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Complaint Investigation

Allure Of Moline

Inspection Date: September 12, 2025
Total Violations 1
Facility ID 146041
Location EAST MOLINE, IL
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0558

Reasonably accommodate the needs and preferences of each resident.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview and record review the facility failed to ensure a resident's call light was within reach for 1 of 3 residents (Resident R1) reviewed for accommodation of needs in the sample of 3. The findings include:On 9/12/25 at 10:47 AM, Resident R1 was lying in bed. Resident R1's nightstand was located on the left side of her bed. Resident R1 was unable to move her left arm independently. Resident R1 said that on a date that she does not recall, an aide came into her room at night and took her call light away. Resident R1 said that she threw it and said that she was using it too much. On 9/12/25 at 12:07 PM, V4, Certified Nursing Assistant (CNA) said that Resident R1 does use her call light frequently. V4 said that she uses it every one to two hours throughout the night and typically wants to be repositioned in bed. V4 said that on the date of the incident, she was working nights and day shift. V4 said that typically Resident R1 would call to get up around 7:00 AM and on that day she did not call so she went into her room around 7:30 AM to get her up. V4 said that Resident R1's call light was on her nightstand and not within reach of her. V4 said that Resident R1 is unable to turn herself so she would not have been able to place it on the nightstand nor reach it if she needed something. V4 said that Resident R1 told her that the CNA from night shift came in and took it away from her and told her that she was using it too much. On 9/12/25 at 1:05 PM, V5 (CNA) said that if a resident is in bed, the call light should be clipped on or near them. On 9/12/25 at 1:57 PM, V2 (Director of Nursing) said that Resident R1 came to the facility after having a CVA and is unable to move her left side but is able to move her right side. V2 said that Resident R1 is fairly alert and oriented. V2 said that Resident R1 is able to use her call light and it should be pinned to her chest when she is in bed. V2 said that Resident R1 would not be able to reach her call light if it was on her nightstand. On 9/12/25 at 12:07 PM, V1 (Administrator) said that it was reported to her by V4 that when she went into Resident R1's room, her call light was on her nightstand and not within reach and Resident R1 had told V4 that the night CNA told her that she was using it too much and took it away. V1 said that she started an investigation and Resident R1 told her the same story so V3 was terminated. Resident R1's Minimum Data Set assessment dated [DATE REDACTED] shows that her cognition is intact, has an impairment to one side of her upper and lower extremities and requires substantial/maximal assistance for bed mobility.Resident R1's Activities of Daily Living Care Plan shows that she has a self-care performance deficit related to CVA with hemiplegia affecting her left side with intervention of: Encourage to use bell to call for assistance. The facility's Call Light: Accessibility and Timely Response Policy shows, Staff will ensure the call light is within reach of resident and secured, as needed.

Residents Affected - Few

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

Event ID:

📋 Inspection Summary

Allure Of Moline in EAST MOLINE, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EAST MOLINE, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Allure Of Moline or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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