Inspection visit
Health inspection
2 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0610
Respond appropriately to all alleged violations.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview, and record review, the facility failed to investigate an allegation of potential physical
abuse and ensure the alleged victim was protected from further abuse for one of three residents (R4)
reviewed for abuse in the sample of three.
Residents Affected - Few
Findings include:
The Facility's Abuse, Neglect and Exploitation, not dated, documents abuse, neglect or exploitation occur.
Written procedures for investigations include Identifying staff responsible for the investigation, exercising
caution in handling evidence that could be used in a criminal investigation (e.g., not tampering or destroying
evidence), investigating different types of alleged violations, identifying and interviewing all involved
persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge
of the allegations, focusing the investigation on determining if abuse, neglect, exploitation, and/or
mistreatment has occurred, the extent, and cause; and providing complete and thorough documentation of
the investigation.
On 3/11/2025 at 10 AM, R4 stated, (V5 CNA/Certified Nursing Assistant) opened my bathroom door, I was
standing in front of the toilet and (V5) took a chair and hit me with it. R4 stated The chair hit me on the back
of my legs. I do not feel safe here, and I am abused all the time, and no one does anything about it.
On 3/11/2025 at 1:39 PM, V4 (CNA/Certified Nursing Assistant) stated on 3/9/2025, V4 heard yelling
coming from R4's room. V4 stated R4 was yelling That effing (CNA/V5) pushed me down! V4 stated she
then wheeled R4 sitting in his wheelchair down to V3 (LPN/Licensed Practical Nurse) and reported to V3
what R4 said to her.
On 3/11/2025 at 2:09 PM, V3 (LPN/Licensed Practical Nurse) stated, V1 (Administrator in Training)
instructed him to move V5 (CNA) from B Hall. V3 confirmed he moved (V5) to another hall.
On 3/11/2025 at 12:18 PM, V5 stated on 3/9/2025 around 5:30PM R4 had his call light on, and V5 stated I
went to check R4's call light and when I entered R4's bathroom, R4 was standing up, pulling his briefs up in
front of the toilet. Then R4 shouted 'Get the F out!' and I left. V5 stated I stood in the hall and heard 'Don't
hit me with that chair!' and that was when I went back in to see R4 sitting in his chair, screaming at me that
I hit him with his wheelchair.
On 3/10/2025, V1 (Administrator) current abuse allegations in the last 6 months have no documentation of
an investigation being completed regarding R4's report of potential abuse.
On 3/11/2025 at 2:20 P.M, V1 (Administrator) confirmed she did not complete an abuse investigation
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
146041
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
146041
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Allure of Moline
430 South 30th Avenue
East Moline, IL 61244
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
regarding V4's report of R4's potential abuse. V1 also confirmed she did not remove V5 (CNA) from work.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
146041
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
146041
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Allure of Moline
430 South 30th Avenue
East Moline, IL 61244
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 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, interview and record review, the facility failed to ensure toilets were clean and free of
fecal matter and failed to remove and store soiled wash clothes in a safe manner to prevent potential cross
contamination. The failure effected three of three residents (R1, R2, R3) reviewed for infection control in a
sample of three.
Residents Affected - Few
Findings include:
The facility's Standard Precautions Infection Control Policy, not dated, documents All staff are to assume
that all residents are potentially infected or colonized with an organism that could be transmitted during the
course of providing resident care services. Therefore, all staff shall adhere to Standard Precautions to
prevent the spread of infection to residents, staff and visitors. Policies and procedures have been
established for containing, transporting, and handling resident-care equipment and instruments/devices
that may be contaminated with blood or body fluids. Personnel are trained in the use of these procedures.
Policies and procedures have been established for routine and targeted cleaning of environmental surfaces
as indicated by the level of resident contact and degree of soiling. Personnel are trained in the use of the
procedures.
On 3/10/2025 at 9:50 AM, R1 stated there have been several times that he has went to use the bathroom
and there have been dirty wash clothes with feces on them sitting in the sink, or dirty gloves. R1's room had
feces on the back of the toilet, R1 stated this happens all the time, the CNAs (Certified Nursing Assistants)
do not care.
On 3/10/2025 at 10:30 AM, the back of R3's toilet seat had brown fecal matter smeared on it, the brown
fecal matter was spread all along the curved back part of the toilet seat about 4 inches in length, the
washcloth on the sink was wet and off-white laying on the left side of the resident's sink.
On 3/10/2025 at 10:40 AM, V7 (CNA/Certified Nursing Assistant) confirmed R3's bathroom had fecal matter
spread along the back portion of the toilet seat, 4 inches in length, and that there was a wet, off white wash
cloth laying on the left side of the sink.
On 3/10/2025 at 11:10 AM, R2 stated she has gone into her bathroom and found dirty wash clothes with
fecal matter all over them in the sink, and dirty adult incontinent briefs with fecal matter on the floor next to
the trash can. R2 stated she has seen fecal matter splattered on the walls in the bathroom as well. R2's
toilet had brown fecal matter on the seat.
On 3/10/2025 at 12:43 PM, V11 (Housekeeper) stated, some days when she enters a resident's room,
there will be dirty wash clothes with brown fecal matter, dirty briefs in the garbage cans or next to the
garbage can. V11 stated residents are grouped two residents to one room that share a bathroom, and the
room next to them share the same bathroom.
On 3/11/2025 at 2:20 PM, V2 (Director of Nursing) stated that she was aware CNAs (Certified Nursing
Assistants) were leaving dirty wash clothes in resident's rooms, and not cleaning up after themselves.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
146041
If continuation sheet
Page 3 of 3
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Back to topCitations
2 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F610 - In response to allegations of abuse, neglect, exploitation, or mistreatment, the
Respond appropriately to all alleged violations.
F880 - Infection Control
Provide and implement an infection prevention and control program.
FAQ · About this visit
Common questions about this visit
What happened during the March 11, 2025 survey of Allure Of Moline?
This was a inspection survey of Allure Of Moline on March 11, 2025. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Allure Of Moline on March 11, 2025?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Respond appropriately to all alleged violations."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.