Federal inspection record · CMS data as of October 1, 2026
Aperion Care Arbors Michigan City
1101 E Coolspring Ave, Michigan City, IN · (219) 874-5211
- Certified beds
- 180
- Residents per day
- 119
- Ownership
- For-Profit
- Chain
- Aperion Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1974
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Aperion Care Arbors Michigan City carries 162 inspection points. That is fewer than 3% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
67 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care33E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights10E
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service6E
- D
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.
- E
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.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Assessment and Care Planning5E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Provide care by qualified persons according to each resident's written plan of care.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspection history
2025-12-09
19 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2025-06-03
14 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-12-13
34 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (15 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 22 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 23% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,543 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-01 | Fine | $16,543 |
| 2024-12-13 | Payment Denial · 24 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.3 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 97.5% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 99.1% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 1.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms72.1 pts worse | 97.6% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts better | 0.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.9 pts better | 12.6% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.4 pts worse | 22.1% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.7 pts better | 3.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better | 5.4% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.7 pts worse | 29.1% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.9 pts worse | 9.4% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.3 pts worse | 56.6% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts worse | 16.2% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.3 pts worse | 55.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.8 pts worse | 25.6% | 21.8% | 23.4% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aperion Indiana Investor Group, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 16% | 4 facilities |
| Battery Arbors, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 14% | 1 facilities |
| Ahmed, Umair | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ahmed, Umair | Adp Of The SNF · Individual | 0% | 1 facilities |
| Aperion Care Inc | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Aperion Care Inc | Adp Of The SNF · Organization | 0% | 32 facilities |
| Aperion Consulting, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Attinger, Jeffery | Adp Of The SNF · Individual | 0% | 7 facilities |
| Berkowitz, David | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 85 facilities |
| Claxton, Ryan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Claxton, Ryan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Curis Services LLC | Adp Of The SNF · Organization | 0% | 98 facilities |
| Livers, Dorothy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Livers, Dorothy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Major Hospital | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Meystel, Yosef | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 85 facilities |
| Smith, Todd | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Smith, Todd | Adp Of The SNF · Individual | 0% | 2 facilities |
| Spector, Jennifer | Operational/Managerial Control · Individual | 0% | 105 facilities |
| Spector, Jennifer | Adp Of The SNF · Individual | 0% | 105 facilities |
| The Arbors Operator LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| The Arbors Operator LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Turofsky, Steven | Operational/Managerial Control · Individual | 0% | 102 facilities |
| Turofsky, Steven | Adp Of The SNF · Individual | 0% | 102 facilities |
| Ulbert, Lisa | Operational/Managerial Control · Individual | 0% | 39 facilities |
| Ulbert, Lisa | Adp Of The SNF · Individual | 0% | 39 facilities |
| Wilhelm, Naftali | Operational/Managerial Control · Individual | 0% | 97 facilities |
| Wilhelm, Naftali | Adp Of The SNF · Individual | 0% | 97 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems3F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Egress1E
- E
Have exits that are accessible at all times.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
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- $0
-
Brickyard Healthcare - Terrace Care Center
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-
Brickyard Healthcare - Laporte Care Center
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