Health inspection·January 24, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on record review and interview the facility failed to prevent abuse for two of five residents (R1 and R5) reviewed for abuse in the sample of five . Residents Affected - Few Findings include: The Facility's undated policy Abuse, Neglect and Exploitation documents It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. The Facility's Abuse policy documents the definition of abuse as the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations. The Facility's Abuse policy documents the definition of verbal abuse as the use of oral, written or gestured communication or sounds that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability. 1) The Facility's Final Incident Investigation Report dated 01/03/24 documents On 12/27/23 around 8:15 PM, a verbal incident occurred between V5 CNA (Certified Nursing Assistant) and R1. It was reported to (V1/Administrator) that V5 had been verbally inappropriate. V5 was immediately removed from resident contact to the nurse's desk area with V7 (RN) and other staff stayed with R1 until (V1) arrived at facility to suspend (V5). R6's undated written statement documents I heard the end of what (V5) said. She called (R1) a rapist and (pedophile). V6 CNA written statement dated 12/27/23 was I heard (R1) and (V5) get into an argument. I didn't catch the beginning but heard (V5) say 'damn' then (R1) said 'Don't cuss at me'. V7 RN (Registered Nurse) written statement dated 12/27/23 documents (V6/CNA) and (V5/CNA) were passing snacks at 8:10 PM. (R1) asked (V6) for coffee and after getting coffee (R1) asked for juice. (V5) raised pitcher with juice and yelled at resident, 'I have only enough juice for like 3 god damn rooms.' (R1) yelled back, 'Shut up you stupid B**ch. You are always a c**t'. (V5) yelled back, 'F**k you'. Page 1 of 2 145987 145987 01/24/2024 Allure of Galesburg 1145 Frank Street Galesburg, IL 61401

F 0600 Level of Harm - Minimal harm or potential for actual harm V7 (Licensed Practical Nurse)'s written statement documents I was doing my (medication) pass and heard someone yelling, looked up and saw (V5) passing snacks and yelled at (R1) 'F**k you'. On 01/23/24 at 12:50 PM V3 (Corporate Nurse) confirmed the allegation of abuse against V5 was founded and V5's employment was terminated for same. Residents Affected - Few 2) The Facility's Final Incident Investigation Report dated 01/11/24 documents On 01/03/24, (R4 and R5) were in a physical altercation. (R4 stated (R5) had walked from his room, through the bathroom, and attempted to exit into the hallway through (R4's) room. At this point (R4) became upset and threw his cup of coffee on (R5). Per camera review, (R5) exited the room with coffee on his shirt. Staff observed (R5) with the coffee on his shirt and this (administrator) questioned (R4) about the situation. He stated he was upset he had walked into his room and threw the coffee. On 01/23/24 at 3:31pm, R4 stated during interview that he threw the coffee on R5 because he was mad at him for always coming through his room. On 01/24/24 at 9:00 AM V3 (Corporate Nurse) confirmed that it was substantiated that R4 threw his coffee on R5 because he was mad. 145987 Page 2 of 2