Health inspection·September 24, 2025

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to follow its Medication Administration Policy by failing to administer medications in a timely manner. This applies to four of 15 residents (R2, R7, R4 and R5) reviewed for medication administration in a sample of 15.The Findings include:On 9/23/25 at 10:12 AM, V6 (Licensed Practical Nurse/LPN) was passing medication and stated, I have 10 more residents (R2, R3, R4, R7, R8, R9, R10, R11, R14, and R15) to pass the morning medications, which were supposed to be administered at 8:00 AM. We are supposed to administer medications within 2-hour window (one hour before and one hour after) around the scheduled time. I would be able to finish by 10:45 AM.R2 is an [AGE] year-old female with moderate cognitive impairment as per MDS dated [DATE]. On 9/24/25 at 12:30 PM, R2 stated (with Spanish interpreter V8/Housekeeping), I don't know what time I received my medications today. I would like to get my medications on time.A review of the R2's POS and MAR indicates that R2 was scheduled to get the prescribed medications at 8:00 AM including Amlodipine 10 milligram (mg) daily, Aspirin 81 mg daily, Losartan Potassium 25 mg daily, Eliquis 5 mg twice per day (BID), Metoprolol 100 mg daily, Lasix 80 mg BID, and Gabapentin 300 mg three times a day (TID).R7 is a [AGE] year-old male with intact cognition, as per the MDS dated [DATE]. On 9/23/25 at 12:40 PM, R7 stated, The morning medication should come around 8:00 AM, and I got it around 10:30 AM today. I would like to get my medications on time. Today it was late by two and a half hours.A review of the R7's POS and MAR indicates that R7 was scheduled to get the prescribed medications at 8:00 AM, including Amlodipine 10 mg daily, Hydrochlorothiazide 12.5 mg daily, Lisinopril 40 mg daily, and Gabapentin 300 mg three times a day (TID).R4 is an [AGE] year-old male having intact cognition as per the MDS dated [DATE]. On 9/23/25 at 12:45 PM, R4 stated, The morning medications were delayed today, not all the time. I prefer to get my medication on time.A review of the R4's POS and MAR indicates that R4 was scheduled to get the prescribed medications at 8:00 AM, including Amlodipine 7.5 mg daily.On 9/23/25 at 10:20 AM, V7 (Registered Nurse/RN) was passing morning medications and stated, I have three more residents (R5, R12, and R13) to pass 8:00 AM medications. I am sorry, I am late today, because one of my residents was getting shortness of breath and stomachache.R5 is a [AGE] year-old male admitted with mild cognitive impairment as per the MDS dated [DATE]. On 9/23/25 at 12:50 PM, R5 stated, I would prefer to get my medications on time. It was delayed today.A review of the R5's POS and MAR indicates that R5 was scheduled to get the prescribed medications at 8:00 AM, including Ferrous Sulfate Elixir 220 mg (Fe 44)/5milliliter(ml) (Give 7.5 ml) daily, Potassium Chloride 20 milliequivalent (mEq) daily, and Terazosin 2mg daily.On 9/23/25 at 10:25 AM, V5 (LPN) was passing morning medications and stated, I have one more resident (R6) to give 8:00 AM medications. I have residents going out for appointments, and I must prepare them. That's the way I got delayed.A review of the facility's Medication Administration policy, dated September 2018, reveals that, at a minimum, the 5 rights - right patient, right drug, right dose, right route, and right (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 2 Event ID: 145660 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 145660 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aperion Care Westchester 2901 South Wolf Road Westchester, IL 60154 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)