Health inspection·April 10, 2025

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 observation, interview and record review the facility failed to prevent resident to resident physical abuse for one resident (R4) of four residents reviewed for abuse in the sample of four. Residents Affected - Few Findings include: Facility Policy/Abuse, Neglect and Exploitation dated 2/3/25 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. Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm or anguish, which can include staff to resident abuse and certain resident to resident altercations. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled by the use of technology. Physical abuse includes but is not limited to hitting, slapping, punching, biting, and kicking. On 4/4/25 at 2:01pm Progress Narrative Note indicates R4 was getting coffee at the table by the patio door when R3 threw a coffee canister at R4 hitting him in left knee. R3 then also punched R4 in the chest with her fist. R4 was assessed for injuries with no injuries or redness noted on R4 left knee or chest Note indicates V1, Administrator and physician notified. R4 refused to go to the hospital and stated he had no pain and Is going on like normal. On 4/10/25 at 11:45am facility camera video footage of altercation dated 4/4/25 at 1:02pm showed R3 shoving and punching R4 in the chest area near the drink station by the patio door in the main core area of the facility. The video did not include sound (audio). R5 was observed on the video footage to be nearby when the altercation occurred and informed V2, LPN (Licensed Practical Nurse) of the incident between R3 and R4. Staff (V2) immediately responded and attended to R4. Video footage was somewhat blurry and R3 hitting a canister or cup out of R4's hand was not completely visible. The video footage was viewed with V1, Administrator. On 4/9/25 at 3:05pm R4 stated (R3) threw a water canister at me and hit me and also punched me in the chest with the back of her hand. I didn't get hurt. I'm ok. Staff checked - no bruises or anything. R4 stated he is not afraid of R3 and doesn't know why she hit him. On 4/10/25 at 9:30am R3 was in her room and refused to allow surveyor to enter her room and refused Page 1 of 2 145987 145987 04/10/2025 Allure of Galesburg 1145 Frank Street Galesburg, IL 61401

F 0600 to be interviewed. At no time was R3 seen in the milieu near R4. Level of Harm - Minimal harm or potential for actual harm On 4/10/25 at 9:35am V2, LPN stated I didn't witness the actual incident (between R3 and R4). V2 stated she was notified by staff or another resident - I don't remember which. V2 stated R5 did witness the incident. Residents Affected - Few On 4/10/25 at 9:45am R5 stated she was sitting close to where the incident between R3 and R4 took place. R5 stated she witnessed R3 slap a cup of coffee out of R4's hand then R3 hit R4 in the chest. R5 stated she heard R3 say Only one to R4. On 4/10/25 at 12:40pm V1, stated R3 has severe mental illness, however has not had any type of aggressive behavior for at least six months, but she did hit R4. 145987 Page 2 of 2