Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 1 years.
Aperion Care Hanover is a 137-bed skilled nursing facility in Hanover, Indiana, offering long-term care, memory care, and short-stay rehabilitation, with a clinical program roster that includes Huntington’s Disease care, psychiatric rehabilitation, post-stroke and cardiac rehab, and hospice and palliative services. The facility is operated by Daviess County Hospital and serves Jefferson County residents. It accepts both Medicare and Medicaid.
The inspection record is a significant consideration for families. Over the past four years, the facility has averaged 33.3 deficiencies per year — roughly seven times the Indiana average of 4.2. Substantiated complaints across the review period involved resident-to-resident sexual abuse, failure to investigate an abuse allegation, dehydration that led to a resident’s hospitalization and death, pest control failures, and recurring medication management issues. No findings of immediate jeopardy or fines appear in the available reports. The most recent standard survey, completed in March 2025, cited 11 deficiencies across medication administration, infection control, environment, and pharmacy services; a subsequent re-inspection found the facility in compliance.
CMS rates the facility at 1 star overall. Nurse staffing averages 3 hours and 5 minutes per resident per day, 13% below Indiana’s average of 3 hours and 32 minutes — a relevant metric given the facility’s high-acuity program mix. The facility’s occupancy rate is 58%, well below the Indiana average of 68%, suggesting current availability across care levels.
The facility’s specialized programming — Huntington’s Disease care, psychiatric rehabilitation, and a dedicated memory care unit — positions it for residents with complex behavioral or neurological needs who require skilled nursing infrastructure in Jefferson County. However, families should carefully review the facility’s inspection history, staffing levels, and resident safety findings before making a placement decision.
Aperion Care Hanover is legally operated by Daviess County Hospital, and administered by Jay Nowlin.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
Deficiencies
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This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
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Total deficiencies
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200 | 36 | This facility has 456% more total deficiencies than a typical Indiana assisted living residence (200 vs. IN avg 36).↑ 456% worse Rank #315 / 317 Total deficiencies — State benchmarked This home is ranked 315th out of 317 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. |
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Deficiencies per year
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50 | 9 | This facility has 456% more deficiencies per year than a typical Indiana assisted living residence (50 vs. IN avg 9).↑ 456% worse |
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Deficiencies per inspection
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4.3 | 1.9 | This facility has 126% more deficiencies per inspection than a typical Indiana assisted living residence (4.3 vs. IN avg 1.9).↑ 126% worse Rank #242 / 317 Deficiencies per inspection — State benchmarked This home is ranked 242nd out of 317 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 317 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. |
Inspections
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This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
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Total visits
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47 | 19 | This facility has had 147% more total visits than the Indiana average (47 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 147% more |
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Inspections with deficiencies
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21 | 7 | This facility has 200% more inspections with deficiencies than a typical Indiana assisted living residence (21 vs. IN avg 7).↑ 200% worse |
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Inspection deficiency rate
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45% | 37% | This facility has 8 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (45% vs. IN avg 37%).↑ 8% worse |
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Inspections
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39 | 13 | This facility has 200% more inspections than a typical Indiana assisted living residence (39 vs. IN avg 13).↑ 200% worse |
Complaints & Investigations
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This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
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16 | 5 | This facility has 220% more total complaints than a typical Indiana assisted living residence (16 vs. IN avg 5).↑ 220% worse Rank #292 / 293 Total complaints — State benchmarked This home is ranked 292nd out of 293 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 293 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. |
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Complaints per year
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4 | 1.3 | This facility has 208% more complaints per year than a typical Indiana assisted living residence (4 vs. IN avg 1.3).↑ 208% worse |
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 64 citations resulted from standard inspections; 24 of 64 resulted from complaint investigations; and 4 of 64 came from combined inspections (standard and complaint).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
3,372 contractor hours this quarter
| Certified Nursing Assistant | 30 | 40 | 70 | 10,146 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 16 | 24 | 40 | 6,936 | 92 | 100% | 9.5 |
| Registered Nurse | 13 | 10 | 23 | 3,609 | 92 | 100% | 8.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,113 | 92 | 100% | 7.2 |
| Medication Aide/Technician | 3 | 7 | 10 | 1,264 | 80 | 87% | 9.8 |
| RN Director of Nursing | 2 | 1 | 3 | 984 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 1 | 2 | 536 | 64 | 70% | 7.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 516 | 76 | 83% | 6.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 1 | 2 | 482 | 60 | 65% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 112 | 20 | 22% | 5.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 104 | 21 | 23% | 4.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 62 | 14 | 15% | 4.4 |
| Physical Therapy Assistant | 0 | 4 | 4 | 62 | 28 | 30% | 2 |
| Clinical Nurse Specialist | 0 | 3 | 3 | 57 | 6 | 7% | 7.1 |
| Medical Director | 0 | 1 | 1 | 34 | 10 | 11% | 3.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 32 | 7 | 8% | 4.6 |
| Qualified Social Worker | 0 | 2 | 2 | 25 | 14 | 15% | 1.8 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
38% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
41% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Aperion Care Hanover from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Hanover's city center to Aperion Care Hanover's address, calculated via Google Maps.
Add your location
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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Muncie | - | 303 | A+ | 6 | Studio / 1 Bed / 2 Bed |
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| Aperion Care Hanover |
NH
AL
HOS
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SNF
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Hanover | - | 137 | D+ | 55 | - |
Marcia Pyles is the Director of Nursing at Aperion Care Hanover.
Aperion Care Hanover is legally operated by Daviess County Hospital, and administered by Jay Nowlin.
Aperion Care Hanover has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IN state health department records, Aperion Care Hanover's license number is 24-000115-2.
According to IN state health department records, Aperion Care Hanover's license expires on October 31, 2026.
Aperion Care Hanover's occupancy is 58%.
Aperion Care Hanover is registered as a for-profit in IN.
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