Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aperion Care Midlothian during CMS and state inspections, most recent first.
Staff members did not consistently wear visible ID badges showing their name, licensure status, and position, as required by law. Several staff were observed without badges or with incomplete identification, and cognitively intact residents expressed concern about not being able to verify who was providing their care. Facility leadership was unaware of a policy on ID badges, and alternative identification methods were inconsistently used.
The facility failed to discard a green salad stored in the refrigerator past its 'used by' date, as observed during a tour. The Dietary Manager acknowledged the oversight, which violated the facility's policy requiring expired food to be discarded. This lapse in food storage practices could potentially affect 65 residents receiving meals from the kitchen.
A facility failed to maintain privacy for a resident during a medical procedure when an LPN was observed obtaining a blood glucose reading and administering insulin with the room door open. The resident, with Type 2 Diabetes Mellitus, was receiving insulin as per a medication order. The LPN admitted the oversight, and the DON confirmed the expectation of privacy during care. The facility's policy emphasizes residents' rights to privacy and confidentiality.
A hospice resident's change in condition was not documented by an LPN, who believed hospice managed the care and documentation. The DON expects documentation for all residents, including hospice patients. The resident, with multiple diagnoses, expired in the facility. The facility's policy requires timely and complete documentation, which was not followed.
The facility failed to have a treatment order in place and perform dressing changes to a resident's sacral wound for seven days, resulting in the wound deteriorating and the resident being diagnosed with osteomyelitis. Despite receiving IV antibiotics, the resident ultimately passed away due to pneumonia and osteomyelitis.
Failure to Ensure Staff Wore Visible Identification Badges
Penalty
Summary
The facility failed to ensure that staff members consistently wore visible identification badges that disclosed their first name, licensure status, and staff position, as required by the Medical Patient Rights Act. During observations and interviews, multiple staff members were found either not wearing ID badges or wearing badges that did not display the required information. For example, an LPN was observed with an ID badge that did not visibly display their name and staff position until it was adjusted during the survey. Several CNAs and a restorative aide were observed without any ID badges, with some stating they had never received a badge or had lost theirs and were waiting for replacements. Interviews with cognitively intact residents revealed concerns about the lack of visible staff identification. Residents expressed discomfort and uncertainty about the identity of individuals providing care, with some stating they did not know who was entering their rooms or asking them to sign documents. Residents indicated that the absence of proper identification made them feel vulnerable and unable to verify if the person was a legitimate staff member. Further review showed that the facility did not have a clear policy regarding employee ID badges, and leadership was unaware of any such policy in place. While the facility used different colored scrubs to differentiate job positions and had stickers available for temporary identification, these measures were not consistently implemented. The deficiency was identified as having the potential to affect all residents on the unit, as staff assigned to the unit were not in compliance with the identification requirements.
Improper Food Storage Practices
Penalty
Summary
The facility failed to ensure proper food storage practices, which could potentially lead to foodborne illness among the 65 residents receiving food from the kitchen. During an initial tour, a green salad was observed in a transparent container in the refrigerator, labeled with a 'used by' date that had already passed. The Dietary Manager acknowledged that the salad should have been discarded since the 'used by' date was the previous day and proceeded to remove the label. The facility's policy requires that food items be labeled with the name and expiration date, and any food past its expiration date should be discarded. However, this procedure was not followed, as evidenced by the expired salad still being stored in the refrigerator.
Failure to Maintain Resident Privacy During Medical Procedure
Penalty
Summary
The facility failed to maintain privacy for a resident during a medical procedure. On September 5, 2024, at noon, an LPN was observed obtaining a blood glucose reading and administering insulin to a resident with the room door open to the hallway, compromising the resident's privacy. The resident, identified as having Type 2 Diabetes Mellitus without complications, was receiving insulin lispro on a sliding scale three times a day as per a medication order dated May 17, 2023. The LPN acknowledged the oversight, stating that the curtain should have been pulled or the door closed. The Director of Nursing confirmed that all nurses are expected to provide privacy when administering care. The facility's policy on residents' rights, dated August 23, 2017, emphasizes the right to privacy and confidentiality, which was not upheld in this instance.
Failure to Document Change in Condition for Hospice Resident
Penalty
Summary
The facility failed to document a significant change in condition for a hospice resident, identified as R85, who was part of a sample of 18 residents reviewed. The deficiency was identified during a review of R85's closed record following her death. It was found that there was no documentation in the nurses' notes regarding a change in R85's condition. The Licensed Practical Nurse (LPN), identified as V10, who was responsible for R85 on the night of her death, stated that she did not document the change in condition because she believed that hospice managed the care and documentation for hospice patients. V10 only documented the presumed death note. The Director of Nursing (DON), identified as V2, stated that she expects her staff to document on all residents, including those under hospice care. R85 was a [AGE] year-old female with diagnoses including encephalopathy, altered mental status, insomnia, and essential hypertension. She was admitted to the facility on a specified date and expired there. The facility's Electronic Health Record policy requires that entries be timely, accurate, relevant, and complete, which was not adhered to in this case.
Failure to Provide Timely Wound Care Leads to Osteomyelitis and Resident Death
Penalty
Summary
The facility failed to have a treatment order in place and failed to perform dressing changes to a resident's sacral wound for seven days. This resulted in the sacral wound deteriorating, becoming larger in size, and the resident being diagnosed with osteomyelitis of the sacral wound after being hospitalized for an elevated white blood cell count indicating an infection. The resident, who had multiple diagnoses including adult failure to thrive, dementia, cerebral infarction, type 2 diabetes, and several pressure ulcers, was admitted to the facility with a stage 2 pressure ulcer on the sacrum, which later progressed to a stage 4 ulcer with necrotic tissue extending to the bone. Upon admission, the resident had multiple skin issues, including a pressure ulcer to the coccyx, right buttocks, right and left heels, right clavicle, and right ear. The physician and the Director of Nursing (DON) were made aware of the admission. However, there was no dressing change order for the sacral wound until a week later, and the zinc barrier cream order was not started until four days after admission. The lack of timely and appropriate wound care led to the sacral wound deteriorating and becoming infected, ultimately resulting in osteomyelitis. Interviews with the wound nurse, admitting nurse, and DON revealed that there was a lack of awareness and communication regarding the resident's wound care needs. The wound nurse and admitting nurse could not recall the stage of the sacral wound upon admission or the specific orders for wound care. The DON acknowledged that an order for dressing changes should have been put in place within 24 hours of admission and that the failure to do so likely contributed to the wound's deterioration and subsequent infection. The resident's condition continued to decline, and despite receiving IV antibiotics, the resident ultimately passed away due to pneumonia and osteomyelitis.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,230 citations issued within 25 miles in the last 12 months — including the 15 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Midlothian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heather Health Care Center | 2.4 mi | — | 19 | 1 |
| Thryve Of Crestwood | 2.8 mi | — | 1 | 0 |
| Crestwood Terrace | 3 mi | — | 2 | 0 |
| Aliya Of Crestwood | 3.4 mi | — | 5 | 0 |
| Pine Crest Health Care | 3.8 mi | — | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Aperion Care Midlothian.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.