Inspection visit
Health inspection
2 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0573
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Let each resident or the resident's legal representative access or purchase copies of all the resident's
records.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review the facility failed to provide resident's medical records when requested for 1 of
4 residents (R1) reviewed for medical records in the sample of 4.
The findings include:
R1's face sheet accessed on 6/13/25 show that R1 was admitted to the facility on [DATE] and discharged
on 9/19/24 with diagnosis of Parkinson's.
R1's facility assessment dated [DATE] show R1 has no cognitive impairment. (BIMS-15)
On 6/13/25 at 9:35 AM, via telephone conversation with R1 and V6 (R1's sister). R1 said she wanted to get
a copy of her medical records but has not gotten them yet. R1 also wanted this surveyor to speak to V6. V6
said my sister (R1) and I made a call to the Nursing Home a couple of weeks ago and spoke to V7 (Medical
Record staff) requesting a copy of R1's medical record. V7 spoke to R1 to get her verbal consent. V7 said
she was not sure if R1 was allowed to get a copy of her medical records so she had to ask permission from
corporate first then she will call us back. V6 stated the medical record staff (V7) had not called us back. R1,
my sister has the right to have copy of her records, we have important things to review in those records.
On 6/13/25 at 10:34 AM, V7 said she had been the medical records for approximately a year now. Last
week, R1 and her sister requested over the phone a copy of R1's medical records. V7 said she was not
sure if residents themselves and their families can get a copy of their records. V7 said she thought only
Insurance Companies can get copies of medical records. V7 said she used to just do supplies and was put
in this Medical Record job and had not gotten much training. I do not know the process, so I emailed
corporate and the DON. [V9] (Vice President of Operations) responded last week and said, yes they could. I
have to have them fill out the request form. I have not called R1 and her sister back, I have been busy, I will
do that today.
On 6/13/25 at 2:30 PM, V1 (acting Administrator) said V7 had training to do the Medical Records job. V1
said V7 had been informed that residents and their families have the right to access their medical records.
The facility policy entitled Release of Medical Records (undated) documents, Medical records will be
released with a valid request and in accordance with state and federal laws. Access Rights to medical
Information: 1. The resident's records is accessible to him/her within 24 hours (excluding weekends and
holidays) notice, following an oral or written request .The resident may have designated a
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
145027
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145027
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Allure of the Quad Cities
833 Sixteenth Avenue
Moline, IL 61265
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0573
legal representative who can exercise the same rights as the resident. The resident or his/her legal
representative may receive a copy within 2 working days after the request have been made.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145027
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145027
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Allure of the Quad Cities
833 Sixteenth Avenue
Moline, IL 61265
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0580
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room,
etc.) that affect the resident.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review the facility failed to notify a physician of a high blood sugar for 1 of 4 residents
(R2) reviewed for notification in the sample of 4.
The findings include:
R2's Physician Order Sheet dated 6/2025 show R2 was admitted to the facility on [DATE] and discharged
on 6/1/25 with diagnoses that includes diabetes mellitus and diabetic neuropathy.
On 6/13/25 at 9:47 AM, V4 (R2's son) said the time R2 was in the Nursing Home, R2 had been in the
Hospital due to his blood sugar either being too high or too low. The family has a Dexcom system that's
connected at home and sends triggers when R2's blood sugar is high or low. On 6/1/25 at around 2-3 in the
morning, we had a trigger that showed my dad's bloods sugar was high at 400. My stepmom (V10) called
the nursing home and requested the Nurse to please notify the doctor due to R1's high blood sugar but the
nurse said no and refused to call my dad's physician.
On 6/13/25 at 1:08 PM, V3 (Registered Nurse) said she was one of the Nurses working night shift on
5/31/25 and the morning of 6/1/25. V3 said she received a call from R2's wife (V10) on 6/1/25. V3 was not
sure of the time but thought it close was to 6AM. R2's wife said she received a trigger that R2's blood sugar
was 400. V3 said she went to check R2's blood sugar. R2 was asleep in bed, R2's blood sugar was 323 and
V3 told the wife. The wife (V10) requested V3 notify R2's physician to ask if R2 needed insulin since blood
sugar was high. V3 said she told V10 she was not calling R2's doctor, the blood sugar was below 350, V3's
shift ends at 7AM. R2 was due to receive his insulin with morning med pass around 8AM by day shift staff.
On 6/13/25 at 2PM, V5 (Nurse Practitioner-NP) said a blood sugar of above 300 was considered high and
the night Nurse should have called R2's physician as per family's request and have the physician decide if
R2 needed an insulin coverage at that time. V5 (NP) said on 6/1/25 at 9AM, she was informed that by the
time the day shift checked R2's blood sugar around 8AM, it was already 426 and needed an extra 10 units
of regular insulin coverage.
R2's electronic medication record (EMAR) show R2's blood sugar on 6/1/25 at 8AM was 426.
On 6/13/25 at 2:35 PM, V2 (Director of Nursing-DON) said R2's blood sugars were erratic and R2 had been
back and forth at the hospital because of the issues of blood sugars. R2's family has a Sugar/pixel cube
system that communicates with them R2's blood sugar, it read outs to them and alarms if R2's blood sugar
was high or low. R2's wife (V10) must have gotten the alert that R2's blood sugar was high that was why
she called on 6/1/25. V2 (DON) said she had counseled V3 (RN) that she should have called R2's physician
per family's request.
The Facility Policy entitled of Notification of Changes (undated) documents, the purpose of this policy is to
ensure the facility promptly inform the resident, consults the resident's physician and notifies consistent with
his or her authority when there is a change requiring notification.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145027
If continuation sheet
Page 3 of 3
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Back to topCitations
2 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F573 - The resident has the right to access personal and medical records pertaining
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F580 - Notification of Changes
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
FAQ · About this visit
Common questions about this visit
What happened during the June 13, 2025 survey of Allure Of The Quad Cities?
This was a inspection survey of Allure Of The Quad Cities on June 13, 2025. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Allure Of The Quad Cities on June 13, 2025?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Let each resident or the resident's legal representative access or purchase copies of all the resident's records."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.