Aperion Care Midlothian

Penalties

• Apr 17, 2024 — Fine ($19,565)
• Apr 17, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Jan 17, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Jun 17, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint Under dispute

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jun 18, 2026 · CMS health inspection

2. May 13, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0807 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

     Corrected May 26, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0909 Environmental Deficiencies

     Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

     Corrected May 26, 2026 · CMS health inspection

3. Nov 15, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0550 Resident Rights Deficiencies

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

     Corrected Nov 17, 2025 · CMS health inspection

4. Jul 24, 2025 Health · 17 findings
   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Aug 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Aug 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Aug 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0790 Quality of Life and Care Deficiencies

     Provide routine and 24-hour emergency dental care for each resident.

     Corrected Aug 12, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Aug 4, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 11, 2025 · CMS health inspection

5. Sep 6, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Sep 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 7, 2024 · CMS health inspection

6. Apr 17, 2024 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Apr 26, 2024 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a)2), 300.1210b), 300.1210d)2)5), 300.1220b)2)3), and 300.3220f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

     Statement of deficiencies (PDF)

7. Jan 17, 2024 Health · 4 findings
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jan 29, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Jan 29, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 29, 2024 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b) and 300.3240a).

     Statement of deficiencies (PDF)

8. Aug 18, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Aug 29, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 29, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Aug 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0740 Quality of Life and Care Deficiencies

     Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

     Corrected Aug 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 29, 2023 · CMS health inspection

9. Jun 16, 2022 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Aug 5, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0007 Emergency Preparedness Deficiencies

     Address patient/client population and determine types of services needed.

     Corrected Aug 5, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0022 Emergency Preparedness Deficiencies

     Establish policies and procedures for sheltering.

     Corrected Aug 17, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0024 Emergency Preparedness Deficiencies

     Establish policies and procedures for volunteers.

     Corrected Aug 5, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0025 Emergency Preparedness Deficiencies

     Create arrangements with other facilities to receive patients.

     Corrected Aug 5, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Aug 5, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• BARNABAS, SATISH — adp of the snf, NOT APPLICABLE, since 01/01/2008
• BARNABAS, SATISH — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• BERKOWITZ, DAVID — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/17/2026
• FRANKEL, FREDERICK — adp of the snf, NOT APPLICABLE, since 07/01/2023
• JORGENSEN, NANCY — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• JORGENSEN, NANCY — adp of the snf, NOT APPLICABLE, since 01/01/2008
• JORGENSEN, NANCY — managing control - governing body, NOT APPLICABLE, since 01/01/2008
• LOWINGER, RITA — 5% or greater direct ownership interest, 7%, since 01/01/2008
• LOWINGER, RITA — adp of the snf, NOT APPLICABLE, since 01/01/2008
• MEYSTEL, YOSEF — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/17/2026
• MIXON, LEOLA — adp of the snf, NOT APPLICABLE, since 01/01/2008
• MIXON, LEOLA — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• PEDRE, MANNY — managing control - governing body, NOT APPLICABLE, since 01/01/2008
• PEDRE, MANNY — adp of the snf, NOT APPLICABLE, since 01/01/2008
• SPECTOR, JENNIFER — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• SPECTOR, JENNIFER — adp of the snf, NOT APPLICABLE, since 01/01/2008
• TUROFSKY, STEVEN — adp of the snf, NOT APPLICABLE, since 01/01/2008
• TUROFSKY, STEVEN — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• ULBERT, LISA — corporate officer, NOT APPLICABLE, since 01/01/2008
• ULBERT, LISA — adp of the snf, NOT APPLICABLE, since 01/01/2008
• ULBERT, LISA — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• WILHELM, NAFTALI — adp of the snf, NOT APPLICABLE, since 01/01/2008
• WILHELM, NAFTALI — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• 555 W KAHLER, LLC — adp of the snf, NOT APPLICABLE, since 12/03/2025
• ACI EQUITIES, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2008
• APERION CARE INC — operational/managerial control, NOT APPLICABLE, since 01/01/2008
• APERION CARE INC — adp of the snf, NOT APPLICABLE, since 03/26/2025
• APERION CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2008
• CURIS SERVICES LLC — adp of the snf, NOT APPLICABLE, since 01/01/2008
• DAVID A. BERKOWITZ REVOCABLE TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2008
• DECLARATION OF TRUST OF YOSEF MEYSTEL — adp of the snf, NOT APPLICABLE, since 01/01/2008
• ELISHEVA MEYSTEL IRREVOCABLE TRUST — 5% or greater direct ownership interest, 21%, since 01/01/2008
• PLAZA NURSING REALTY, LLC — adp of the snf, NOT APPLICABLE, since 12/17/2025