Hearth Record

Aperion Care Tolleston Park

A nursing home in Gary, Indiana 46404

2350 Taft St, Gary, Indiana 46404. (219) 977-2600.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 35 citations in 7 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

19 health citations at the latest inspection cycle

The Indiana average is 7.2.

Last standard inspection Feb 24, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 11, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

35 citations in 7 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

35 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 36 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 13 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 11, 2026: complaint inspection1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. J: immediate jeopardy to health or safety. From a complaint.

Feb 24, 2026: standard inspection12 citations
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

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

    Rule F0684. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

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

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

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

    Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • 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.

    Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 25, 2026.

Feb 24, 2026: standard and complaint inspection3 citations
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

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

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

Dec 30, 2025: complaint inspection1 citation
  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 20, 2026.

Dec 17, 2025: complaint inspection2 citations
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 12, 2026.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 12, 2026.

Jan 24, 2025: complaint inspection2 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2025.

Nov 21, 2024: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

Sep 20, 2024: standard inspection11 citations
  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • 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.

    Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Provide or obtain dental services for each resident.

    Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

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

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 14, 2024.

Sep 20, 2024: standard and complaint inspection1 citation
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 14, 2024.

Feb 8, 2024: complaint inspection1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2024.

Nov 6, 2023: complaint inspection1 citation
  • Plan the resident’s discharge to meet the resident’s goals and needs.

    Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 6, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 25, 1995.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 178 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 13 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.11 nurse hours per resident per day

The Indiana average is 3.73.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIndiana average
Nurse hours per resident per day3.113.73
Of which registered nurses0.230.68
At weekends2.703.26
Nursing staff turnover42.6%45.9%
Registered nurse turnover57.1%40.5%
Administrators who left0Not given

Who owns it?

  • Major Hospital owns 100% directly since Jul 1, 2017.
  • Aperion Care Inc. runs it.
  • 44 owners or officers are people: Jennifer Spector (corporate officer, 100%); Lisa Ulbert (corporate officer, 100%); Adolphus Anekwe (runs it (operational or managerial control)); Adolphus Anekwe (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Spector (runs it (operational or managerial control)); Jennifer Spector (additional disclosable party (controls, leases property to, or provides services to the home)); Jeff Beaty (on the governing body (managing control)); Jeff Beaty (additional disclosable party (controls, leases property to, or provides services to the home)); Sherri Lynn Tandy (on the governing body (managing control)); Sherri Lynn Tandy (additional disclosable party (controls, leases property to, or provides services to the home)); Melanie Stevens (on the governing body (managing control)); Melanie Stevens (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffery Attinger (additional disclosable party (controls, leases property to, or provides services to the home)); John Coffin (on the governing body (managing control)); John Coffin (additional disclosable party (controls, leases property to, or provides services to the home)); Ryan Claxton (corporate officer); Ryan Claxton (runs it (operational or managerial control)); Ryan Claxton (additional disclosable party (controls, leases property to, or provides services to the home)); Ralph Mercuri (corporate officer); Ralph Mercuri (runs it (operational or managerial control)); Paula A Gustafson (corporate officer); Paula A Gustafson (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Turofsky (runs it (operational or managerial control)); Steven Turofsky (additional disclosable party (controls, leases property to, or provides services to the home)); Frank Bensema (runs it (operational or managerial control)); Frank Bensema (additional disclosable party (controls, leases property to, or provides services to the home)); Karen Burton (corporate officer); Karen Burton (additional disclosable party (controls, leases property to, or provides services to the home)); Phillip Haehl (on the governing body (managing control)); Phillip Haehl (additional disclosable party (controls, leases property to, or provides services to the home)); Carla Dawson (runs it (operational or managerial control)); Carla Dawson (additional disclosable party (controls, leases property to, or provides services to the home)); Heather Kuhn (corporate officer); Heather Kuhn (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Ulbert (runs it (operational or managerial control)); Lisa Ulbert (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen Black (corporate officer); Stephen Black (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Wilhelm (runs it (operational or managerial control)); Naftali Wilhelm (additional disclosable party (controls, leases property to, or provides services to the home)); Jan N Sandman (on the governing body (managing control)); Jan N Sandman (additional disclosable party (controls, leases property to, or provides services to the home)); Dana Caldwell (on the governing body (managing control)); Dana Caldwell (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Aperion Care (33 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Major HospitalOwns 5% or more directly100%Jul 1, 2017
Aperion Consulting, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 30, 2014
Aperion Care Inc.Runs it (operational or managerial control)Apr 30, 2014
Aperion Care Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 13, 2026
Curis Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 30, 2014

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Indiana average 4.3).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.9 miles, this one had the 4th most health citations at the latest inspection cycle (19; the middle value was 18.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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