Inspection·November 26, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on interview and record review the facility failed to prevent abuse for two residents (R5 and R8) of three residents reviewed for abuse in a total sample of forty-two. The Facility's undated Abuse, Neglect and Exploitation policy 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 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, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations. 1.The Facility's Final Investigative Report dated 11/10/25 documents that R6 pushed R8 into a wall. On 11/25/25 at 2:30 PM R8 confirmed that he was pushed by R6 some time ago. R8 stated I ran into the wall. R8 stated I was relatively new to the place and did not realize once (staff) announce it is time for a smoke break that some of them (other residents) will run for the door. (R6) wanted me out of his way pronto. Throughout the survey R6 refused to speak to this surveyor. V5 (Licensed Practical Nurse) stated (R6) only speaks when he wants to. It is normal for him to not answer questions when he is asked. 2.The Facility's Final Investigative Report dated 11/24/25 documents that R7 struck R5 on the arm. The investigation documents that R5 has a history of mumbling to himself and making noises randomly which then annoyed R7 who struck him on the arm. Throughout the survey R5 did not answer any questions. R5 was noted to be mumbling incoherently and making clicking noises. On 11/25/25 at 2:45 PM R7 confirmed he lightly smacked R5's arm. Those noises are annoying. On 11/26/25 V1 (Administrator) confirmed that the allegation of physical abuse regarding R6 and R8 dated 11/10/25 and the allegation dated 11/24/25 regarding R7 and R5 would be considered substantiated because they did happen. 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 2 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 11/26/2025 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)