Allure of the Quad Cities: Wound Care Failures - IL
The inspection, conducted November 20, 2025, was triggered by a complaint. What inspectors found when they watched wound care being performed the day before was, by the nurse's own account, not close to what the doctor had ordered.
The resident identified in the report as R12 had open wounds on both feet. Her physician had written specific orders for each one. For the left medial foot, staff were to cleanse the wound with normal saline, apply medi-honey to the wound bed, then cover it with a dry dressing, daily and as needed. For the right lateral foot, the order called for a normal saline cleanse, application of a collagen sheet, and coverage with a bordered foam dressing, daily and as needed.
On November 19, at 11:45 in the morning, the nurse identified as V8 used hand sanitizer and put on gloves. She applied a medicated pad to R12's right heel without cleaning the wound first. Then she left the room to get supplies for the right lateral foot.
She came back, used hand sanitizer again, put on a new pair of gloves, and lifted the existing dressing to look at the wound. She tried to put the same dressing back. Then she changed her mind, removed it, and covered the wound with a plain dry dressing instead.
That was the entirety of the wound care.
V8 told inspectors herself: she did not cleanse R12's wounds. She did not apply any medications. She did not change her gloves or perform hand hygiene at any point during the procedure, moving from one open wound to the next with the same pair of gloves. She also said she believed R12 had no wound on her left foot at all.
R12 did have a wound on her left foot. It received no care that day.
The facility's own Assistant Director of Nursing, identified as V4, reviewed what happened that afternoon and told inspectors that V8 needed to redo the treatment as ordered, not simply cover the wound with a dry dressing. "R12's wound should have been done as ordered," V4 said.
The inspection report does not say whether the wounds were redone that day, or what condition R12's feet were in when inspectors arrived the following morning.
R12 was not the only resident whose wound care the report flagged. A second resident, identified as R3, was diabetic and came to the facility already carrying venous and diabetic ulcers, placing them at elevated risk for additional skin breakdown. R3 developed pressure ulcers after admission.
Inspectors found that pressure ulcer prevention measures were never documented in R3's medical record. The Treatment Administration Record, which is supposed to capture whether wound treatments are completed, did not document the full completion of R3's pressure ulcer treatments for any point between October 1 and November 20, 2025, a span of seven weeks.
V4, the Assistant Director of Nursing, verified both findings. The documentation wasn't missing because the care had been provided and simply not recorded, or because it had been recorded somewhere else. It was not there.
CMS classified the wound care failures under F0686 and assigned a harm level of actual harm, meaning inspectors determined residents were injured, not merely placed at risk. The deficiency affected a small number of residents.
What the inspection report describes, across both residents, is a pattern in which the written care plan and the care actually delivered had come apart from each other. A nurse who did not know her patient had a wound on one foot. Medications prescribed for open wounds that went unapplied. A diabetic resident whose skin broke down over seven weeks while the records that were supposed to track her prevention measures stayed blank.
R12's right foot wound was covered with a plain dry dressing. Her left foot wound was not touched.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Allure of the Quad Cities from 2025-11-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Allure Of The Quad Cities in MOLINE, IL was cited for violations during a health inspection on November 20, 2025.
The inspection, conducted November 20, 2025, was triggered by a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.