Above 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 Niles during CMS and state inspections, most recent first.
The facility failed to maintain proper hot water temperatures in the Second Floor East Wing shower room, affecting 22 residents. A resident reported the water was too cold, and a CNA confirmed the issue despite previous maintenance attempts. The Maintenance Director measured the water temperature at 90-95°F, below the required 100-110°F.
The facility failed to consistently monitor and document refrigerator temperatures, properly label and store food, and remove expired items in residents' personal refrigerators. Observations revealed unlabeled and expired food items, and discrepancies in temperature logs. Staff admitted to not following procedures, leading to these deficiencies.
A facility failed to use a low air loss mattress correctly for a resident with a Stage 4 pressure ulcer, leading to discomfort and potential worsening of the condition. The resident, with multiple health issues, was on an improperly set air mattress due to inadequate training of staff responsible for its adjustment. The resident's requests for timely incontinence care were not met, and documentation inaccurately reflected resistance to care, contributing to the ulcer's progression.
A facility failed to perform a quarterly gradual dose reduction (GDR) evaluation for a resident on psychotropic medications, as required by their policy. The resident, with a history of cognitive and anxiety disorders, was receiving Trazodone and Depakote daily without a documented GDR assessment. The DON confirmed that GDRs should occur during quarterly reviews, but only one psychiatric progress note was available, lacking a GDR assessment.
A resident at high risk for falls was left unsupervised in their room, leading to a fall and subdural hematoma. The resident's care plan, which required supervision during meals, use of a walker, and appropriate footwear, was not followed. Staff interviews confirmed the lack of adherence to the care plan, contributing to the incident.
A facility failed to monitor a newly admitted, nonverbal resident at high risk for falls, resulting in the resident being found on the floor with significant head injuries. The resident was not observed as required, and the door to the room was not left open for proper supervision, contrary to facility policy.
Failure to Maintain Proper Hot Water Temperatures in Shower Room
Penalty
Summary
The facility failed to maintain proper hot water temperatures in the shower room located on the Second Floor East Wing, potentially affecting 22 residents residing in that area. On March 2, 2025, a resident reported that the water in the shower room does not get hot enough, making them reluctant to take a shower due to the cold temperature. A Certified Nursing Assistant confirmed that the water temperature in the shower room does not get very hot, despite previous maintenance attempts to fix the issue. During an observation, the water was run for five minutes and was found to not get very warm. The Maintenance Director later checked the water temperature with a thermometer, which ranged between 90-95 degrees Fahrenheit, below the facility's policy requirement of 100-110 degrees Fahrenheit for a comfortable and safe temperature.
Deficiencies in Food Storage and Monitoring in Resident Refrigerators
Penalty
Summary
The facility failed to adhere to its policy and procedures for safe and sanitary food storage in residents' personal refrigerators. The deficiencies included inconsistent monitoring and documentation of refrigerator temperatures, improper labeling and storage of food items, and failure to remove expired food. These issues were observed in the rooms of four residents. The Director of Nursing indicated that the Assistant Director of Nursing was responsible for checking refrigerator temperatures, which were to be documented in a log. However, a Licensed Practical Nurse admitted to documenting temperatures without actually checking them. Additionally, the Dietary Manager, who was responsible for overseeing some of the refrigerators, acknowledged that checks were not consistently performed daily, and there was uncertainty about who was responsible when she was not present. Specific observations included refrigerators with temperature logs that were not updated daily, food items without labels or dates, and expired food items. For instance, one resident's refrigerator contained multiple unlabeled food containers and an orange without labeling. Another resident's refrigerator had expired milk cartons and open pudding cups with brownish fluid. These findings were confirmed by a Certified Nursing Assistant who acknowledged that staff were supposed to check and label food items. The surveyor also noted discrepancies in temperature logs, with recorded temperatures not matching actual readings.
Improper Use of Air Mattress for Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care for a resident with a Stage 4 pressure ulcer by not using a low air loss mattress in accordance with manufacturer guidelines. The resident, who is alert and oriented, has multiple diagnoses including chronic obstructive pulmonary disease, asthma, heart failure, and anxiety disorder. The resident was observed on an air mattress that was improperly set, leading to discomfort and potentially exacerbating the pressure ulcer. The wound nurse and maintenance director were responsible for the air mattress settings, but neither was adequately trained on how to adjust the mattress according to the resident's weight. The maintenance director admitted to setting the mattress pressure by sight and touch, without proper training or understanding of the manufacturer's guidelines. The wound nurse was unaware of the mattress pump's functioning and relied on the maintenance director for adjustments, despite being in charge of wound care. The resident expressed dissatisfaction with the care provided, stating that requests for incontinence care were not honored in a timely manner, which was inaccurately documented as resistance to care. The facility's documentation showed inconsistencies in the resident's care plan and assessments, with no evidence of resistance to care prior to the development of the pressure ulcer. The lack of proper mattress settings and timely incontinence care contributed to the worsening of the resident's pressure ulcer.
Failure to Conduct Gradual Dose Reduction for Psychotropic Medications
Penalty
Summary
The facility failed to adhere to its policy and procedures for psychotropic medication administration by not conducting a gradual dose reduction (GDR) evaluation quarterly for a resident receiving psychotropic medications. This deficiency was identified in the case of a male resident with a history of cognitive communication deficit, generalized anxiety disorder, insomnia, and partial paralysis due to a stroke. The resident was admitted to the facility with active physician orders for Trazodone and Depakote to manage sleep and anxiety, respectively. Despite receiving these medications daily, there was no documented assessment for a GDR from admission to the current date. The Director of Nursing acknowledged that GDRs are supposed to be performed during quarterly reviews and are either deemed not in the best interest of the resident or attempted if the resident's behavior suggests that psychotropic medications are no longer needed. However, in this case, only one psychiatric progress note was available, and it did not include a GDR assessment or determination. The facility's policy mandates that residents on psychotropic drugs should receive GDRs and behavioral interventions unless clinically contraindicated, with GDRs encouraged at least twice yearly unless previous attempts have been unsuccessful or are clinically contraindicated.
Failure to Follow Care Plan Leads to Resident Fall
Penalty
Summary
The facility failed to adhere to a resident's care plan, which resulted in a fall incident. The resident, who was at high risk for falls due to multiple medical conditions including a history of falling, cognitive impairment, and difficulty walking, was left unsupervised in their room. The resident's care plan required supervision during meals, the use of a walker, and appropriate footwear, none of which were ensured at the time of the incident. On the day of the incident, the resident returned from an appointment and was served dinner in their room, contrary to their usual routine of eating in the dining room where supervision was more readily available. The resident attempted to stand up from their wheelchair without assistance, lost balance, and fell, resulting in a subdural hematoma. The walker was not within reach, and the resident was not wearing appropriate footwear, which contributed to the fall. Interviews with staff revealed that the resident was not closely monitored as required by their care plan. The staff acknowledged that the resident was high risk for falls and that the fall might have been prevented if the resident had been placed in a common area for closer supervision or if the assistive devices and proper footwear had been utilized as per the care plan.
Failure to Monitor At-Risk Resident
Penalty
Summary
The facility failed to effectively monitor a newly admitted resident and adhere to its practice of leaving doors open for residents identified to be at risk for falls. This failure resulted in the resident being found on the floor with significant injuries, including a laceration that required staples and sutures. The resident, who had diagnoses including Parkinson's, anxiety, insomnia, and cerebral infarction, was nonverbal and could not communicate what had happened. The incident was unwitnessed, and the resident was found by a CNA who had difficulty opening the door due to the resident and a floor mat blocking it. The blood observed at the scene appeared to be dry, indicating that the fall may have occurred earlier than reported by the staff. The resident was subsequently sent to the hospital for treatment of the injuries sustained during the fall. The facility's Director of Nursing confirmed that the expectation was for staff to leave doors open for closer observation of at-risk residents and to perform hourly monitoring, especially for new admissions and nonverbal residents. The facility's Fall Prevention Program policy also emphasized the importance of assessing fall risks and implementing appropriate interventions to ensure resident safety. However, these protocols were not followed in this case, leading to the resident's fall and subsequent injuries.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
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What surveyors actually found near you
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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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Niles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elevate Care North Branch | 0.3 mi | ★★★★★ | 3 | 0 |
| Citadel At Saint Benedict | 0.5 mi | ★★★★★ | 0 | 0 |
| Celebrate Senior Living Niles | 0.6 mi | ★★★★★ | 1 | 0 |
| Elevate Care Regency | 1 mi | ★★★★★ | 2 | 2 |
| Norwood Crossing | 1.6 mi | ★★★★★ | 5 | 0 |
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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.