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Nursing HomeMedicaid Investigative

Aperion Care Hanover

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

410 W Lagrange Rd, Hanover, IN 47243125 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 28 Google reviews

5
4
3
2
1
Aperion Care Hanover Nursing Home in Hanover, IN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 6)

Bottom 25% in IN · Below recommended RN staffing · Worst in APERION CARE chain · $53,874 in fines

Source: Medicare data

What this means for your family

The facility is highly regarded for its clean environment and active engagement programs, making it a strong candidate for those prioritizing social interaction. However, given the serious reports of understaffing and medication management issues, we strongly advise families to conduct unannounced visits and closely monitor care plans to ensure consistent oversight.

Google Reviews

Google Reviews

28 reviews on Google
Aperion Care Hanover receives highly polarized feedback, with recent reviews praising the facility's clean environment, professional staff, and engaging activity department. However, critical reviews highlight severe concerns regarding understaffing, potential medication management failures, and declining quality of care following a change in management.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean10.0Activities10.0Meds0.0MemoryN/AComms5.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Engaging and active activity department
  • Professional and caring nursing staff
  • Effective management of complex medical cases

Concerns

  • Understaffing leading to poor care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02015(2)1.02021(4)5.02022(2)3.02023(4)3.02024(4)4.92025(30)4.22026(5)

Distribution · 51 analyzed

5
38
4
2
3
2
2
0
1
9
12 reviews posted between Jan 23, 2025Jan 23, 2025 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's focus on complex medical cases, what specific protocols are in place to ensure accuracy and safety with medication management?
  • 2I noticed the activity department is highly praised; could you walk me through a typical week of programming for residents who enjoy staying active?
  • 3How does your leadership team proactively manage staffing levels to ensure that residents receive consistent attention throughout all shifts?
  • 4With 13 recent state violations, what specific improvements or changes in policy have been implemented to address these concerns and prevent future issues?
  • 5How do you coordinate care and communication with families when a resident experiences a change in their medical condition or an emergency?
  • 6What steps are currently being taken to improve the facility's overall CMS quality rating and ensure a higher standard of care for all residents?

Personalized based on this facility's data


Key Review Excerpts

The facility is clean and well kept. The home floor plan is not complicated – it is easy for residents with physical or cognitive issues to move around safely.

Family member · 2025★★★★★

The Activity Dept is outstanding with the interaction they have with the residents and the activities that they do. They are terrific at getting them all to join in even if they don't feel like it.

Family member · 2025★★★★★

This facility is fantastic with medical complexity cases. They have the knowledge and nohow to manage medical conditions that other facilities may shy away from

Family member · 2025★★★★★
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.38hrs
82%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility55.3%
Worse than Avg
Here
55.3%
US
95.5%
IN
95.4%
Jefferson
92.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility44.5%
Worse than Avg
Here
44.5%
US
15.5%
IN
13.6%
Jefferson
20.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility68.0%
Worse than Avg
Here
68.0%
US
93.4%
IN
93.6%
Jefferson
84.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.1%
Mixed vs Avgs
Here
23.1%
US
12.1%
IN
24.8%
Jefferson
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
19.5%
IN
23.5%
Jefferson
18.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
19.4%
IN
23.8%
Jefferson
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility0.0%
Worse than Avg
Here
0.0%
US
79.8%
IN
79.0%
Jefferson
73.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility15.0%
Worse than Avg
Here
15.0%
US
81.8%
IN
81.5%
Jefferson
73.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Jefferson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Well above state avg (7.6)
27 complaint-triggered
$53,874 in fines

Aperion Care Hanover has significant recurring issues with families filing reports about resident safety, environmental conditions, and medication management problems persisting across multiple years. The facility shows repeated deficiencies in fire safety systems, emergency preparedness, food handling, and pest control, with the same types of violations appearing in 2023, 2024, and 2025 surveys. While all individual violations show correction dates, the pattern suggests systemic challenges in maintaining consistent standards for resident care and facility operations.

Apr 16, 2026Routine
9
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 12, 2026Complaint
2
0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Aug 29, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 27, 2025Complaint
1
0550Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Mar 27, 2025Routine
32
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0300Potential for harm · WidespreadCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0577Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Mar 27, 2025Complaint
2
0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Federal Penalties

Fine

Sep 27, 2023

$53,874

Payment Denial

Sep 27, 2023

53-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aperion Care Hanover

Organization Type

for profit

Chain Affiliation

Chain Name

Aperion Care

Chain Size

33 facilities nationwide

Chain avg rating: 2.0/5 · Rank 16 of 32 (Worst)

Ownership & Management

Owners

Daviess County Hospital

Owner · Organization

100%

Key personnel

Jenkins, StefanieContracted Managing EmployeeMeacham, DawnContracted Managing EmployeeSteiner, DeronOfficer / DirectorConroy, TracyOfficer / DirectorAperion Care Hanover, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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