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.

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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 administrated 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
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
| 200 | 36 | This facility has 456% more total deficiencies than a typical Indiana nursing home (200 vs. IN avg 36).↑ 456% worse Rank #384 / 386 Total deficiencies — State benchmarked This home is ranked 384th out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. |
|
Deficiencies per year
| 50 | 9 | This facility has 456% more deficiencies per year than a typical Indiana nursing home (50 vs. IN avg 9).↑ 456% worse |
|
Deficiencies per inspection
| 4.3 | 1.9 | This facility has 126% more deficiencies per inspection than a typical Indiana nursing home (4.3 vs. IN avg 1.9).↑ 126% worse Rank #305 / 386 Deficiencies per inspection — State benchmarked This home is ranked 305th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
| 47 | 19 | This facility has 147% more total visits than a typical Indiana nursing home (47 vs. IN avg 19).↑ 147% worse |
|
Inspections with deficiencies
| 21 | 7 | This facility has 200% more inspections with deficiencies than a typical Indiana nursing home (21 vs. IN avg 7).↑ 200% worse |
|
Inspection deficiency rate
| 45% | 37% | This facility has 8 percentage points higher inspection deficiency rate than a typical Indiana nursing home (45% vs. IN avg 37%).↑ 8% worse |
|
Inspections
| 39 | 13 | This facility has 200% more inspections than a typical Indiana nursing home (39 vs. IN avg 13).↑ 200% worse |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
| 16 | 5 | This facility has 220% more total complaints than a typical Indiana nursing home (16 vs. IN avg 5).↑ 220% worse Rank #350 / 352 Total complaints — State benchmarked This home is ranked 350th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. |
|
Complaints per year
| 4 | 1.3 | This facility has 208% more complaints per year than a typical Indiana nursing home (4 vs. IN avg 1.3).↑ 208% worse |
Indiana average 6
Last Health inspection on Aug 2025
Indiana average 25
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).
Indiana average: 0.2
Indiana average: 0.6
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.
Based on the 2023 CMS SNF Cost Report.
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
Aperion Care Hanover is located in HANOVER, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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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.
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Facility
154
IN AVG
116
Rank
#82 / 437 |
71.4%
Facility
71.4%
IN AVG
69.4%
Rank
#172 / 433 | +3% | 9.22
Facility
9.22
IN AVG
3.44
Rank
#1 / 287 | -61% | +168% | $0
Facility
$0
IN AVG
$31.4k
Rank
#1 / 289 | 94
Facility
94
IN AVG
83
Rank
#47 / 384 | 5
Facility
5
IN AVG
25.0
Rank
#11 / 288 | 2.5
Facility
2.5
IN AVG
4.1
Rank
#52 / 288 | - | 110 | A+ |
39
Facility
39
IN AVG
37
Rank
#275 / 587 | Bhi Retirement Communities Inc | $17.3M
Facility
$17.3M
IN AVG
$10.7M
Rank
#42 / 290 | $7.5M
Facility
$7.5M
IN AVG
$4.2M
Rank
#66 / 290 | 43.1%
Facility
43.1%
IN AVG
42%
Rank
#212 / 290 | 155817 | ||||
| Greenwood Village South |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Greenwood | 207
Facility
207
IN AVG
116
Rank
#27 / 437 | - | - | 4.16
Facility
4.16
IN AVG
3.44
Rank
#38 / 287 | -50% | +21% | $0
Facility
$0
IN AVG
$31.4k
Rank
#1 / 289 | 83
Facility
83
IN AVG
83
Rank
#151 / 384 | 6
Facility
6
IN AVG
25.0
Rank
#17 / 288 | 3.0
Facility
3.0
IN AVG
4.1
Rank
#82 / 288 | - | 38 | A+ |
50
Facility
50
IN AVG
37
Rank
#205 / 587 | Pamela Seegers | $35.6M
Facility
$35.6M
IN AVG
$10.7M
Rank
#3 / 290 | $17.6M
Facility
$17.6M
IN AVG
$4.2M
Rank
#2 / 290 | 49.4%
Facility
49.4%
IN AVG
42%
Rank
#145 / 290 | 155026 | ||||
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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).
ADC Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.
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.
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Facility
95
IN AVG
116
Rank
#269 / 437 |
50.5%
Facility
50.5%
IN AVG
69.4%
Rank
#344 / 433 | -27% | 3.66
Facility
3.66
IN AVG
3.44
Rank
#70 / 287 | +63% | +7% | $0
Facility
$0
IN AVG
$31.4k
Rank
#225 / 289 | 91
Facility
91
IN AVG
83
Rank
#71 / 384 | 10
Facility
10
IN AVG
25.0
Rank
#41 / 288 | 3.3
Facility
3.3
IN AVG
4.1
Rank
#107 / 288 | - | 53 | A+ |
11
Facility
11
IN AVG
37
Rank
#456 / 587 | Thomas Cook | $12.0M
Facility
$12.0M
IN AVG
$10.7M
Rank
#132 / 290 | $6.4M
Facility
$6.4M
IN AVG
$4.2M
Rank
#98 / 290 | 53.4%
Facility
53.4%
IN AVG
42%
Rank
#98 / 290 | 155854 | ||||
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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).
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Facility
72
IN AVG
116
Rank
#344 / 437 |
94.4%
Facility
94.4%
IN AVG
69.4%
Rank
#12 / 433 | +36% | 4.61
Facility
4.61
IN AVG
3.44
Rank
#27 / 287 | -46% | +34% | $0
Facility
$0
IN AVG
$31.4k
Rank
#283 / 289 | 70
Facility
70
IN AVG
83
Rank
#326 / 384 | 44
Facility
44
IN AVG
25.0
Rank
#248 / 288 | 6.3
Facility
6.3
IN AVG
4.1
Rank
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77
Facility
77
IN AVG
37
Rank
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Facility
$5.3M
IN AVG
$4.2M
Rank
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Facility
50.6%
IN AVG
42%
Rank
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| 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).
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HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care | Hanover | 137
Facility
137
IN AVG
116
Rank
#120 / 437 |
57.7%
Facility
57.7%
IN AVG
69.4%
Rank
#284 / 433 | -17% | 3.08
Facility
3.08
IN AVG
3.44
Rank
#185 / 287 | +33% | -10% | $53.9k
Facility
$53.9k
IN AVG
$31.4k
Rank
#276 / 289 | 69
Facility
69
IN AVG
83
Rank
#341 / 384 | 64
Facility
64
IN AVG
25.0
Rank
#278 / 288 | 4.6
Facility
4.6
IN AVG
4.1
Rank
#192 / 288 | 1 | 76 | D+ |
55
Facility
55
IN AVG
37
Rank
#180 / 587 | Aperion Care Hanover, LLC | $8.6M
Facility
$8.6M
IN AVG
$10.7M
Rank
#200 / 290 | $4.7M
Facility
$4.7M
IN AVG
$4.2M
Rank
#180 / 290 | 54.4%
Facility
54.4%
IN AVG
42%
Rank
#90 / 290 | 155208 |
Marcia Pyles is the Director of Nursing at Aperion Care Hanover.
The legal owner and operator of Aperion Care Hanover is Daviess County Hospital.
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, 2025.
Aperion Care Hanover's occupancy is 58%.
Aperion Care Hanover is registered as a non-profit in IN.
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