Inspection visit

InspectionJanuary 18, 2024

Allure of GeneseoCMS #14578912 citations on this visit

12 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 12 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure privacy during incontinent care for one resident (R26) of 15 residents reviewed for privacy in the sample of 27. Residents Affected - Few Findings include: Facility Policy/Promoting/Maintaining Resident Dignity dated 2023 documents: Maintain resident privacy. Current Physician Order Report Summary indicates R26 has diagnoses that include Neurocognitive Disorder with [NAME] Bodies, Dementia with Psychotic Disturbance, Parkinson's Disease with Dyskinesia. Progress Notes dated 12/19/23 at 1:12pm indicates R26 is moderately cognitively impaired. On 1/16/24 at 11:37am R26 and R22 roommates, both sitting in wheelchairs in the room. R26 was closest to the window which covered 75% of the wall nearest R22's bed. The shade was completely retracted to the top of the window. The window view was directly to a parking lot on the ground floor with a car parked approximately 2 car widths from R26's window. At that time, R26's shirt was completely unbuttoned, exposing most of R26's breasts and abdomen. R26 was only wearing an incontinent brief, no pants. R26 had no linen or blanket covering her bare legs. R26 had pulled the brief loose from the side tabs and was constantly tugging at the front part of the brief. V11, CNA (Certified Nurse Assistant) responded to request for assistance with R26. V11 stated he did not know who got R26 dressed in the morning but thinks it was a nurse. V11 attempted to stand R26 up with a gait belt to transfer R26 to the toilet with the bathroom door open in full view of R22. V11 was unable to transfer R26 and brought R26 back out into the room where R26 sat nearby R22 until V11 returned a few minutes later. R26 was left sitting with the brief open and exposing R26's front groin area. V11 returned, backed R26 into the middle of the room, lifted R26 up with a sit-to-stand style lift, exposing R26's entire bare body from mid-back to feet except for the incontinent brief that was saturated on the back side with urine and feces. R26's body was exposed to the entire window area and to R22 while being suspended from the sit-to-stand lift and transported into the bathroom. The bathroom door was left open in view of R22 while R26 received incontinent care. At that time R22 stated the staff Never pull the window blind down. On 1/18/23 at 9:35am R22 confirmed she was a nurse in the Army for 22 years and stated staff should provide privacy for her and R26 when they are giving them care, stating It's not right. We should have privacy. (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 17 Event ID: 145789 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0583 Level of Harm - Minimal harm or potential for actual harm On 1/18/24 at 2:15pm V2, DON (Director of Nursing) acknowledged the proximity of the parking lot to R26's room, the very large window next to R26's bed and V2 confirmed the shade should be pulled while providing care as well as the privacy curtain between resident beds. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 2 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Based on interview and record review the facility failed to refer one resident (R20) for a Preadmission Screening and Resident Review (PASARR) after onset of new possible serious mental illness of five reviewed for PASARR in a total sample of 27. Findings Include: The Facility's Resident Assessment-Coordination with PASARR Program policy dated 01/01/2024 documents This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Any resident who exhibits a newly evident or possible serious mental disorder, intellectual disability, or a related condition will be referred promptly to the state mental health or intellectual disability authority for a level II resident review. Examples include: a.) A resident who exhibits behavioral, psychiatric, or mood related symptoms suggesting the presence of a mental disorder (where dementia is not the primary diagnosis) b.) A resident whose intellectual disability or related condition was not previously identified and evaluated through PASARR. R20's current Physician Order Sheet dated January 2024 documents 09/30/2020 as R20's original admission date. R20's Admitting History and Physical done by V5 (Attending Physician) dated 05/18/2020 documents Psychiatric/Behavioral: Negative for behavioral problems. R20's Office Visit done by V8 (Attending Physician) dated 07/14/2020 documents Psychiatric/Behavioral: Negative for agitation and confusion. R20's Nurse's Notes dated 10/09/2022 documents resident was verbally foul and swinging at staff. R20's Nurse's Notes dated 10/27/2022 documents inappropriate comments and sexual demands of nurse. R20's Nurse's Notes dated 11/05/2022 documents making sexual comments to CNAs (Certified Nurse Aides). R20's Nurse's Notes dated 11/24/2022 documents confused and delusional. R20's Current Physician Order Sheet dated January 2024 documents Bipolar Disorder as a diagnosis as of 12/06/2022. On 01/18/24 at 10:30 AM V1 (Administrator) stated that the Bipolar Disorder Diagnosis was initiated by V7 (Psychiatric Doctor) on 11/14/2022. R20's Nurse's Notes dated 12/06/2022 documents Wife notified of new diagnosis of Bipolar Disorder and wife stated (R20)'s family had a strong history of bipolar disorder. R20's PASARR dated 9/25/2022 documents Based upon all information and data available to me for this person there is a reasonable basis for suspecting DD (Developmental Disability) or MI (Mental (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 3 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0644 Illness): No. Level of Harm - Minimal harm or potential for actual harm On 01/18/24 at 9:00 AM V1 (Administrator) confirmed that no new PASARR was initiated or completed after new onset of behaviors and/or new diagnosis of Bipolar Disorder. It should have been done and was not. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 4 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0645 PASARR screening for Mental disorders or Intellectual Disabilities 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 obtain a PASARR (Preadmission Screening and Resident Review) Level I prior to admission to the facility and failed to request or obtain a PASARR Level II Screening for two (R10 and R22) of five residents reviewed for PASARR Screenings in the sample of 27. Residents Affected - Few Findings include: The facility's Resident Assessment - Coordination with PASARR Program, dated 1/1/24, documents: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related conditions in accordance with the State's Medicaid rules for screening. a. PASARR Level I - initial pre-screening that is completed prior to admission. i. Negative Level I Screen - permits admission to proceed and ends the PASARR process unless a possible serious mental disorder or intellectual disability arises later. ii. Positive Level I Screen - necessitates a PASARR Level II evaluation prior to admission. b. PASARR Level II - a comprehensive evaluation by the appropriate state-designated authority (cannot be completed by the facility) that determines whether the individual has MD (mental disorder), ID (intellectual disability), or related condition, determines the appropriate setting for the individual, and recommends any specialized services and/or rehabilitative services the individual needs. 3. A record of the pre-screening shall be maintained in the resident's medical record. On 01/18/24 at 9:00 am V1 Administrator confirmed a PASARR Level I and II have not be completed for R10 and R22 and she has already started the process and stated It should have been done prior to admission and was not. 1. The EHR (electronic health record) for R10 documents R10 admitted to the facility on [DATE] with the following diagnoses: Bipolar, GAD (General Anxiety Disorder), Dementia, Brief Psychotic Disorder, and MDD (Major Depressive Disorder). This same EHR does not include documentation of the PASARR Level I or II having been completed prior to R10 admitting to the facility. The current Care Plan for R10, documents a Focus area as: R10 currently prescribed anti-psychotic medication related to Bipolar Disorder with Generalized Anxiety Disorder and Brief Psychotic Disorder. On 1/18/24 V1 Administrator confirmed there was no prior PASSR Level I or Level II screen found or presented for R10 prior to 10/18/23. V1 provided a PASARR Level I screen request for R10, dated 1/17/23, and a referral, dated 1/18/23 to local company for a PASARR Level II to be completed. This referral documents Reason For Screening: This nursing facility resident has never had a PASRR Level II evaluation and shows signs or symptoms that indicate she/he may have a PASARR condition. 2) Physician Order Report Summary indicates R22 was admitted to the facility on [DATE] with diagnosis of Generalized Anxiety Disorder. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 5 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0645 Resident Medical Diagnosis List indicates R22 has diagnoses that include: Level of Harm - Minimal harm or potential for actual harm Moderate, Recurrent Major Depressive Disorder (6/27/23) Adjustment Disorder (7/15/21) Residents Affected - Few Delusional Disorder (12/27/21) Initial Pre-admission OBRA (Omnibus Budget Reconciliation Act) Screen dated 6/8/20 indicates at that time there was no reasonable basis for suspecting DD (Developmental Disability) or MI (Mental Illness). State Screening Verification Form dated 6/8/20 indicates This form is used for prospective residents who are being admitted from another nursing facility where a copy of the original screening assessment completed for admission to the transferring nursing facility cannot be found. Admitting facilities must make every effort to obtain a copy of the screening assessment from the discharging facility prior to completing this form. State Notice of PASRR (Preadmission Screening and Resident Review) Level l Screen Outcome dated 1/18/24 indicates the screening completed for R22 on 1/18/24 shows that R22 needs a face-to-face Level ll evaluation. Notice indicates (R22) may have a serious mental illness or an intellectual/developmental disability. Level l Screen dated 1/18/24 indicates (R22) has never had a PASSR Level ll evaluation and shows signs or symptoms that indicate (R22) may have a PASARR condition. No prior PASSR Level l or Level ll screen was found or presented for R22 prior to 1/18/23. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 6 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview the facility failed to provide safe mechanical lift transfer for one resident (R26) of 15 residents reviewed for falls and failed to supervise for three residents (R22, R25, R26) requiring supervision during meals of nine residents in the sample of 27. Findings include: 1. Facility Policy/Safe Resident Handling/Transfers dated 2023 documents: All residents require safe handling when transferred to prevent or minimize the risk for injury to themselves and the employees who assist them. While manual lifting techniques may be utilized dependent upon the resident's condition and mobility, the use of mechanical lifts are a safer alternative and should be used. Mechanical lifting equipment or other approved transferring aids will be used based on the resident's needs to prevent manual lifting except in medical emergencies. Staff will perform mechanical lifts/transfers according to the manufacturer's instructions for use of the device. Sit -to-Stand Lift Operators Instructions dated 12/21/10 documents: Transferring the patient: Position harness (sling) around the upper body of the patient so the sides of the harness are between the patient's torso and arm, resting 2-3 inches below the underarm. For the safety of the patient, securely fasten the safety strap around patient's torso. Secure the buckle and pull the strap to tighten. As the patient is being raised, simultaneously tighten the safety strap buckled around their torso. Stop lifting when the patient is in a standing position. Current Physician Order Report Summary indicates R26 has diagnoses that include Neurocognitive Disorder with [NAME] Bodies, Dementia with Psychotic Disturbance, Parkinson's Disease with Dyskinesia. Progress Notes dated 12/19/23 at 1:12pm indicates R26 is moderately cognitively impaired. R26's Current Care Plan indicates R26 was positive for Influenza A on 1/15/24. Care Plan also indicates R26 is weight bearing as tolerated and requires extensive assist of two staff using a sit-to-stand lift for transfers. On 1/16/24 at 11:37am V11, CNA (Certified Nurse Assistant) attempted to stand R26 up from a wheelchair, with a gait belt to transfer R26 to the toilet. V11 was unable to transfer R26, as R26 could not fully stand up. V11 then left the room and returned with a sit-to-stand style lift. V11 placed the sling around R26's upper back, secured the sling loops to the lift arms, placed R26's hands onto the lift handles, was joined by another staff member and proceeded to lift R26 up to a semi-standing position. R26 appeared weak and struggling to comprehend and follow instruction. As V11 pushed the lift from the middle of the room into the bathroom, R26 was suspended from the lift sling with the sling riding up R26's upper back under her arms until R26 appeared to be hanging from the sling. V11 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 7 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some did not secure the safety strap around R26's torso at any time during transfer. During transfer onto the toilet R26 appeared to be struggling to keep hold of the handle grips and required repeated instruction from V11 to hold on. The same procedure was used to lift and transfer R26 back into the wheelchair from the toilet, however R26 required several attempts by V11 to replace R26's hands onto the handles. At no time during transfer onto or off the toilet was R26 able to fully stand and was transferred while being suspended from the sling under R26's arms. On 1/16/24 at 11:55am V11 acknowledged R26 seemed weaker recently due to having the flu, had more difficulty holding onto the handle grips and was not as secure in the lift. On 1/18/24 at 2:30pm V2, DON (Director of Nursing) stated residents should not hang in the sling when being transported in a lift and acknowledged R26's risk of falling through the sling if she were to let go of the handles. 2. Facility Policy/Meals Supervision and Assistance dated 2023 documents: --The resident will be prepared for a well-balanced meal in a calm environment, location of his/her preference and with adequate supervision and assistance to prevent accidents, provide adequate nutrition, and assure an enjoyable event. This include: Identifying hazards and risks; Evaluating and analyzing hazards and risks; Implementing interventions to reduce hazards and risks; Monitoring for effectiveness and modifying interventions as necessary. --Supervision/Adequate Supervision refers to an intervention and means of mitigating the risk of an accident. Facilities are obligated to provide adequate supervision to prevent accidents. Adequate supervision is determined by assessing the appropriate level and number of staff required, the competency and training of the staff, and the frequency of supervision needed. This determination is based on the individual resident's assessed needs and identified hazards in the resident environment. Adequate supervision may vary from resident to resident and from time to time for the same resident. --The facility will develop an individualized care plan based on the Resident Assessment Instrument to address the resident's needs and goals, to monitor the results of the planned interventions such as adequate supervision during meal time. --Assemble equipment and supplies needed. Do not serve the meal until the attendant is ready to assist the resident. Alternate food and liquids, as desired and needed in order to cleanse mouth of food. Current Care Plan indicates R22 has a potential nutritional problem related to Dysphagia, history of CVA (Cerebrovascular Accident) and Malnutrition. Care Plan interventions include: Monitor/document report as needed any signs/symptoms of dysphagia: pocketing, choking, coughing, drooling, holding food in mouth, several attempts at swallowing, refusing to eat; Provide/serve diet as ordered; Pudding thick liquids; Supervision for all intake and resident to sit upright in chair; R22 requires supervision during meals due to dysphagia; eats meals in Rehab DR (dining room). On 1/16/24 at 12:15pm R22's lunch tray was brought into her room and placed on a bedside table in (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 8 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some front of R22. No staff were seen returning to R22's room until 1pm when staff entered R22's room and removed R22's meal tray. On 1/17/24 and 1/18/24 R22 was seen in her room with a breakfast tray which included oatmeal and several thickened liquids. No staff were present at that time. R22 verified that prior to getting the flu she ate all her meals in the dining room, but staff had not been present during meals since she had to stay in her room due to the flu. 3. Current Care Plan indicates R25 has an ADL (Activities of Daily Living) self-care performance deficit related to Dementia and psychomotor deficit. Care Plan interventions dated 8/8/23 include: Dining Program 7 days/week; R25 to eat all meals in Rehab DR; Set up tray, hand R25 utensils; Provide encouragement as needed; R25 can feed herself after set-up help with supervision, but requires partial/moderate assist times one. Monitor/document report as needed any signs/symptoms of dysphagia: pocketing, choking, coughing, drooling, holding food in mouth, several attempts at swallowing, refusing to eat; On 1/16/24 at 12:20pm R25 was in bed with eyes closed. A meal tray was on a bedside table next to R25's bed. At no time between 12:20pm and 1pm did staff enter R25's room until R25's lunch tray was removed at 1:05pm. On 1/17/24 at 8:23am R25 was sitting up in a chair at bedside, drinking from a cup with a handle and several food items still on a plate. No staff were present in the room. 4. Current Care Plan indicates R26 has a nutritional problem related to diagnoses of Dysphagia, Parkinson's Disease and Dementia. Care Plan interventions (date revised 12/18/23) include: R26 requires supervision and/or assistance at meals. R26 to use a scoop plate; offer small bites and sips; R26 to sit upright at 90 degree angle during meals and eat all meals in the Rehab DR (dining room). On 1/16/24 at 11:40am R26 was in her room, with the door closed, sitting in a wheelchair with breakfast tray in front on a bedside table in front of R26. R26 was sitting with her head down and eyes closed and did not initially respond to name called. None of the breakfast items on R26's plate appeared to have been eaten. Milk or some white liquid was spilled under R26's table and wheelchair. At that time, R22 - R26's roommate - stated She doesn't eat. R26 was asked if staff had assisted her with her meal R22 replied No. They just put the food there. On 1/16/24 at 12:15pm R26's lunch tray was brought into her room and placed on a bedside table in front of R26. Lids were not removed from the cups of liquids and utensils were not given to R26. Continuous observations from 12:15 to 1pm found no staff were seen returning to R26's room until 1pm when staff entered R26's room and removed R26's meal tray. 1/17/24 at 8:20am R26 was sitting in her wheelchair with breakfast meal on bedside table in front of R26. R26 was holding a milk carton and attempting to drink from the carton. No staff were present in the room while R26 was eating/drinking. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 9 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some On 1/17/24 at 9:45am R26 had cups and cartons of liquids on the bedside table and was attempting to chew on the plastic lid from one of the cups. On 1/17/24 at 12:15pm V9, CNA was assisting R16 with the lunch meal. V9 stated that she took R16's tray early from the kitchen because two other residents, R25 and R26, would also require assistance with eating when their trays arrived. V9 stated that R25 and R26's trays had not yet been delivered to their rooms so she would assist them when she was done with R16. On 1/18/24 at 2:40pm V2, DON (Director of Nursing) stated that R22, R25 and R26 all ate in the Rehab Dining room until they became positive for the flu. V2 acknowledged R22, R25 and R26 should have supervision while eating/drinking. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 10 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to assist two residents (R25, R26) at risk of malnutrition and who require assistance with meals of nine residents reviewed for nutrition in the sample of 27. Residents Affected - Few Findings include: Facility Policy/Meals Supervision and Assistance dated 2023 documents: --The resident will be prepared for a well-balanced meal in a calm environment, location of his/her preference and with adequate supervision and assistance to prevent accidents, provide adequate nutrition, and assure an enjoyable event. --The facility will develop an individualized care plan based on the Resident Assessment Instrument to address the resident's needs and goals, to monitor the results of the planned interventions such as adequate supervision during meal time. --Assemble equipment and supplies needed. Do not serve the meal until the attendant is ready to assist the resident. Current Physician Order Summary Report indicates R25 was admitted to the facility on [DATE] and has the following diagnoses: Kidney Cancer, Anorexia, Mild Protein-Calorie Malnutrition, Depression and Alzheimer's Disease. Nutrition Risk assessment dated [DATE] at 10:47am indicates R5 is nutritionally compromised as evidenced by anorexia and malnutrition. R25 is at risk for further compromise in nutrition and hydration status due to need for therapeutic diet, oral intakes less than 75%. Weight Log indicates R25 weighed 120.2 pounds on 12/6/23 and 116.8 pounds on 1/3/24. Current Care Plan indicates R25 has a potential risk for nutritional deficit due to psychomotor/Alzheimer's Disease, poor intake at meals, anorexia, risk for malnutrition. Care Plan interventions include: encourage adequate fluids and nutrition; Care Plan also indicates R25 has an ADL (Activities of Daily Living) self-care performance deficit related to Dementia and psychomotor deficit. Care Plan interventions dated 8/8/23 include: Dining Program 7 days/week; R25 to eat all meals in Rehab DR; Set up tray, hand R5 utensils; Provide encouragement as needed; R25 can feed herself after set-up help with supervision, but requires partial/moderate assist times one. On 1/16/24 at 12:20pm R25 was in bed with eyes closed. A meal tray was on a bedside table next to R25's bed. At no time between 12:20pm and 1pm did staff enter R25's room until R25's lunch tray was removed uneaten at 1:05pm. On 1/17/24 at 8:23am R25 was sitting up in a chair at bedside, drinking from a cup with a handle (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 11 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0692 and several food items still on a plate. No staff were present in the room. Level of Harm - Minimal harm or potential for actual harm R25's Fluid Intake record for 1/16/24 (noon meal) and 1/17/24 (noon meal) indicates zero fluid intake for lunch meal and 240 ml (milliliters) at breakfast meals. Residents Affected - Few R25's Amount Eaten/ Meal Intake record dated 1/16/24 and 1/17/24 indicates zero to 25% eaten at breakfast meals and zero to 25% eaten at noon meal on 1/17/25. 2) Nutritional Risk assessment dated [DATE] at 11:04pm indicates R26 is nutritionally compromised as evidenced by impaired skin integrity and low BMI (Body Mass Index). R26 is at risk for further compromise in nutrition and hydration status due to oral intake less than 75%. Current Care Plan indicates R26 has a nutritional problem related to diagnoses of Dysphagia, Parkinson's Disease and Dementia. Care Plan interventions (date revised 12/18/23) include: R26 requires supervision and/or assistance at meals. R26 to use a scoop plate; offer small bites and sips; R26 to sit upright at 90 degree angle during meals and eat all meals in the Rehab DR (dining room). Provide verbal cues and supervision to ensure proper nutritional intake for wound healing and weight maintenance. On 1/16/24 at 11:40am R26 was in her room, with the door closed, sitting in a wheelchair with breakfast tray in front on a bedside table in front of R26. R26 was sitting with her head down and eyes closed and did not initially respond to name called. None of the breakfast items on R26's plate appeared to have been eaten. Milk or some white liquid was spilled under R26's table and wheelchair. At that time, R22 - R26's roommate - stated She doesn't eat. R26 was asked if staff had assisted her with her meal R22 replied No. They just put the food there. On 1/16/24 at 12:15pm R26's lunch tray was brought into her room and placed on a bedside table in front of R26. Lids were not removed from the cups of liquids and utensils were not given to R26. Continuous observations from 12:15 to 1pm found no staff were seen returning to R26's room until 1pm when staff entered R26's room and removed R26's meal tray. 1/17/24 at 8:20am R26 was sitting in her wheelchair with breakfast meal on bedside table in front of R26. R26 was holding a milk carton and attempting to drink from the carton. No staff were present in the room while R26 was eating/drinking. On 1/17/24 at 9:45am R26 had cups and cartons of liquids on the bedside table and was attempting to chew on the plastic lid from one of the cups. R26's Fluid Intake record for 1/16/24 (noon meal) indicates zero fluid intake for lunch meal. No other fluid intake documentation was recorded for breakfast or dinner meal on 1/16/24. Fluid intake record dated 1/17/24 indicated R26 took 240 ml fluids at dinner meal. No other fluid intake documentation was recorded for 1/17/24. R26's Amount Eaten/ Meal Intake record dated 1/16/24 indicates R6 ate zero to 25% for breakfast meal, no documentation was found for noon meal. Record dated 1/17/24 had no meal intake documentation (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 12 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0692 for breakfast or noon meals. Level of Harm - Minimal harm or potential for actual harm On 1/17/24 at 12:15pm V9, CNA was assisting R16 with the lunch meal. V9 stated that she took R16's tray early from the kitchen because two other residents, R25 and R26, would also require assistance with eating when their trays arrived. V9 stated that R25 and R26's trays had not yet been delivered to their rooms so she would assist them when she was done with R16. Residents Affected - Few On 1/18/24 at 2:40pm V2, DON (Director of Nursing) stated that R22, R25 and R26 all ate in the Rehab Dining room until they became positive for the flu. V2 acknowledged R22, R25 and R26 should have been assisted with their meals. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 13 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0758 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to have any indication for use for an antipsychotic medication for one resident (R20) of five reviewed for psychotropic medication use in a total sample of 27. Findings Include: The Facility's undated Use of Psychotropic Medications documents Residents are not given psychotropic drugs unless the medication is necessary to treat a specific condition, as diagnosed and documented in the clinical record, and the medication is beneficial to the resident, as demonstrated by monitoring and documentation of the resident's response to the medication. R20's Medical Record documents R20 was admitted on [DATE] with diagnosis of CVA (Cerebral Vascular Accident) with hemiparesis. R20's history and physical dated 5/18/2020 from V6 (Attending Physician) that document Psychiatric/Behavioral: Negative for behavioral problems. R20's Current Physician Order Sheet dated January 2024 documents Bipolar Disorder as a diagnosis as of 12/06/2022. R20's Current Physician Order Sheet dated January 2024 documents R20 receives Haloperidol Oral Tablet 5 mg (milligrams) every night on Monday, Tuesday, Thursday, Friday, Saturday and Sunday related to delusional disorder and Bipolar Disorder and 2 mg of Haloperidol every Wednesday night. R20's Nurse's Notes dated 10/09/2022 documents resident was verbally foul and swinging at staff. R20's Nurse's Notes dated 10/27/2022 documents inappropriate comments and sexual demands of nurse. R20's Nurse's Notes dated 11/05/2022 documents making sexual comments to CNAs (Certified Nurse Aides). R20's Nurse's Notes dated 11/24/2022 documents confused and delusional. R20's Current Care Plan with target date of 02/21/2024 documents Resident displays behaviors at times related to history of CVA (Cerebral Vascular Accident) with cognitive communication deficit delusion disorder, Major Depressive Disorder, recurrent severe with psychotic features. R20's care plan documents an undated entry of Behavior #1: resistive to cares, Behavior #2: attention seeking behaviors, verbally aggressive toward staff, accusative towards staff (not receiving care, mistreatment), Behavior #3: sexually inappropriate to female staff requested sexual favors and attempting to grab at their breasts, Behavior #4 continuous use of call light, delusions-wife kidnapped by CNAs (Certified Nurse Aides) and going to Mexico, yelling out to call a lawyer and the police because he thinks his wife is cheating, inappropriate sexual comments about wife and staff, Behavior #5 throwing things in room, Behavior #6 attempting to throw self out of bed, Behavior #6 attempting to call police and fire department due to delusions believing his wife is cheating on him. On 01/18/24 at 10:00 AM V5 (Registered Nurse/ Care Plan Coordinator) stated I don't know if (R20) (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 14 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0758 Level of Harm - Minimal harm or potential for actual harm is still actively having these behaviors, I don't work the floor. V5 stated she would assume all the behaviors on the current care plan are from R20's episode in 2022. R20's Medical Record from January 2023 until present did not contain any documentation of further behaviors after 11/24/2022. Residents Affected - Few R20's Psychiatry Notes from January 2023 until present do not include any notes of active delusions or behaviors other than being uncooperative with cares. Throughout the survey R20 refused to speak, would make eye contact and track conversation and then close his eyes and not acknowledge being spoken to. R20 remained calm and cooperative with cares except getting out of bed during the survey. On 01/18/24 at 2:30 PM V1 (Administrator) confirmed R20 had no documentation of any harmful or concerning behaviors since 2022. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 15 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review the facility failed to serve drinks at palatable temperatures. This failure has the potential to affect all 59 resident who currently reside in the facility. Residents Affected - Many Findings Include: The Facility's Record of Food Temperatures Policy dated 01/01/2024 documents Hot foods will be held at 135 degrees Fahrenheit or greater. Potentially hazardous cold food temperatures will be kept at or below 41 degrees Fahrenheit. Place cold menu items such as ham salad or egg salad over an ice bath in a pan (preferably on a separate cart) and not beside a heated steam table. Resident Council Meeting Minutes dated December 2023 documents The food is sometimes cooled off by the time it gets to the rooms. On 01/17/24 at 11:30 AM V4 (Dietary Manager) sat all lemonades, prune juices, waters and milks pre poured on the counter outside of the serving window in the kitchen. None of these fluids were sitting in an ice bath. On 01/17/24 at 12:10 PM V4 (Dietary Manager) began serving the trays and did not stop serving the non iced fluids until 1:15 PM. On 01/18/24 at 11:30 AM V4 (Dietary Manager) sat all lemonades, prune juices, waters and milks pre poured on the counter outside of the serving window in the kitchen. None of these fluids were sitting in an ice bath. On 01/18/24 at 12:05 PM V4 (Dietary Manager) began serving the trays and continued to serve fluids off the counter until 1:30 PM. On 01/17/2024 at 8:05 AM R5 was served her breakfast tray. R5's milk temperature was 57.2 degrees Fahrenheit. When R5 took a sip of her milk she stated I've had colder. On 01/16/24 02:05 PM R 28 Reported milk is warm and hot foods are served cold 75% of the time. On 01/18/24 at 12:05 PM R28's milk temperature was 49.6 degrees Fahrenheit and his prune juice temperature was 59.2 degrees Fahrenheit. R28 made a thumbs down motion when asked if his fluids were cold enough for his liking. On 01/17/2024 at 12:25 PM R26's milk temperature was 56.2 degrees Fahrenheit and her supplemental shake temperature was 61.1 Fahrenheit. On 01/17/2024 at 12:30 PM R24's milk temperature was 54.2 degrees. On 01/17/2024 at 12:34 PM, R45's milk temperature was 59.8 degrees. On 01/17/2024 at 12:36 PM R11's milk temperature was 55.6 degrees. On 01/18/2024 at 1:45 PM V4 (Dietary Manager) confirmed that all residents who drink any fluids out (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 16 of 17 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 145789 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/18/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Allure of Geneseo 704 South Illinois Street Geneseo, IL 61254 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 0804 Level of Harm - Minimal harm or potential for actual harm of the dining room during meals would be served from the fluids that were sitting on the counter not in ice. V4 stated I bet if I put the drinks on some ice they would stay colder longer. I will start to do that. The Facility's Daily Census dated 01/15/2024 documents 59 residents are currently residing in the facility. Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145789 If continuation sheet Page 17 of 17

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Citations

12 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.

0583GeneralS&S Dpotential for harm
F583 - Privacy and Confidentiality
Keep residents' personal and medical records private and confidential.
0644GeneralS&S Dpotential for harm
F644 - Coordination
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
0645GeneralS&S Dpotential for harm
F645 - Preadmission Screening for individuals with a mental disorder and individuals
PASARR screening for Mental disorders or Intellectual Disabilities
0692GeneralS&S Dpotential for harm
F692 - Assisted nutrition and hydration
Provide enough food/fluids to maintain a resident's health.
0758GeneralS&S Dpotential for harm
F758 - Medication Errors
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.
0804GeneralS&S Fpotential for harm
F804 - Food and drink
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
0689GeneralS&S Epotential for harm
F689 - Accidents
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
0039GeneralS&S Fpotential for harm
Conduct testing and exercise requirements.
0271GeneralS&S Epotential for harm
Have exits that are accessible at all times.
0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
0712GeneralS&S Fpotential for harm
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.

FAQ · About this visit

Common questions about this visit

What happened during the January 18, 2024 survey of Allure of Geneseo?

This was a inspection survey of Allure of Geneseo on January 18, 2024. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Allure of Geneseo on January 18, 2024?

Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."

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 June 8, 2026. If you believe any information is inaccurate, report it here.

Inspection·January 18, 2024