Occupancy rate
58%
15% lower than Indiana averageIndiana average: 68%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Indiana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Aperion Care Hanover
Nursing Home in Indiana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
57.7%
Residents per day (avg)
71
Occupancy rate
57.7%
Residents per day (avg)
71
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
$8.6M
Surplus of revenue
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.5M
137-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
15% lower than Indiana averageOccupied beds
79 / 137
Average residents
70 per day
Facility TypeMixed Facility (nursing + Residential Care)
IssuanceJanuary 11, 2024
ExpirationOctober 31, 2025
License Number24-000115-2
CMS Certification Number155208
Aperion Care Hanover is legally operated by Daviess County Hospital, and administrated by Jay Nowlin.
Profit StatusNON-PROFIT
SNF/NF (Combined)
125 units
Residential
12 units
Total beds
137 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorDawn Meacham
Director of NursingMARCIA PYLES
ContactAdministrator
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Short-Term Rehabilitation
Long-Term Living
Fax(812) 866-5540
Specific ProgramsSkilled 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
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.
Inspection Overview
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
47 total visits · Indiana avg: 19
Ranked 384th of 388 in Indiana
39
Inspections
Indiana avg: 13
200% above Indiana avg
21
Visits with Citations
Indiana avg: 7
200% above Indiana avg
142
Citations Total
Indiana avg: 34
318% above Indiana avg Ranked 385th of 385
26
Visits without Citations
Indiana avg: 12
117% above Indiana avg
Show Inspection Reports
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: 5 complaints
Latest inspection
Date
June 27, 2025
Complaint Investigation142 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
133 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
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
Indiana average 25
Citations per inspection
4.57
Indiana average 4.12
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
1
1
400% worse than Indiana averageIndiana average: 0.2
Serious Health citations
0
0
100% better than Indiana averageIndiana average: 0.6
1 critical citation
0 serious citations
63 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 29, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 29, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 29, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 29, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 27, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 27, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 27, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Decatur | 143 | 67.1% | -3% | 3.69 | -10% | +7% | 0 | 2 | 2.0 | 0 | 108 | - | - | Adams County Memorial Hospital | $12.2M | $5.6M | 46.1% | 155747 | ||||
| Adams Heritage |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | 0 | 2 | 1.0 | 0 | 39 | A+ | - | Adams County Memorial Hospital | $5.1M | $2.5M | 49.1% | 155729 | ||||
| Addison Pointe Health & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | - | Dobben, Steven | $15.2M | $5.3M | 34.8% | 155805 | ||||
| Albany Health Care & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 | ||||
| Aperion Care Hanover |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hanover | 137 | 61.3% | -12% | 3.08 | +45% | -10% | 1 | 64 | 4.6 | 1 | 71 | - | - | Aperion Care Hanover, Llc | $8.6M | $3.5M | 41.1% | 155208 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
146
Employees
73
Contractors
73
Staff to resident ratio
2.09:1
2085614% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
35
Average shift
8.5 hours
10% better than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
26,968
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.7%
3,146 contractor hours this quarter
Licensed Practical Nurse: 31
Certified Nursing Assistant: 13
Registered Nurse: 11
Medication Aide/Technician: 3
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Clinical Nurse Specialist: 3
Qualified Social Worker: 2
Mental Health Service Worker: 1
Speech Language Pathologist: 1
Dietitian: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 33 | 13 | 46 | 10,491 | 91 | 100% | 9 |
| Licensed Practical Nurse | 13 | 31 | 44 | 5,825 | 91 | 100% | 9.2 |
| Registered Nurse | 9 | 11 | 20 | 2,471 | 91 | 100% | 8.3 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,933 | 91 | 100% | 7.3 |
| Medication Aide/Technician | 5 | 3 | 8 | 1,895 | 83 | 91% | 9.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 1 | 2 | 529 | 64 | 70% | 7.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 527 | 68 | 75% | 7.5 |
| Dietitian | 1 | 1 | 2 | 514 | 64 | 70% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 367 | 68 | 75% | 5.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 294 | 54 | 59% | 4.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 10 | 11% | 4.2 |
| Qualified Social Worker | 0 | 2 | 2 | 29 | 10 | 11% | 2.9 |
| Clinical Nurse Specialist | 0 | 3 | 3 | 19 | 5 | 5% | 2.6 |
46 Certified Nursing Assistant
% of Days
100%
44 Licensed Practical Nurse
% of Days
100%
20 Registered Nurse
% of Days
100%
7 Other Dietary Services Staff
% of Days
100%
8 Medication Aide/Technician
% of Days
91%
2 RN Director of Nursing
% of Days
70%
2 Mental Health Service Worker
% of Days
70%
3 Physical Therapy Assistant
% of Days
75%
2 Dietitian
% of Days
70%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Speech Language Pathologist
% of Days
75%
3 Respiratory Therapy Technician
% of Days
59%
1 Occupational Therapy Aide
% of Days
11%
2 Qualified Social Worker
% of Days
11%
3 Clinical Nurse Specialist
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70
Medicare
1
1.4% of residents
Medicaid
59
84.3% of residents
Private pay or other
10
14.3% of residents
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
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 averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.4
49% worse than Indiana averageIndiana average: 17.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.5%
Percent of long-stay residents whose need for help with daily activities has increased
21.5%
79% worse than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.1%
Percent of long-stay residents whose ability to move independently worsened
27.1%
89% worse than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
12% worse than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
In line with Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
5% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
38% better than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
17.2%
Percent of long-stay residents who lose too much weight
17.2%
204% worse than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
29.2%
Percent of long-stay residents who have depressive symptoms
29.2%
21% worse than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
44.7%
Percent of long-stay residents who received an antipsychotic medication
44.7%
260% worse than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.3%
48% worse than Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
55.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
55.3%
42% worse than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
11.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
11.9%
85% worse than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
62% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
0.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
0.0%
100% worse than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 averageIndiana average: $27K
Number of fines
1
28% fewer fines than Indiana averageIndiana average: 1.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
152% more payment denials than Indiana averageIndiana 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 27, 2023
$54K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 27, 2023
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
Financial Trends
Historical financial and operational data for Aperion Care Hanover based on CMS SNF Cost Reports.
Occupancy Rate
56.3%
↓ 1.8pp vs 2022
Net Income
$1.1M
↑ ~$321.2K vs 2022
Total Payroll
$4.7M
↓ ~$243.1K vs 2022
Profit Margin
12.6%
↑ 3.8pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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