Aperion Care Midlothian
3249 West 147th Street, Midlothian, IL 60445 · Cook County · 91 certified beds · avg 80 residents/day · certified since Dec 1, 1997
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: ★★☆☆☆2/5 · CMS overall rating: 1/5
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)
▲ Actual harm, one-off · Jun 17, 2026 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 18, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 17, 2024 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Apr 26, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 17, 2024 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 |
|---|---|---|
| Jun 17, 2026 | ▲ G · Actual 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 |
| May 13, 2026 | E · Potential for harm, repeated | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint |
| May 13, 2026 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint |
| Nov 15, 2025 | E · Potential for harm, repeated | The 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 |
| Jul 24, 2025 | F · Potential for harm, facility-wide | The 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. |
| Jul 24, 2025 | F · Potential for harm, facility-wide | 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. |
| Jul 24, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 24, 2025 | E · Potential for harm, repeated | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 24, 2025 | D · Potential for harm, one-off | 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. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Sep 6, 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. |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 17, 2024 | ▲ G · Actual 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. · from a complaint |
| Jan 17, 2024 | ▲ G · Actual 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 |
| Jan 17, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 17, 2024 | 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 |
| Aug 18, 2023 | D · Potential for harm, one-off | 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. |
| Aug 18, 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. · from a complaint |
| Aug 18, 2023 | D · Potential for harm, one-off | The 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 |
| Aug 18, 2023 | 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. |
| Aug 18, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | D |
| 2024 | 7 | 2 | G ▲ |
| 2025 | 18 | 0 | F |
| 2026 | 3 | 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)
1 fine totaling $19,565.
| Date | Type | Amount / length |
|---|---|---|
| Apr 17, 2024 | Fine | $19,565 |
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) | 2.57 | 2.99 | 3.95 | bottom 42% in Illinois; bottom 4% 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 | 2.24 | 2.67 | 3.50 | bottom 37% in Illinois; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.56 | 0.48 | top 44% in Illinois; top 33% in the U.S. |
| Total nursing staff turnover (%) | 56.0 | 44.5 | 45.8 | bottom 21% in Illinois; bottom 23% in the U.S. |
| RN turnover (%) | 54.5 | 41.8 | 42.9 | bottom 29% in Illinois; bottom 29% 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 3.04, RN 0.64, weekend 2.65. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Elisheva Meystel Irrevocable Trust | Organization | 5% or Greater Direct Ownership Interest | 21% | 01/01/2008 |
| Lowinger, Rita | Individual | 5% or Greater Direct Ownership Interest | 7% | 01/01/2008 |
| 555 W Kahler, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/03/2025 |
| Aci Equities, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Aperion Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Aperion Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/26/2025 |
| Aperion Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Barnabas, Satish | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Barnabas, Satish | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Berkowitz, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/17/2026 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| David A. Berkowitz Revocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Declaration of Trust of Yosef Meystel | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Frankel, Frederick | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Jorgensen, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2008 |
| Jorgensen, Nancy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Jorgensen, Nancy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Lowinger, Rita | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Meystel, Yosef | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/17/2026 |
| Mixon, Leola | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
Questions to ask on your visit
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?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| Heather Health Care Center | 2.4 mi | Harvey, IL | ★★☆☆☆ | 1/5 | |
| Thryve of Crestwood | 2.8 mi | Crestwood, IL | ★☆☆☆☆ | 2/5 | abuse |
| Crestwood Terrace | 3.0 mi | Crestwood, IL | ★★★☆☆ | 2/5 | abuse |
| Aliya of Crestwood | 3.4 mi | Crestwood, IL | ★☆☆☆☆ | 2/5 | |
| Pine Crest Health Care | 3.8 mi | Hazel Crest, IL | ★☆☆☆☆ | 1/5 | abuse |
| Belhaven Nursing & Rehab Center | 4.3 mi | Chicago, IL | ★☆☆☆☆ | 1/5 | abuse |
| Smith Village | 4.4 mi | Chicago, IL | ★★★☆☆ | 2/5 | abuse |
| Prairie Oasis | 4.7 mi | South Holland, IL | ★☆☆☆☆ | 1/5 | abuse |
| Elevate Care Palos Heights | 4.8 mi | Palos Heights, IL | ★★☆☆☆ | 2/5 | abuse |
| Elevate Care Country Club Hill | 5.0 mi | Country Club Hills, IL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 145947.