Medication
Penalty
Summary
The deficiency involved the facility’s failure to follow a physician’s order for anticoagulation medication for one resident (R5) out of nine residents reviewed for physician orders. Based on interview and record review, surveyors determined that on 2/11/26, following R5’s readmission, the ordered anticoagulation therapy was not carried out as prescribed. This failure occurred in the context of readmission physician orders and related medication administration processes, specifically involving adherence to the physician’s anticoagulation order. The noncompliance was identified as past noncompliance that occurred on 2/11/26, prior to the survey date of 3/31/26, and was limited to this resident in the sample reviewed for physician orders.
Failure to Maintain Privacy and Dignity for Resident with Indwelling Catheter
Penalty
Summary
A resident with a history of tracheostomy status, quadriplegia, neuromuscular dysfunction of the bladder, and a urinary tract infection was observed in bed with an indwelling urinary catheter drainage bag resting on the floor and not covered by a privacy bag. The drainage bag was visible to anyone passing by in the hallway on two separate occasions. The registered nurse caring for the resident stated that the bed was in a low position and was unsure how to prevent the drainage bag from touching the floor. The nurse also confirmed that the resident was able to understand and respond to questions. The Director of Nursing was notified and confirmed that the urinary drainage bag should not touch the floor and should be covered with a privacy bag to maintain the resident's privacy. The resident's care plan indicated the presence of an indwelling urinary catheter related to a pressure injury, with a goal to prevent catheter-related trauma. The facility's dignity policy emphasized the importance of maintaining resident dignity, including refraining from leaving urinary catheter bags uncovered.
Failure to Maintain Proper Catheter Drainage Bag Position and Privacy
Penalty
Summary
A deficiency occurred when a resident with an indwelling urinary catheter was observed in bed with the catheter drainage bag resting directly on the floor and without a privacy bag. The drainage bag was visible to anyone passing by in the hallway. This situation persisted for at least 15 minutes during the surveyor's observation. The registered nurse responsible for the resident stated that the bed was in a low position and was unsure how to prevent the drainage bag from touching the floor. The director of nursing later confirmed that the drainage bag should not touch the floor and should be covered for privacy. The resident involved had a medical history including tracheostomy status, quadriplegia, neuromuscular dysfunction of the bladder, and a previous urinary tract infection. The resident's care plan indicated the presence of an indwelling urinary catheter related to a pressure injury, with interventions to monitor for signs and symptoms of urinary tract infection. Facility policy required that urinary drainage bags and tubing be positioned to prevent contact with the floor, and allowed for the use of a secondary bag to prevent such contact. These requirements were not followed in this instance.
Failure to Securely Store Injectable Medication
Penalty
Summary
The facility failed to securely store a resident's injectable medication, leading to a missed dose for a resident diagnosed with acute transverse myelitis in demyelinating disease of the central nervous system. The resident's family member delivered three doses of Enspryng injection to the facility, which were stored in the medication room refrigerator. However, when the third dose was due, the nurse could not locate it, resulting in the resident being sent to the emergency room without receiving the medication. The dose was eventually reordered, and the resident received it five days later. The nurse responsible for administering the medication confirmed that the doses were stored in separate boxes with the resident's name on them. Despite this, the third dose was missing when needed. The Director of Nursing was informed and conducted a search but could not find the medication, suspecting it was thrown out in error. The facility did not have a policy for handling medications brought in by family members, which contributed to the oversight.
Inadequate Supervision During Meals and Smoking Breaks
Penalty
Summary
The facility failed to adequately supervise a resident at risk for aspiration during meals, resulting in an injury. The resident, a female with a history of cerebral infarction, dysphagia, and dementia, required assistance with meal consumption. Despite this, she was left unsupervised in her room during dinner, leading to an incident where she nodded off and injured her mouth on the bedside table, requiring treatment for a lip wound. Staff interviews revealed confusion about the level of supervision required, with some staff believing the resident could eat independently unless she refused food. Another deficiency involved inadequate supervision of a resident during a smoking break. The male resident, with a history of falls and psychosis, was found on the floor outside on the patio after an unwitnessed fall. His care plan required supervision during smoking, but the activity aide responsible for monitoring left the area to retrieve more cigarettes, leaving the residents unsupervised. The aide did not inform anyone of her absence, resulting in the resident's fall. The facility's policies on feeding assistance and smoking safety were not effectively implemented, contributing to these incidents. The feeding assistance policy required documentation of any swallowing or choking episodes, while the smoking policy mandated a safety assessment to determine supervision needs. Both policies were not adhered to, leading to the residents being left unsupervised and sustaining injuries.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect a resident, identified as R3, from sexual abuse by another resident, R4, who has a history of sexually inappropriate behaviors. R3, a female resident with diagnoses including degenerative disease of basal ganglia and unspecified psychosis, reported that R4 touched her leg and breast without her consent while they were in the dining room. R4, a male resident with cerebral infarction and vascular dementia, has a documented history of hypersexual activity, including exposing himself in the dining room and attempting to touch other females inappropriately. On the day of the incident, R3 was observed sitting at the same table with R4 in the dining room, despite having previously reported feeling uncomfortable and requesting to be moved. The Resident Liaison, V16, confirmed that R3 was upset and reported the unwanted touching by R4. V16 separated the residents and spoke to R4, who denied any wrongdoing. Another resident, R11, witnessed the incident and corroborated R3's account of R4's inappropriate behavior. The facility's Administrator, V1, acknowledged the incident but did not substantiate it as abuse, instead labeling it as an invasion of privacy. R4's care plan, dated prior to the incident, already noted his maladaptive behaviors and included interventions such as counseling on inappropriate behaviors and monitoring by staff. However, these measures were insufficient to prevent the incident. The facility's Abuse Prevention and Reporting Policy clearly defines non-consensual contact as abuse, yet the facility did not adequately protect R3 from R4's inappropriate actions, resulting in a deficiency in ensuring resident safety from abuse.
Failure to Protect Resident from Mental Abuse by Staff
Penalty
Summary
The facility failed to protect a resident from mental abuse by a staff member. The resident, who is cognitively intact and requires substantial assistance for bathing, reported that a CNA was unprofessional and rude during interactions on two consecutive days. On the first day, the CNA left the resident with a bowl of water and towels for a bed bath without providing the necessary assistance. The following day, the CNA was rude and dismissive when the resident requested help with a shower, making the resident feel dehumanized and humiliated. The CNA also made inappropriate comments about not wanting to work with the resident and planning to call off work to avoid assisting the resident in the future. The resident's account was corroborated by other staff members who witnessed the CNA's unprofessional behavior. One staff member heard the CNA venting about not wanting to work with the resident, while another staff member confirmed that the CNA had an attitude about giving the resident a shower. The resident also reported that the CNA did not properly assist with washing certain areas of the body and made derogatory comments about the resident's size. The facility's policies on abuse prevention and resident dignity were not followed, as the CNA's actions caused the resident to experience humiliation and degradation. The facility's investigation confirmed the resident's allegations, leading to the termination of the CNA for unprofessional conduct and poor customer service. The facility's policies emphasize the importance of maintaining residents' dignity and preventing abuse, but these were not upheld in this instance.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,675 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Dolton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Countryside Nursing & Rehab Ctr | 1.3 mi | ★★★★★ | 2 | 0 |
| Bria Of River Oaks | 1.4 mi | ★★★★★ | 15 | 0 |
| Prairie Oasis | 2.7 mi | ★★★★★ | 33 | 1 |
| Elevate Care South Holland | 2.8 mi | ★★★★★ | 12 | 0 |
| Thryve Of South Holland | 3.4 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.