Nursing Home

Aperion Care Hanover

Overview of Aperion Care Hanover
Aperion Care Hanover is a post-acute rehabilitation and long-term care facility located in Hanover, Indiana. It offers skilled nursing, short-term rehabilitation, and therapy services, including physical, occupational, and speech therapy. The facility also provides specialized care for memory care and Huntington's Disease.
(812) 866-2625

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Indiana average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Indiana average: 2.7/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Indiana average: 2.6/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5
Indiana average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 5m per day

This home provides 13% less nursing time per resident than the Indiana average.

Indiana average: 3h 32m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 137

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Indiana average
Occupancy rate 57.7%
Residents per day (avg) 71
Occupancy rate
57.7%
Residents per day (avg)
71

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

21% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

41% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Governmental community
Operated by county authorities.
Home revenue
$8.6M
Surplus of revenue
$1.1M
Governmental community Operated by county authorities.
Home revenue
$8,602,507.00
Surplus of revenue
$1,085,969.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
41.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
Total costs $7.5M
Bed community size
137-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy

Occupancy rate
58%
16% lower than Indiana average

Indiana average: 69%

Occupied beds
79 / 137
Average residents 70 per day

License details

Facility type
Mixed Facility (nursing + Residential Care)
Status Active
Issuance November 1, 2024

Additional licensing details

License number: 24-000115-2
CMS Certification Number: 155208

Ownership & operating entity

Aperion Care Hanover is administrated by JAY NOWLIN.

Profit status: NON-PROFIT

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: MARCIA PYLES
Contact: Administrator

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Short-Term Rehabilitation
Long-Term Living
Memory Care

Contact Information

Fax: (812) 866-5540

Programs & Activities

Specific Programs
Skilled Nursing, Short-Term Rehabilitation, Long-Term Living, Psychiatric Rehabilitation, Memory Care, Physical Therapy, Occupational Therapy, Speech Therapy, Orthopedic/Joint Replacement Therapy, Pain Management, Post-Stroke Rehab, Cardiac Rehab, Medication Management, Diabetes Management, Dementia/Alzheimer’s Care, Hospice/Palliative Care, Huntington’s Disease Care, Wound Care, IV/Infusion Therapy, Feeding Tubes, Respiratory Therapy, Tracheostomy Management, Assisted Living
Contact Aperion Care Hanover

Inspection History

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.

9 visits/inspections

Results

4 with citations

0 without citations

Indiana average: 8 complaint visits

Indiana average: 3 inspections with citations

16 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Indiana average: 4 complaints

Latest inspection

Date:June 27, 2025
Type:Complaint Investigation

86 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Indiana average: 26 citations

133 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Aperion Care Hanover

The most recent inspection on June 27, 2025, identified one deficiency related to a failure to ensure a resident was treated with respect and dignity, resulting in termination of the involved employee. Earlier inspections showed a pattern of deficiencies primarily involving emergency preparedness and life safety code compliance, medication management, behavioral health services, and maintaining a safe and sanitary environment. Several complaint investigations were substantiated with deficiencies cited for issues such as care plan updates, abuse investigations, behavioral health monitoring, and supervision of residents at risk, while many complaints were found unsubstantiated or corrected upon revisit. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s recent inspections indicate some improvement in emergency preparedness and complaint corrections, though issues related to resident care and environment have recurred over time.

Health Inspection History

Inspections
Total health inspections 14

Indiana average 6


Last Health inspection on Aug 2025

Total health citations 64
Citations per inspection
4.57

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).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
400% worse than Indiana average

Indiana average: 0.2


Serious Health citations More info 0
100% better than Indiana average

Indiana average: 0.6

1 critical citation More info Indiana average: 0.2

0 serious citations More info Indiana average: 0.6

63 moderate citations More info Indiana average: 23.8

0 minor citations More info Indiana average: 0.4
Citations history (last 3 years)
Care Planning moderate citation Aug 29, 2025
Corrected

Resident Rights moderate citation Aug 29, 2025
Corrected

Resident Rights moderate citation Jun 27, 2025
Corrected

Environmental moderate citation Mar 27, 2025
Corrected

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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Aperion Care Hanover
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 47243
137
-
APERION CARE HANOVER, LLC
56.3%
$8,602,472.00
$3,532,206.00
41.1%
70.70
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1/5
2/5
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64
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-19%

Places of interest near Aperion Care Hanover

Address 0.0 miles from city center

Address HANOVER, IN 47243

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

146
Total Staff
73
Employees
73
Contractors
26,968
Total Hours (Quarter)
35
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse208.3 Yes
Licensed Practical Nurse449.2 Yes
Certified Nursing Assistant469 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
120 staff
9hs shift avg
Physicians & Practitioners
4 staff
7.5hs shift avg
Therapy Services
8 staff
5.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
2.9hs shift avg
Dietary Services
9 staff
7.4hs shift avg
Other Services
2 staff
7.3hs shift avg
Contractor Analysis
11.7%
of total hours from contractors
3,146 contractor hours this quarter
Mental Health Service Worker: 1 Licensed Practical Nurse: 31 Medication Aide/Technician: 3 Registered Nurse: 11 Certified Nursing Assistant: 13 Speech Language Pathologist: 1 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Dietitian: 1 Occupational Therapy Aide: 1 Qualified Social Worker: 2 Clinical Nurse Specialist: 3
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant33134610,49191100%9
Licensed Practical Nurse1331445,82591100%9.2
Registered Nurse911202,47191100%8.3
Other Dietary Services Staff7071,93391100%7.3
Medication Aide/Technician5381,8958391%9.3
RN Director of Nursing2021,0086470%8
Mental Health Service Worker1125296470%7.3
Physical Therapy Assistant0335276875%7.5
Dietitian1125146470%7.8
Administrator1015126470%8
Nurse Practitioner1015126470%8
Speech Language Pathologist0113676875%5.4
Respiratory Therapy Technician0332945459%4.8
Occupational Therapy Aide011421011%4.2
Qualified Social Worker022291011%2.9
Clinical Nurse Specialist0331955%2.6

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
70 residents
Residents by payment source
Medicare
1 resident (1.4%)
Medicaid
59 residents (84.3%)
Private pay or other
10 residents (14.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.7
84% worse than Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.4
49% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.5%
79% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.1%
89% worse than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.5%
12% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
In line with Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
5% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
38% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 17.2%
204% worse than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 29.2%
21% worse than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 44.7%
260% worse than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 48.3%
48% worse than Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 55.3%
42% worse than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 11.9%
85% worse than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
62% worse than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 0.0%
100% worse than Indiana average

Indiana average: 79.0%

Penalties and fines

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)

Total fines amount $54K
97% higher than Indiana average

Indiana average: $27K

Number of fines 1
28% fewer fines than Indiana average

Indiana average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
152% more payment denials than Indiana average

Indiana average: 0.4

Fines amount comparison
Fines amount comparison
This facility $54K
Indiana average $27K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 27, 2023
$54K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 27, 2023
53 days

Last updated: Jan 2026

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Financial Aid for Indiana Seniors

Get financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled, Indiana resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires level-of-care determination.

CHOICE Program

Indiana CHOICE

Age 60+, Indiana resident, at risk of nursing home.

~$2,000/month (varies).

$10,000 (individual).

Limited funding; regional variation.

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+, or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.

~$1,004/month (including SSI).

$2,000 (individual), $3,000 (couple).

~50 facilities statewide; per diem rate set by FSSA.

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

Age 65+ or disabled, Indiana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

16 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Indiana SCSEP

Age 55+, unemployed, low-income, Indiana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Indiana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand statewide.

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