Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

APERION CARE FOX RIVER

ELGIN, IL · 94 certified beds · Last Life Safety survey June 25, 2026

CMS Certification Number 145447 · first certified July 1982

Ownership

Operated by APERION CARE · For profit - Corporation

Ownership changed July 1, 2023 (change of ownership)from HERITAGE MANOR ELGIN LLC

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IL

45 citations — more than 95% of the 664 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 11 citations; the earlier surveys on file averaged 17. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 6 months from now. This facility’s last Life Safety survey was June 2026. Facilities in IL are typically surveyed 11–14 months after the last one (median 13), measured over 739 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

11 of the 45 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 45 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	45
Median facility in IL	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 17, 2024	23
March 13, 2025	11
June 25, 2026	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	3	2026-06-25
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	3	2026-06-25
K-0133	Install a two-hour-resistant firewall separation.	3	2026-06-25
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-06-25
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-06-25
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2026-06-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-03-13
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2026-06-25

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Emergency Preparedness Deficiencies 11
Egress Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 5
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Emergency Preparedness Deficiencies	11
Egress Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	5
Construction Deficiencies	3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 25, 2026 — 11 citations

Citations issued on June 25, 2026
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (July 1, 2026)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (July 16, 2026)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (July 20, 2026)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (July 22, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (July 21, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (July 16, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 16, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (July 20, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (July 20, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (July 1, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 10, 2026)

March 13, 2025 — 11 citations

Citations issued on March 13, 2025
Tag	What the surveyor checks	Status
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (March 31, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 31, 2025)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (March 31, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 31, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 2, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 31, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 31, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 31, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 31, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 31, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 31, 2025)

May 17, 2024 — 23 citations

Citations issued on May 17, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (May 23, 2024)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (May 23, 2024)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (May 23, 2024)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (May 23, 2024)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (May 23, 2024)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (June 13, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (May 23, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 23, 2024)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 23, 2024)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (May 23, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (June 14, 2024)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (May 23, 2024)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (May 23, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 23, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 22, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 23, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 23, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 23, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 23, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 24, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 23, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 25, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 23, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.