Indiana ›Hanover

Aperion Care Hanover

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410 W Lagrange Rd, Hanover, IN 47243 (opens Google Maps) · Jefferson County · (812) 866-2625· 125 certified beds · avg 76 residents/day · certified since Dec 7, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: APERION CARE (33 facilities, chain avg rating 1.9★)

1/5
Health inspection rating (on-site)
inspected Apr 16, 2026
1
Serious findings on record
most recent Sep 27, 2023
$53,874
Fines, last 3 years
3.13
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Sep 27, 2023 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 13, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 57 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. F-0656

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

  3. E · Potential for more than minimal harm, pattern

    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. F-0761

View all 57 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 16, 2026E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Apr 16, 2026E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 16, 2026E · Potential for more than minimal harm, patternThe 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. · F-0761
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Apr 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 12, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679
Mar 12, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Aug 29, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Aug 29, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jun 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Mar 27, 2025F · Potential for more than minimal harm, widespreadThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Mar 27, 2025E · Potential for more than minimal harm, patternThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Mar 27, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Mar 27, 2025E · Potential for more than minimal harm, patternThe 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. · F-0761
Mar 27, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Mar 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Jan 13, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0657
Sep 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint · F-0742
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557
Apr 25, 2024F · Potential for more than minimal harm, widespreadThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Apr 25, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Apr 25, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Apr 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Jan 10, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 10, 2024E · Potential for more than minimal harm, patternThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
Jan 10, 2024E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0686
Jan 10, 2024E · Potential for more than minimal harm, patternThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0610
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jan 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Nov 20, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557
Nov 20, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Sep 27, 2023▲ J · Immediate jeopardy, isolatedThe 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 · F-0600
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose. · from a complaint · F-0564
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804
Sep 27, 2023E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0880
Sep 27, 2023E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Sep 27, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 11
Serious citations (G–L): 1
2024
All citations: 21
Serious citations (G–L): 0
2025
All citations: 14
Serious citations (G–L): 0
2026
All citations: 11
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023111J ▲
2024210F
2025140F
2026110E

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)

How to file a complaint about care →

1 fine totaling $53,874, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 27, 2023Fine$53,874
Sep 27, 2023Payment Denial53 days from Oct 21, 2023

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIndiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.13
Indiana average: 3.42
U.S. average: 3.95
Registered Nurse hours
This facility: 0.58
Indiana average: 0.62
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.85
Indiana average: 3.01
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIndiana avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.133.423.95bottom 37% in Indiana; bottom 18% in the U.S.
Registered Nurse hours0.580.620.69top 46% in Indiana; bottom 49% in the U.S.
Weekend total nurse staffing2.853.013.50bottom 48% in Indiana; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)0.560.470.48top 26% in Indiana; top 26% in the U.S.
Total nursing staff turnover (%)55.245.945.8bottom 22% in Indiana; bottom 25% in the U.S.
RN turnover (%)50.040.442.9bottom 35% in Indiana; bottom 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.43, RN 0.64, weekend 3.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.43 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Aperion Care Hanover. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Daviess County HospitalOrganization5% or Greater Direct Ownership Interest100%04/01/2018
Aperion Care Hanover, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE03/01/2024
Aperion Care INCOrganizationOperational/Managerial ControlNOT APPLICABLE03/01/2024
Berkowitz, DavidIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Conroy, TracyIndividualCorporate OfficerNOT APPLICABLE04/01/2018
Goldfarb, BrianIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Hoffman, JoshuaIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Jenkins, StefanieIndividualContracted Managing EmployeeNOT APPLICABLE03/01/2024
Meacham, DawnIndividualContracted Managing EmployeeNOT APPLICABLE03/01/2024
Meystel, JayIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Meystel, YosefIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Spector, JenniferIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Steiner, DeronIndividualCorporate DirectorNOT APPLICABLE04/01/2018
Turofsky, StevenIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Ulbert, LisaIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Aperion Care — 33 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 32 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Indiana midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 55% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Thornton Terrace Health Campus0.5 miHanover, IN★★★★★4/5
Waters of Clifty Falls, the5.3 miMadison, IN★☆☆☆☆1/5
River Terrace Health Campus5.7 miMadison, IN★★★☆☆3/5
Hickory Creek at Madison5.7 miMadison, IN★★★★☆4/5
Bedford Springs Health and Rehabilitation12.6 miBedford, KY★★★★★5/5
Hickory Creek at Scottsburg16.3 miScottsburg, IN★★★★★4/5
Waters of Scottsburg, the16.4 miScottsburg, IN★☆☆☆☆1/5abuseSFF
Lake Pointe Village17.0 miScottsburg, IN★★★★★5/5
Hampton Oaks Health Campus17.1 miScottsburg, IN★★★★★5/5
Signature Healthcare of Carrollton Rehab & Wellnes17.2 miCarrollton, KY★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in Hanover →

Facility data as of CMS processing date 2026-08-01. CCN 155208.

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