Inspection·October 17, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based 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.The findings include:On 10/9/25 at 4:00 PM, R1 stated that on 9/28/25, V3 (Nurse) was applying cream to her buttocks during wound care and then V3 applied the cream to her vaginal area and labia. R1 said that she felt that it felt sexual and that the nurse was violating her. R1 said that she reported the incident to V10 (Psychiatric Rehabilitation Service Coordinator/PRSC) on 10/2/25.On 10/10/25 at 1:14 PM, V10 (PRSC) stated that on 10/2/25, R1 told her that V3 (Nurse) had provided wound care to R1. V10 stated R1 told her that V3 applied a cream on and around her wound and then to R1's genital area, where it should not have been put on. V10 said R1 told her that V3 then touched her genital areas. V10 said that R1 told her that it made her feel bad and that she had to clean the area to clean the fingerprints off. V10 said she immediately reported the incident to her supervisor, V11 (Social Service Director), and then V11 went with V10 to V1's (Administrator) office to report the incident to V1. On 10/10/25 at 1:31 PM, V11 verified he went with V10 to V1's office on 10/2/25 and was present when V10 reported R1's alleged abuse to V1.R1 was admitted to the facility on [DATE] with diagnoses of major depressive disorder, bipolar disorder, anxiety disorder, and suicidal ideations. R1's 8/15/25 MDS (Minimum Data Set) shows that R1's cognition is intact.On 10/9/25 at 3:40 PM, V2 (Director of Nursing/DON) said that R1 alleged sexual abuse because she felt that V3 touched her inappropriately during wound care. V2 said that she was informed by V1 of the incident on 10/5/25 (three days after originally reported) and she interviewed R1 on 10/6/25. V2 said that she received a document from V10 dated 10/2/2025 stating that R1 was allegedly sexually abused, but V2 said she could not recall when she received the document. V2 said that the facility is to report allegations of abuse to the state surveying agency within 2 hours of it being reported and the facility did not do that. V2 said that the facility notified the state surveying agency on 10/9/25 and the incident was reported to the facility staff on 10/2/25. V2 said that the facility should have reported it to the state surveying agency on 10/2/25.On 10/15/25 at 12:53 PM, V1 (Administrator) confirmed R1's allegation of sexual abuse was reported to V10 (PRSC) on 10/2/25, and the facility reported it to the state surveying agency on 10/9/25. V1 stated the allegation was reported to the police on 10/9/25 as well.The facility's Abuse Prevention and Reporting policy (revised 10/24/2022) showed Any allegation of abuse or any incident that results in serious bodily injury will be reported to the Department of Public Health immediately, but not more than two hours after the allegation of abuse. Any incident that does not involve abuse and does not result in serious bodily injury shall be reported within 24 hours. The policy continued Initial Reporting of Allegations: When an allegation of abuse. has occurred, the resident's representative and the Department of Public Health 's regional office shall be informed.Public Health shall be informed that an occurrence of potential (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145316 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145316 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aperion Care Wilmington 555 West Kahler Wilmington, IL 60481 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)