Aperion Care Hanover
Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Hanover, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Aperion Care Hanover

Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Hanover, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Aperion Care Hanover accepts Medicare, Medicaid, and private pay.

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.

Since 2022 · 4 years of data 200 deficiencies 16 complaints 47 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

14 points below the Indiana average for assisted living residences (83/100)

Rank #341 / 384 in Indiana Inspection Score — State benchmarked This home is ranked 341st out of 384 homes in Indiana. Shows this facility's inspection score compared to the Indiana average among 384 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. This is a proprietary Assisted Living Magazine score. Inspection score: 69 out of 100. Letter grade D+. 14 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Indiana state average
Overall vs. IN average 8 Worse Metrics worse than Indiana average:
• Total deficiencies (456% above)
• Deficiencies per year (456% above)
• Deficiencies per inspection (126% above)
• Inspections with deficiencies (200% above)
• Inspection deficiency rate (22% above)
• Inspections (200% above)
• Total complaints (220% above)
• Complaints per year (208% above)
0 Better No metrics in this bucket.
Latest Inspection August 29, 2025 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility IN Average vs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 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.
Deficiencies per year Info Average deficiencies per year since 2022. 50 9 This facility has 456% more deficiencies per year than a typical Indiana assisted living residence (50 vs. IN avg 9).↑ 456% worse
Deficiencies per inspection Info Average deficiencies per inspection. 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 Info State inspections evaluate whether the facility meets health and safety standards.

This Facility IN Average vs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 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
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 21 7 This facility has 200% more inspections with deficiencies than a typical Indiana assisted living residence (21 vs. IN avg 7).↑ 200% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 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
Inspections Info Routine, scheduled inspections conducted by state regulators. 39 13 This facility has 200% more inspections than a typical Indiana assisted living residence (39 vs. IN avg 13).↑ 200% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This Facility IN Average vs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 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.
Complaints per year Info Average complaints per year since 2022. 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

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on June 4, 2025, found the facility in full compliance with Emergency Preparedness and Life Safety Code requirements, with no deficiencies cited.
  • The April 16, 2025 routine survey cited 26 deficiencies including obstructed exits, fire safety system failures, emergency preparedness plan lapses, and electrical hazards.
  • Multiple complaint investigations from 2023 to 2025 found isolated deficiencies in resident dignity, behavioral health services, and care plan updates, but most complaints were unsubstantiated or corrected on follow-up.

Health Inspection History

Inspections since 2023
Total health inspections 14

State average N/A


Last Health inspection on Aug 2025

Total health citations
64 Rank #281 / 292Health citations — State benchmarkedThis home is ranked 281st out of 292 homes in Indiana. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.57 Rank #192 / 292Citations per inspection — State benchmarkedThis home is ranked 192nd out of 292 homes in Indiana. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 3 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

63 moderate citations State average: N/A

0 minor citations State average: N/A
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 177
Employees 74
Contractors 103
Staff to resident ratio 2.53 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 35
Average shift 8.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 28,064

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 23 total: 13 full-time employees and 10 contractors. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 40 total: 16 full-time employees and 24 contractors. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 70 total: 30 full-time employees and 40 contractors. 70
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

12%

3,372 contractor hours this quarter

Certified Nursing Assistant: 40 Licensed Practical Nurse: 24 Registered Nurse: 10 Medication Aide/Technician: 7 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Clinical Nurse Specialist: 3 Qualified Social Worker: 2 Physical Therapy Aide: 2 Occupational Therapy Assistant: 2 Mental Health Service Worker: 1 Dietitian: 1 RN Director of Nursing: 1 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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
70 Certified Nursing Assistant
% of Days 100%
40 Licensed Practical Nurse
% of Days 100%
23 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
10 Medication Aide/Technician
% of Days 87%
3 RN Director of Nursing
% of Days 68%
2 Mental Health Service Worker
% of Days 70%
3 Respiratory Therapy Technician
% of Days 83%
1 Administrator
% of Days 70%
2 Dietitian
% of Days 65%
1 Nurse Practitioner
% of Days 65%
1 Speech Language Pathologist
% of Days 22%
2 Physical Therapy Aide
% of Days 23%
1 Occupational Therapy Aide
% of Days 15%
4 Physical Therapy Assistant
% of Days 30%
3 Clinical Nurse Specialist
% of Days 7%
1 Medical Director
% of Days 11%
2 Occupational Therapy Assistant
% of Days 8%
2 Qualified Social Worker
% of Days 15%

Penalties and fines

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)

Total fines amount $54K Rank #282 / 293Federal fines — State benchmarkedThis home is ranked 282nd out of 293 homes in Indiana. Shows this facility's cumulative CMS federal fine dollars versus the Indiana average among facilities with fines, and where it ranks among 293 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
97% higher than State average

State average: $27K

Number of fines 1
28% fewer fines than State average

State 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 State average

State average: 0.4

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

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.

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

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 State average

State 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 State average

State average: 17.1

Long-stay resident measures
Average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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 State average

State average: 12.0%

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

State 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 State average

State 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 State average

State 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 State average

State average: 4.4%

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

State average: 1.2%

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

State average: 5.7%

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

State average: 24.1%

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

State average: 12.4%

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

State average: 93.7%

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

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.06
29% worse than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.08
108% worse than State average

State average: 1.48

Short-stay resident measures
Below average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 11.9%
85% worse than State average

State average: 81.7%

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

State average: 1.4%

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

State average: 79.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.6%
13% better than State average

State average: 22.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 22.5%
114% worse than State average

State average: 10.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 19.2%
64% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.4%
8% worse than State average

State average: 50.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.1M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.2M Rank #202 / 294Revenue — State benchmarkedThis home is ranked 202nd out of 294 homes in Indiana. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$35
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #183 / 294Payroll — State benchmarkedThis home is ranked 183rd out of 294 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.9M 42.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #92 / 294Payroll % — State benchmarkedThis home is ranked 92nd out of 294 homes in Indiana. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.2M

Who this home usually serves

TYPE OF STAY

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.

Admissions
128 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 21%
Medicaid 41%
Discharges
126 total

Coverage residents most often leave under.

Medicare 17%
Private pay 29%
Medicaid 54%

Places of interest near Aperion Care Hanover

Address 0.0 miles from city center Info Estimated distance in miles from Hanover's city center to Aperion Care Hanover's address, calculated via Google Maps.

Calculate Travel Distance to Aperion Care Hanover

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

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Frequently Asked Questions about Aperion Care Hanover

Who is the Director of Nursing at Aperion Care Hanover?

Marcia Pyles is the Director of Nursing at Aperion Care Hanover.

Who is the owner of Aperion Care Hanover?

Aperion Care Hanover is legally operated by Daviess County Hospital, and administered by Jay Nowlin.

Is Aperion Care Hanover in a walkable area?

Aperion Care Hanover has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Aperion Care Hanover?

According to IN state health department records, Aperion Care Hanover's license number is 24-000115-2.

When does Aperion Care Hanover's license expire?

According to IN state health department records, Aperion Care Hanover's license expires on October 31, 2026.

What is the occupancy rate at Aperion Care Hanover?

Aperion Care Hanover's occupancy is 58%.

Does Aperion Care Hanover operate as a for-profit or non-profit?

Aperion Care Hanover is registered as a for-profit in IN.

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