Inspection·December 3, 2025

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few sexual contact with R2 and R1. V1 said she still needed to talk to the CNA to get more information and then would talk to V10. V1 called V10 back and said both were naked. R1 was sitting on the bed in front of R2 giving him oral sex. R2 wasn't erect but R1 was performing oral sex. V1 had told V11 (R1's son) when she talked to him that R1 was laying down and R2 was leaning over her; R1 was giving R2 oral sex, so the story had changed. V10 stated that bothered them. V10 stated V2 Director of Nursing - DON called and said she would like to get consent for medication for R1 in case she had any anxiety. V10 stated if they need permission for R1 to have the medication, have V10 present to read to R1 what she is signing, and go over the papers, then why do they think R1 can consent to this? V10 stated she did not think R1 has the ability to consent. V10 stated when she went to the facility for a meeting on Tuesday (11/25/25) she was told R2 was leaning over R1, he had her head in his hand and was holding her head there. V10 stated there were so many different stories. V10 stated on Saturday (11/29/25) when she went to see her, R1 told her that R2 raped her. V10 stated she told the facility what R1 said; she told the facility that R1 said R2 raped her. V10 stated R1 doesn't remember exactly what happened but said he raped her. V10 said she dislikes R2 and doesn't have anything good to say about him. V10 stated she did a video/audio recording on her phone of R1 telling her she was raped. On 12/1/25 at 11:14 AM, V10 and R1 were sitting in chairs in the dining room with the door closed and no other residents or staff present for the interview. R1 identified the person at the table with her as V10 her daughter. R1 was asked if anyone there had made any sexual advances and /or touched her in a sexual way. R1 stated, he raped me. R1 stated she couldn't think of the man's name. R1 stated she was watching TV; the man came into her room and raped her. R1 stated the man got down next to her and was playing with her; he wasn't there long. R1 stated she told her boyfriend what happened because she was crying, and her boyfriend got mad. R1 was asked if the man was R2 or R3. R1 stated R2 was the one that raped her, and she was called into an office and questioned about it. R1 stated R2 had forced her to have oral sex, and she did not want to, but she didn't have a choice. R1 stated R3 is her boyfriend, and they are getting married. R1 stated she has been with R3 for a long time and has not had sex with him. V10 played a recording on her phone of R1 that was done on 11/28/25 at 3:47 PM and in the video R1 stated she was raped. R1 confirmed that R2 was the man's name and stated, I never want to see that bastard again. On 12/1/25 at 11:38 AM, R2 was sitting in a wheelchair in his room and was interviewed at that time. R2 stated his daughter put him in this place. R2 stated he is not in a relationship with anyone here. R2 stated he knew of R1 but did not really know her. R2 stated he went into R1's room one time. R2 stated he did not know what happened when he went into R1's room. R2 denied having sex with R1. R2 denied having his clothes off in R1's room. R2 stated he was in a room at the end of the hall, and they moved him to this room. R2 stated R1's room is somewhere down there (down the hall). On 12/1/25 at 11:49 AM, R1 and R3 were in the dining room sitting at a table together. R3 was facing across from R1 and they were talking. R2 entered the dining room and R1 looked at him and told him to leave. R1 and R3 were asked who R2 was and R3 stated he (R2) used to be his friend but wasn't anymore. R3 said R1 told him that R2 raped her, and she could not get up. R3 stated he felt so bad that it happened. R3 stated he did not have any part in what R2 was doing and wouldn't do something like that. R3 stated he was beyond mad at what happened and felt bad because there was nothing, he could do to protect R1. R3 stated he has never done anything like that in his life and doesn't know what R2 was thinking. R3 stated they stay away from R2 the best that they can. On 12/1/25 at 12:45 PM, V9 CNA stated on 11/19/25 at around 8:30 PM she went to R1's room, knocked on her door, and was told to wait a minute. V9 stated she entered the room and saw R2 naked with his buttocks facing her and he was thrusting. V9 stated R1 was laying at an angle with her (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 2 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few back/torso area on the bed and her bottom half was half on and half off the bed. R2 had his right hand on the wall and his left hand on R1's shoulder. R2 was leaning in on R1 and was thrusting. V9 stated she couldn't really see R2's penis because it was dark and due to his body shape, she said she couldn't tell if he had an erection or not. V9 stated she couldn't tell if he was in R1's vagina or not and stated R1 and R2 were skin to skin, and he was thrusting. V9 stated when she told R2 to stop it seemed like he did not want to and wanted her to wait until he was finished. V9 stated she separated R1 and R2 and got the nurse right away. V9 stated V8 Licensed Practical Nurse - LPN contacted V1 Administrator and assessed R1. V9 stated she talked to V1 also. V9 stated R1 seemed like she was fine that evening and did not appear distraught. V9 tried to clean R1 up and R1 was giving her a hard time. V9 said, It was a big protest to get her (R1) dressed. V9 stated R1 acts like that at times normally. V9 stated R1 is confused and has a false reality. R1 thinks she has 8 kids at home that she must take care of and talks about seeing her mother. V9 stated what happened was serious in nature so it had to be reported. V9 stated she was in shock and was not aware of anything like this happening before and she has worked at the facility a total of four years; 2 years in housekeeping and 2 years as a CNA. V9 stated in her opinion she thought this was sexual abuse. V9 stated R2 seems more consciously aware of what he is doing more than R1 does. V9 CNA stated there are 2 CNAs from 6 PM to 10 PM and then she is working alone on the unit. V9 stated if she is in a resident room providing care such as incontinence care she could be in a room for 20 - 30 minutes so there is no one to check/monitor the other residents. V9 stated there needs to be 2 aides on the unit so one can do rounds, and the other one can check and monitor residents. On 12/1/25 at 1:18 PM, V3 Assistant Director of Nursing - ADON stated she was left out of the November 2025 incident between R1 and R2. V3 stated a night shift CNA, and the nurse spoke with V1 about the instance of R2 going into R1's room. V3 stated she has heard a couple of different stories about what happened. V3 stated the next day R1 told V15 CNA that she was raped; and V15 told V13 LPN who then reported it to V2 Director of Nursing and V1 Administrator. V1 went down immediately to talk to R1 and V19 regional Corporate Nurse did some questioning. V3 looked in her phone and stated it was on 11/21/25 that the rape was reported. V3 stated V20 Psychiatrist does not come into the facility; V14 Psychiatric Nurse Practitioner is the one that currently comes in. On 12/1/25 at 1:44 PM, V13 LPN stated she was doing morning medication pass on the dementia unit and V15 CNA told her that R1 went into R3's room and told him she was raped by R2. V13 stated she told V15 to tell V1 Administrator now. V15 came back and said she wasn't able to talk to V1 because she was in a meeting. V13 stated she went herself first to V2 DON who asked why she was she reporting this to her (V2) and to go and report it to V1. V13 stated she was going to go to V1's office when V1 walked by so she told V1 and V1 went to the unit to talk to R1. R1 and R2 are confused but R2 is more with it than R1 who is confused and forgetful. V13 stated she doubted that R1 had the ability to consent to sex. They have to call V10 for everything; R1 is not quite with it. On 12/1/25 at 1:59 PM, V14 Psychiatric Nurse Practitioner - NP stated she sees R1 for psychiatric services and R1 has dementia with moments of clarity, but it depends on the day. Some days R1 is more alert than others; there are moments when she is confused and moments when she is with it. V14 stated there is no way to tell if R1 can or can't consent but what she could say is when she has seen R1 she is alert and oriented x 1 (to herself). On 12/1/25 at 2:09 PM, V15 CNA/Activities stated R1 and R3 were walking in the hall and R3 told me that I V15) needed to talk to R1. V15 stated she talked to R1 and R1 said she was raped, R1 did not know his name, and pointed R2 out. V15 stated she reported it to V13 LPN who then reported it to V1. V15 stated V1 talked to them. On 12/1/25 at 4:00 PM V4 Medical Director stated, R1 is on a memory care unit for a reason. R1 cannot consent for herself. R1 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 3 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few and R2 are both in the memory care unit. V4 stated they are not capable of making sound decisions. V4 stated he was notified that there may have been a sexual encounter between R1 and R2. The residents were separated. V4 stated that later R1 accused the other resident of rape. V4 stated he doesn't know if a rape occurred. V4 stated the facility's policies and procedures should be followed. V4 stated what happened should be recorded/documented. V4 stated R1 was not sent out for examination because it probably was not wanted by the family. On 12/2/25 at 7:29 AM, V23 Sexual Assault Nurse Examiner stated R1 was seen at the hospital on [DATE] and V10 stated the state was looking into a sexual assault for R1. V23 stated she was just checking so she did not make a duplicate report. V23 stated V10 told her that this was reported at the facility right away, but nothing was done until they were told they had options. V23 stated it was two weeks past when this happened, so there won't be any evidence left but swabs were completed. V23 stated there wasn't any visible signs of trauma and no discharge was present, but it was hard to tell if anything happened because 2 weeks have elapsed since it happened. V23 stated R1 told her she was watching TV; a guy came into her room looking for her fiance and raped her. V23 stated V10 was there and said R1 was forced to have oral sex so there were two different stories about what happened. V23 stated R1's clothes could not be collected for any evidence because they did not know what she had been wearing, and her clothes have been washed. V23 stated she documented everything in the hospital record. On 12/2/25 at 10:08 AM V8 LPN stated she did not remember the day the incident happened between R1 and R2. V8 stated the CNA told her she knocked on R1's door, went into the room, and R2 was on top of R1 having sex. V8 stated when she went to R1's room they were no longer having sex. V8 stated she texted V2 DON who told her to contact V1 Administrator who told her to put 15-minute checks in place, make sure room doors were open, and have the aide sit outside of R2's room door. V8 stated she assessed R1 and did not find anything. R1 at first stated she didn't remember what happened then R1 told her she did want sex and wasn't forced. V8 stated R2 would not allow her to assess him. V8 stated she was told not to document anything or notify the families because V1 stated she would do that. V8 stated she knows things have happened in the past, her coworkers have charted them and then the charting disappears, and she doesn't know how that can happen. V8 stated in her opinion R1 and R2 can't consent to sex. V8 stated she reported what happened because she felt it was sexual abuse and is required to report it. V8 stated they put the 15-minute checks in place but there is only one aide and when that aide is providing care there is no way for her to monitor the other residents and do checks and complete her work. V8 stated there needs to be two aides on the hall at all times to watch everyone. The MDS dated [DATE] for R2 showed moderate cognitive impairment.The Face Sheet dated 11/27/25 for R2 showed diagnoses including dementia, adjustment disorder with mixed anxiety and depressed mood, type 2 diabetes mellitus, and hypertension.The Nurse Practitioner Note dated 11/25/25 for R2 showed he is alert and oriented x 2; he is able to explain why he is here and what his current health status is like. R2's recent and remote memory: fair. Attention span and concentration: fair.The facility's Abuse, Neglect, and Exploitation policy (2025) showed sexual abuse is non-consensual sexual contact of any type with a resident. Prevention of Abuse, Neglect and Exploitation: The facility will implement policies and procedures to prevent and prohibit all types of abuse, neglect, misappropriation of resident property, and exploitation that achieves: Establishing a safe environment that supports, to the extent possible, a resident's consensual sexual relationship and by establishing policies and protocols for preventing sexual abuse. This may include identifying when, how, and by whom determinations of capacity to consent to a sexual contact will be made and where this documentation will be recorded; and the resident's right to establish a relationship with another individual, which may include the development of or the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 4 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete presence of an ongoing sexually intimate relationship.The Immediate Jeopardy that began on 11/19/25, was removed on 12/3/25 when the facility took the following actions to remove the immediacy: Facility actions to remove immediacy include:1) Identification of Residents Affected or Likely to be Affected:R1 and R2 were immediately assessed for injury, changes in condition and psychosocial impact. R1 and R2 POAs, Police and MD were notified of the incident. R1 was sent to the ER (emergency room) for evaluation. R1 and R2 care plans were updated to reflect enhanced safety interventions. R1 and R2 had the Abuse, Neglect and Trauma assessment and Trauma Informed Care Assessment / PTSD was completed. The Social Services Director interviewed/assessed all residents with BIMS (brief interview mental status) scores of 8 and above for potential abuse. All residents with a BIMs score of 7 or less, will be assessed using the Abuse Screening Adapted for Cognitive Impairment form. Concerns were not identified during the interviews. The following actions were taken to prevent Sexual Abuse in the Memory Care Unit.A hall monitor was added to the memory care unit to ensure no resident enters another resident's room on 12/2/2025 to ensure the safety of all residents. The Hall Monitor is a dedicated staff member and will have no other duties.R2 was immediately placed on a 1:1 until hall monitor was established on 12/2/2025.2) Actions to Prevent Occurrence/Recurrence:Abuse investigation procedure and documentation process were reviewed.DON, ADON, and Administrator re-educated all staff on facility abuse policies.DON, ADON, and Administrator educated all staff on the Intimate Resident Behavior, Privacy and Relationships policy updated on 12/2/2025 to reflect residents within the memory care unit do not have the capacity to consent to sexual relationships.In the event of any future resident to resident sexual abuse, the perpetrating resident will immediately be placed on 1:1 supervision until primary care, nursing, and psych evaluations can be complete. Outcomes of these evaluations will result in continued 1:1 supervision or the initiation of discharge planning to a facility with a focus on behavior management.DON, ADON, and Administrator educated staff on the Hall Monitor duties and responsibilities and that the Hall Monitor is a dedicated individual with no other responsibilities.Administrator was educated by Regional Nurse on abuse policy which includes thorough investigation immediately upon receiving report or allegation of abuse.3) Quality Assurance Plans to monitor facility performance to ensure that corrective actions are achieved and are permanent:Emergency QAPI meeting was held on 12/1/2025 where the abuse policy and intimate relations policy were reviewed along with incident and root cause analysis.The Social Services Director or designee will continue to interview residents with BIMs score of 8 or higher on a monthly basis to ensure they have not experienced abuse. All residents with a BIMs score of 7 or less, will be assessed using the Abuse Screening Adapted for Cognitive Impairment form.Any reports of abuse will be immediately reported and investigated. The finding to be presented to the Quarterly QAA Committee.Date Facility Asserts Likelihood for Serious Harm No Longer Exists: December 3, 2025. Event ID: Facility ID: 145615 If continuation sheet Page 5 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review the facility failed to report an allegation of sexual abuse for 1 of 3 residents (R1) reviewed for abuse in the sample of 5.The findings include:1) A statement dated 11/19/25 by V9 Certified Nursing Assistant - CNA showed she went to R1's room around 8:30 PM to assist her to bed. V9 knocked on the door, stated who she was and walked in. V9 observed R1 on her bed. R1's right foot was on the floor; her left leg was half on the bed and half on the floor. R2 had his right hand on the wall, and his left hand was under R1's right shoulder. R2 was standing with his back to V9; she saw his butt. R2 was not laying on top of R1.A written statement (no date) by V8 Licensed Practical Nurse showed, R1 stated to her that she did not know who wanted the information .and stated they had sex.The facility did not have any paperwork to show Illinois Department of Public Health was contacted with an initial allegation of abuse or a final investigation.On 11/27/25 at 9:09 AM, V1 Administrator was interviewed regarding any allegations of sexual abuse at the facility. V1 stated R1 and R2 are two residents that are close. They were in R1's room together. V9 CNA walked into R1's room and R1 and R2 were naked. R2 was standing over R1with his right hand on the wall and left hand under R1's shoulder. R1 was leaning back. V9 stated she saw R2's butt and asked them what they were doing. V9 told R2 to leave the room. V1 stated V9 got V8 the nurse. V1 stated this incident occurred on 11/19/25 and was not reported to the state. V1 stated she did an investigation and since no intercourse happened, she did not report it. V1 stated it was a team decision. V1 stated she should have reported it. V1 stated it ‘ate at her' to not report it. V1 stated any allegation is to be reported and then investigated.The Face Sheet dated 11/27/25 for R1 showed diagnoses including dementia, sleep disorder, general anxiety disorder, emphysema, chronic obstructive pulmonary disease, trigeminal neuralgia, hypertension, hyperlipidemia, osteoporosis, and urinary tract infection.The Nurse Practitioner note dated 11/11/25 for R1 showed she was being seen for a scheduled psychiatric follow up. R1 demonstrated behaviors consistent with her ongoing neurocognitive decline but was attentive and responded appropriately to all inquiries. Alerted and oriented X1 (person). Recent and remote memory: poor. Attention span and concentration: poor.The Minimum Data Set - MDS dated [DATE] for R1 showed severe cognitive impairment.The MDS dated [DATE] for R2 showed moderate cognitive impairment.The Face Sheet dated 11/27/25 for R2 showed diagnoses including dementia, adjustment disorder with mixed anxiety and depressed mood, type 2 diabetes mellitus, and hypertension.The Nurse Practitioner Note dated 11/25/25 for R2 showed he is alert and oriented x 2; he is able to explain why he is here and what his current health status is like. R2's recent and remote memory: fair. Attention span and concentration: fair.The facility's Abuse, Neglect, and Exploitation policy (2025) showed, reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes: a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or b. not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. The Administrator will follow up with government agencies, during business hours, to confirm the initial report was received, and to report the results of the investigation when final within 5 working days of the incident, as required by state agencies.2) The Social Service Note dated 6/9/25 at 4:08 PM for R1 showed, this writer was informed by CNA that resident was interested romantically in another resident in the memory care unit. This writer spoke with both R1 and the other resident (R3) and educated them to utilize public spaces to spend time together. This writer asked them not to spend any time (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 6 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few together in each other's rooms. R1 and peer both agreed and stated they want to take it slow. Medical Director in facility and notified. No new orders. Voicemail left for V10 to notify. Requested call back.On 12/1/25 at 9:14 AM, V10 (R1's daughter/power of attorney - POA) stated there was an incident in June 2025 with R1 and R3 but there wasn't any documentation about what happened. V10 stated she found out recently from a CNA that R1 was in R3's bed and R3 had his pants down. V10 stated they were split up before anything happened.On 12/1/25 at 1:18 PM, V3 Assistant Director of Nursing -ADON stated the only thing she knew about the incident in June 2025 between R1 and R3 is that there was an episode reported by V15 CNA. V3 stated V16 previous Social Services and V17 previous Administrator handled the situation. V3 stated she heard R1 and R3 were found in bed together naked. V3 stated V18 LPN was the nurse for the June incident. V3 stated she assumed the incident was reported because with the BIMS (Brief Interview of Mental Status) that the residents involved have, they cannot consent to sex. V3 stated she does not know why it was not reported.On 12/1/25 at 2:58 PM, V16 previous Social Services stated she no longer works at the facility and doesn't remember much without her notes in front of her. V16 stated R1 and R3 were on a memory care unit, and they were close friends. V16 stated R1 and R3 wanted to be boyfriend and girlfriend. V16 stated she spoke to V22 (R3's POA). V16 could not remember if she spoke to V10 (R1's POA) or left a message for her. V16 stated she was not aware of anything else between R1 and R3. V16 stated she was not aware of R1 and R3 being in each other's room, being in each other's beds, or being naked together.On 12/1/25 at 4:00 PM, V4 Medical Director stated R1 is on a memory care unit for a reason. R1 cannot consent for herself. V4 stated the facility's policies and procedures should be followed.On 12/3/25 at 8:15 AM, V1 Administrator stated, V1 stated she does not know anything about what happened in June 2025 between R1 and R3. V1 stated she was not at this facility at that time. V17 was the Administrator, and she is no longer with the company. V1 stated there isn't an investigation for anything in June and there is no abuse investigation in the last six months except now they have one for R1 and R2 because of what happened recently.On 12/3/25 at 8:26 AM, V12 Certified Nursing Assistant - CNA stated in June she was working on the memory care unit and went to do her rounds. V12 went past R3's room and his door was shut, so she knocked on the door, and went into the room. V12 stated R3's bed was the farthest bed and the curtain was drawn. V12 stated she was going to leave but she saw R1's walker in the room. V12 stated R3 was standing up next to the bed, had a white t-shirt on and underwear. R1 was laying on R3's bed but had her clothes on. V12 stated she escorted R1 out of the room and then reported it to the nurse. V12 stated she told the nurse.On 12/3/25 at 8:47 AM, V18 Licensed Practical Nurse - LPN stated on a day at the beginning of June around 5:00 PM a CNA came and told her that R1 and R3 were in bed together but had their clothes on. The CNA said she separated them and then came to get her. V18 stated she reported it to V17 previous Administrator who told her not to put anything in the notes in the resident's charts. V17 told her that V16 previous Social Services would take care of it.On 11/27/25 the facility did not have any Abuse Investigations in the last 6 months.The Face Sheet dated 11/27/25 for R1 showed diagnoses including dementia, sleep disorder, general anxiety disorder, emphysema, chronic obstructive pulmonary disease, trigeminal neuralgia, hypertension, hyperlipidemia, osteoporosis, and urinary tract infection.The Nurse Practitioner note dated 11/11/25 for R1 showed she was being see for a scheduled psychiatric follow up. R1 demonstrated behaviors consistent with her ongoing neurocognitive decline but was attentive and responded appropriately to all inquiries. Alerted and oriented X1 (person). Recent and remote memory: poor. Attention span and concentration: poor.The Minimum Data Set - MDS dated [DATE] for R1 showed severe cognitive impairment.The Face Sheet dated 11/27/25 for R3 showed diagnoses including dementia without behavioral disturbance, hypertension, morbid (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 7 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete obesity, hypokalemia, adjustment disorder, and anxiety disorder.The MDS dated [DATE] for R3 showed moderate cognitive impairment.The facility's Abuse, Neglect, and Exploitation policy (2025) showed, reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes: a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or b. not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. The Administrator will follow up with government agencies, during business hours, to confirm the initial report was received, and to report the results of the investigation when final within 5 working days of the incident, as required by state agencies. Event ID: Facility ID: 145615 If continuation sheet Page 8 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to investigate an allegation of abuse in June 2025 for 1 of 3 residents (R1) reviewed for abuse in the sample of 5.The findings include:The Social Service Note dated 6/9/25 at 4:08 PM for R1 showed, this writer was informed by CNA that resident was interested romantically in another resident in the memory care unit. This writer spoke with both R1 and the other resident (R3) and educated them to utilize public spaces to spend time together. This writer asked them not to spend any time together in each other's rooms. R1 and peer both agreed and stated they want to take it slow. Medical Director in facility and notified. No new orders. Voicemail left for V10 to notify. Requested call back.On 12/1/25 at 9:14 AM, V10 (R1's daughter/power of attorney - POA) stated there was an incident in June 2025 with R1 and R3 but there wasn't any documentation about what happened. V10 stated she found out recently from a CNA that R1 was in R3's bed and R3 had his pants down. V10 stated they were split up before anything happened.On 12/1/25 at 1:18 PM, V3 Assistant Director of Nursing -ADON stated the only thing she knew about the incident in June 2025 between R1 and R3 is that there was an episode reported by V15 CNA. V3 stated V16 previous Social Services and V17 previous Administrator handled the situation. V3 stated she heard R1 and R3 were found in bed together naked. V3 stated V18 LPN was the nurse for the June incident. V3 stated she assumed the incident was reported because with the BIMS (Brief Interview of Mental Status) that the residents involved have, they cannot consent to sex. V3 stated she does not know why it was not reported.On 12/1/25 at 2:58 PM, V16 previous Social Services stated she no longer works at the facility and doesn't remember much without her notes in front of her. V16 stated R1 and R3 were on a memory care unit, and they were close friends. V16 stated R1 and R3 wanted to be boyfriend and girlfriend. V16 stated she spoke to V22 (R3's POA). V16 could not remember if she spoke to V10 (R1's POA) or left a message for her. V16 stated she was not aware of anything else between R1 and R3. V16 stated she was not aware of R1 and R3 being in each other's room, being in each other's beds, or being naked together.On 12/1/25 at 4:00 PM, V4 Medical Director stated R1 is on a memory care unit for a reason. R1 cannot consent for herself. V4 stated the facility's policies and procedures should be followed.On 12/3/25 at 8:15 AM, V1 Administrator stated, V1 stated she does not know anything about what happened in June 2025 between R1 and R3. V1 stated she was not at this facility at that time. V17 was the Administrator, and she is no longer with the company. V1 stated there isn't an investigation for anything in June and there is no abuse investigation in the last six months except now they have one for R1 and R2 because of what happened recently.On 12/3/25 at 8:26 AM, V12 Certified Nursing Assistant - CNA stated in June she was working on the memory care unit and went to do her rounds. V12 went past R3's room and his door was shut, so she knocked on the door, and went into the room. V12 stated R3's bed was the farthest bed and the curtain was drawn. V12 stated she was going to leave but she saw R1's walker in the room. V12 stated R3 was standing up next to the bed, had a white t-shirt on and underwear. R1 was laying on R3's bed but had her clothes on. V12 stated she escorted R1 out of the room and then reported it to the nurse. V12 stated she told the nurse.On 12/3/25 at 8:47 AM, V18 Licensed Practical Nurse - LPN stated on a day at the beginning of June around 5:00 PM a CNA came and told her that R1 and R3 were in bed together but had their clothes on. The CNA said she separated them and then came to get her. V18 stated she reported it to V17 previous Administrator who told her not to put anything in the notes in the resident's charts. V17 told her that V16 previous Social Services would take care of it. V12 stated she thought the nurse contacted the Administrator at the time. V12 stated no one from management talked to her about what happened. V12 stated she was taught that anything like this has to be reported immediately so she reported Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145615 If continuation sheet Page 9 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete it.On 11/27/25 the facility did not have any Abuse Investigations in the last 6 months.The Face Sheet dated 11/27/25 for R1 showed diagnoses including dementia, sleep disorder, general anxiety disorder, emphysema, chronic obstructive pulmonary disease, trigeminal neuralgia, hypertension, hyperlipidemia, osteoporosis, and urinary tract infection.The Nurse Practitioner note dated 11/11/25 for R1 showed she was being see for a scheduled psychiatric follow up. R1 demonstrated behaviors consistent with her ongoing neurocognitive decline but was attentive and responded appropriately to all inquiries. Alerted and oriented X1 (person). Recent and remote memory: poor. Attention span and concentration: poor.The Minimum Data Set - MDS dated [DATE] for R1 showed severe cognitive impairment.The Face Sheet dated 11/27/25 for R3 showed diagnoses including dementia without behavioral disturbance, hypertension, morbid obesity, hypokalemia, adjustment disorder, and anxiety disorder.The MDS dated [DATE] for R3 showed moderate cognitive impairment.The facility's Abuse, Neglect, and Exploitation policy (2025) showed, an immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur. Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of allegations; Provide complete and thorough documentation of the investigation. Event ID: Facility ID: 145615 If continuation sheet Page 10 of 11 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 145615 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Sterling 612 West St Mary's Street Sterling, IL 61081 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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Based on interview and record review the facility failed to ensure resident medical records contained complete and accurate information for 1 of 3 residents (R1) reviewed for medical records in the sample of 5.The findings include: The Social Service Note dated 6/9/25 at 4:08 PM for R1 showed, this writer was informed by CNA that resident was interested romantically in another resident in the memory care unit. This writer spoke with both R1 and the other resident (R3) and educated them to utilize public spaces to spend time together. This writer asked them not to spend any time together in each other's rooms. R1 and peer both agreed and stated they want to take it slow. Medical Director in facility and notified. No new orders. Voicemail left for V10 to notify. Requested call back.On 12/1/25 at 9:14 AM, V10 (R1's daughter/power of attorney - POA) stated there was an incident in June 2025 with R1 and R3 but there wasn't any documentation about what happened. V10 stated she found out recently from a CNA that R1 was in R3's bed and R3 had his pants down. V10 stated they were split up before anything happened.On 12/1/25 at 1:18 PM, V3 Assistant Director of Nursing -ADON stated the only thing she knew about the incident in June 2025 between R1 and R3 is that there was an episode reported by V15 CNA. V3 stated V16 previous Social Services and V17 previous Administrator handled the situation. V3 stated she heard R1 and R3 were found in bed together naked. V3 stated V18 LPN was the nurse for the June incident. V3 stated she assumed the incident was reported because with the BIMS (Brief Interview of Mental Status) that the residents involved have, they cannot consent to sex. V3 stated she does not know why it was not reported. V3 stated the note entered into R1's chart doesn't match the story of what happened. The note states so and so wanted a relationship and not that they were found in bed together.On 12/1/25 at 2:58 PM, V16 previous Social Services stated she no longer works at the facility and doesn't remember much without her notes in front of her. V16 stated R1 and R3 were on a memory care unit, and they were close friends. V16 stated R1 and R3 wanted to be boyfriend and girlfriend. V16 stated she spoke to V22 (R3's POA). V16 could not remember if she spoke to V10 (R1's POA) or left a message for her. V16 stated she was not aware of anything else between R1 and R3.On 12/1/25 at 4:00 PM, V4 Medical Director stated R1 is on a memory care unit for a reason. R1 cannot consent for herself. V4 stated the facility's policies and procedures should be followed. V4 stated what happens should be recorded/documented.On 12/3/25 at 8:47 AM, V18 Licensed Practical Nurse - LPN stated on a day at the beginning of June around 5:00 PM a CNA came and told her that R1 and R3 were in bed together but had their clothes on. The CNA said she separated them and then came to get her. V18 stated she reported it to V17 previous Administrator who told her not to put anything in the notes in the resident's charts. V17 told her that V16 previous Social Services would take care of it.The facility's Documentation in Medical Record policy (2025) showed, licensed staff and interdisciplinary team members shall document all assessments, observations, provided in the resident's medical record in accordance with state law and facility policy. Documentation shall be factual, objective, and resident centered. False information shall not be documented. Documentation shall be accurate, relevant, and complete, containing sufficient details about the resident's care and/or responses to care. Event ID: Facility ID: 145615 If continuation sheet Page 11 of 11