Aperion Care Elgin
134 North McLean Boulevard, Elgin, IL 60121 · Kane County · 101 certified beds · avg 91 residents/day · certified since Apr 1, 1993
Part of chain: APERION CARE (33 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 22, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 15, 2025 · F-0695 · triggered by a complaint
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 16, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 30, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 24, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 24, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 5, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not help residents arrange transportation to and from x-ray and imaging services. · from a complaint |
| Feb 15, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| May 3, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 3, 2024 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 3, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 3, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| May 3, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 3, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 22, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 7, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 8, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 8, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 8, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 8, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 8, 2023 | C · Minimal risk, facility-wide | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 11 | 1 | J ▲ |
| 2025 | 15 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $56,661.
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2026 | Fine | $29,280 |
| Feb 15, 2025 | Fine | $12,948 |
| Apr 22, 2024 | Fine | $14,433 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.16 | 2.99 | 3.95 | bottom 16% in Illinois; bottom 1% in the U.S. |
| Registered Nurse hours | 0.54 | 0.63 | 0.69 | top 44% in Illinois; bottom 44% in the U.S. |
| Weekend total nurse staffing | 1.90 | 2.67 | 3.50 | bottom 14% in Illinois; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.56 | 0.48 | top 37% in Illinois; top 27% in the U.S. |
| Total nursing staff turnover (%) | 49.1 | 44.5 | 45.8 | bottom 36% in Illinois; bottom 39% in the U.S. |
| RN turnover (%) | 53.3 | 41.8 | 42.9 | bottom 30% in Illinois; bottom 31% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.72, RN 0.68, weekend 2.40. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Elisheva Meystel Irrevocable Trust | Organization | 5% or Greater Direct Ownership Interest | 22% | 01/01/2021 |
| Frederick S Frankel Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2021 |
| Koder, Michelle | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| Turofsky, Steven | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| 134 N. McLean Blvd., LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Aperion Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Aperion Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Aperion Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Behr, Joshua | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2015 |
| Behr, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2015 |
| Behr, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Berkowitz, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| David a Berkowitz Delta Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| David a Berkowitz Revoc Tr David Berkowitz Ttee | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Frankel, Frederick | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Jude, Jodie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2015 |
| Jude, Jodie | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2015 |
| Jude, Jodie | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2015 |
| Martin, Lorna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| River View Rehab Center | 0.3 mi | Elgin, IL | ★★☆☆☆ | 2/5 | abuse |
| The Pearl of Fox River Valley | 0.8 mi | Elgin, IL | ★★★☆☆ | 3/5 | |
| Pearl of Elgin, the | 1.5 mi | Elgin, IL | ★★★★☆ | 3/5 | |
| Crescent Care of Elgin | 1.5 mi | Elgin, IL | ★★★★☆ | 4/5 | |
| Highland Oaks | 2.0 mi | Elgin, IL | ★★★★★ | 5/5 | |
| Aperion Care Fox River | 2.0 mi | Elgin, IL | ★★★★★ | 5/5 | |
| Tower Hill Healthcare Center | 2.9 mi | South Elgin, IL | ★☆☆☆☆ | 2/5 | abuse |
| South Elgin Living & Rehab Center | 3.0 mi | South Elgin, IL | ★★☆☆☆ | 2/5 | |
| Avondale Estates of Elgin | 3.1 mi | Elgin, IL | ★★★★★ | 5/5 | |
| Hearthwood SNF Senior Living | 6.8 mi | Bartlett, IL | ★★★★★ | 5/5 | |
| Pearl of St Charles, the | 7.9 mi | St Charles, IL | ★☆☆☆☆ | 2/5 | |
| Bella Terra Streamwood | 7.9 mi | Streamwood, IL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145740.