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Inspection visit

Inspection

APERION CARE MIDLOTHIANCMS #1459471 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to follow the medical patient rights act which requires staff members to wear a visible name badge that discloses the employee's first name, licensure status, if any, and staff position of the person examining or treating the patient or resident. This has the potential to affect all 43 residents residing on Unit 1 at the facility.Findings include:Facility census dated 11/14/2025 documents 43 residents residing on Unit 1 at the facility.R1's face sheet documents diagnoses that include but are not limited to depression, acute kidney failure, type 2 diabetes, and chronic obstructive pulmonary disease.R1's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R1 is cognitively intact.On 11/14/2025 at 12:27pm, R1 said, No, there are very few staff that wear ID badges. It's a problem. I (R1) didn't even know who the guy was trying to get me to sign consents. I (R1) want to know who I (R1) am talking to and who is caring for me. How do I (R1) know if it's not just someone off the street. Am I (R1) just supposed to believe the person coming in my room that they are staff here? I (R1) don't want to be taken advantage of.R3's face sheet documents diagnoses that include but are not limited to asthma, diabetes and congestive heart failure.R3's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R3 is cognitively intact.On 11/14/2025 at 12:33pm, R3 said, That's a joke. The staff hardly ever have ID badges on. Sometimes, they (staff) slap a sticker on their shirt with their name. I (R3) know most of them though. When there's a new face, I'm (R3) like who is this? Don't touch me if you can't prove who you are. It would be nice if they (staff) wore badges.R4's face sheet documents diagnoses that include but are not limited to diabetes, chronic kidney disease, and anxiety disorder.R4's Minimum Data Set (MDS), dated [DATE], documents, in part, a Brief Interview of Mental Status (BIMS) score of 15 which indicates that R4 is cognitively intact.On 11/14/2025 at 12:38pm, R4 said, No, most staff don't wear ID badges. I (R4) know most of them (staff). The staff is good. I (R4) don't want to get any of them in trouble.On 11/14/2025 at 11:12am, during tour of the facility with V2 (Director of Nursing/DON), V3 (Licensed Practical Nurse/LPN) was observed with an ID badge that was not visibly displaying V3's name and staff position. V3 said, Oh, it's here. Let me fix it. V2 proceeded to take apart V3's ID badge so V3's name and staff position was visible.On 11/14/2025 at 11:15am, during tour of the facility with V2 (Director of Nursing/DON), V4 (Certified Nursing Assistant/CNA) was observed without an ID badge, V4 said, It's (ID badge) getting made. I (V4) lost it about a week ago.On 11/14/2025 at 11:26am, during tour of the facility with V2 (Director of Nursing/DON), V6 (Restorative Aide) was observed without an ID badge. V6 said, I've (V6) never had a real badge. I've (V6) been here like a year.On 11/14/25 at 11:28am, during tour of the facility with V2 (Director of Nursing/DON), V5 (Certified Nursing Assistant/CNA) was observed without an ID badge. V5 said, I (V5) wasn't given a badge. Been here about 3 months.Facility's daily (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: 145947 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 145947 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aperion Care Midlothian 3249 West 147th Street Midlothian, IL 60445 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)
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete schedule, dated 11/14/2025, documents the follow: V3 (Licensed Practical Nurse/LPN) assigned to Unit 1; V4 (Certified Nursing Assistant/CNA) assigned to Unit 1; V6 (Restorative Aide) assigned to Unit 1; and V5 (Certified Nursing Assistant/CNA) assigned to Unit 1.V2's (Director of Nursing/DON) e-mail, dated 1/14/2025 at 2:50pm, documents the hire dates for the following employees: V3 (Licensed Practical Nurse/LPN) hire date of 11/3/2025; V4 (Certified Nursing Assistant/CNA) hire date of 12/2/2024; V5 (Certified Nursing Assistant/CNA) hire date 7/31/2025; and V6 (Restorative Aide) hire date 1/11/2024. On 11/14/2025 at 11:30am, V9 (RN/Registered Nurse/Regional [NAME] President of Operations) said that it's preferred for staff to wear ID badges. V9 stated that it doesn't take a minute to obtain the employees' ID badges. V9 said that V9 is unaware if there is a policy on employees wearing ID badges, but V9 will check to see if there is a policy.On 11/14/2025 at 2:53pm, V2 (Director of Nursing/DON) said I (V2) was told there is no policy for employee ID badges. No one could find it. I (V2) know that the students that come here have ID badges. All employees should have ID badges so the residents can identify who is caring for them. We (facility) do have different colored scrubs to differentiate between different job positions. V2 stated that the facility has stickers to put the required information on if an employee does not have a badge. V2 affirmed that employees should wear ID badges when working.Record review of The Public Health (410 ILCS 50/) Medical Patient Rights Act, Sec. 6. Identification badges, documents, in part, A health care facility that provides treatment or care to a patient in this State shall require each employee of or volunteer for the facility, including a student, who examines or treats a patient or resident of the facility to wear an identification badge that readily discloses the first name, licensure status, if any, and staff position of the person examining or treating the patient or resident. (Source: P.A. 98-243, eff. 1-1-14; 98-890, eff. 1-1-15; 99-180, eff. 7-29-15.)Record review of the Illinois Long-Term Care Ombudsman Program Residents' Rights for People in Long-Term Care Facilities, revised date 11/18, documents, in part, . Your facility must provide services to keep your physical and mental health, at their highest practical levels. Your facility must be safe, clean, comfortable, and homelike. Event ID: Facility ID: 145947 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0550GeneralS&S Epotential for harm

    F550 - Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

FAQ · About this visit

Common questions about this visit

What happened during the November 15, 2025 survey of APERION CARE MIDLOTHIAN?

This was a inspection survey of APERION CARE MIDLOTHIAN on November 15, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at APERION CARE MIDLOTHIAN on November 15, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her right..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.