Seminary Manor
SEMINARY MANOR in GALESBURG, IL — inspection on April 29, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
her name, came in to help.
The second CNA saw how angry the first CNA was about the mess and told
who was rough with him was an older lady, late 50's, and heavy set but not sure of her name. R1
embarrassed by the whole mess. R1 also stated, No one from this facility has come to talk to me about what occurred, they have talked to my son and (R2) but not me. On 4/28/26 at 11:00am, V3 (Assistant Director of Nursing) stated that she did not speak with R1 or follow-up with him after the incident was reported to see how he was doing. On 4/28/26 at 11:15am, V4 (Social Service Director) stated that she has not spoken with R1 regarding the allegation and she has not followed up with R1 at all to check on his well-being. On 4/28/26 at 11:20am, V5 (Social Service/admission Director) confirmed that she had not personally been able to speak with R1 regarding the incident, so she does not know how he feels or what his account of the story is but V16 (Manager of assisted living) had come over and attempted to speak with R1. R1 had told V16 that he was advised not to talk. V5 also stated, I'm not sure if anyone else in our facility was able to talk with him (R1). On 4/28/26 at 11:35am, V6 (Licensed Practical Nurse), when asked about checking on R1's psychosocial well-being, stated, When I work, I talk to him and all of my residents to see how they are doing but I did not talk to R1 about anything specific related to the incident. On 4/28/26 at 2:15pm, V2 (Director of Nursing) verified that R1's Care Plan had not been revised to address R1's psychosocial well-being after the incident. On 4/28/26 at 3:45pm, V1 verified that there is no documentation in R1's medical record or investigation to prove attempts were made by the facility to speak with R1.
When asked if there was any follow up to check on R1's psychosocial well-being after the allegation V1 stated, I did not see any reason to, he was showing no signs of distress.
When asked if R1 not wanting to speak with facility staff could be seen as distress, V1 stated, In my mind he did not want to talk with us because the family is talking about litigation, it had nothing to do about his psychosocial well-being.
The facility's investigation file documents V20 CNA was terminated at approximately 8:45 AM on the morning of 4/16 for poor quality of care, being discourteous and failure to perform job duties.
145598 04/29/2026
Seminary Manor 2345 North Seminary Street Galesburg, IL 61401
got there, V6 asked R1 to hold on she was going to go get Social Service, so he did not have to repeat
about it.
When asked if she reported the allegation of abuse to the Administrator, she stated she did
Assistant) came to her around 10:00am, may be 11am give or take on 4/15/26 and reported that R1 had a complaint about third shift but did not elaborate. V6 stated she went down to R1's room and asked him what she could help him with and R1 stated he had a complaint about a third shift CNA (Certified Nursing Assistant). V6 told him she would go get Social Services, so he did not have to repeat himself. V6 stated that she called V5 (Social Service/admission Director) and told her R1 had a complaint and was told she would come and talk with R1. V6 also stated that she became aware that it was an abuse allegation when she took R1's son, V15, down to talk with Social Services and V15 stated to them, This is elder Abuse. On 4/28/26 at 11:20am V5 (Social Service/admission Director) who stated that she was told by V6 (Licensed Practical Nurse) around 11:00am on 4/15/26 that R1 had a complaint but did not state what the complaint was so V5 went down to R1's room to speak with him but R1 was sleeping and his roommate R2 had a visitor. V5 stated she attempted again but R1 was at lunch the second time. V5 stated before she could attempt to go speak with R1 again, V6 brought R1's son, V15, to her office around 3:45pm. V5 stated that she and V4 were in the office and V15 came in stating, This is Elder Abuse.
This was the first time I heard anything about abuse. On 4/28/26 at 2:15pm, V2 stated that it is the policy of the facility that if staff hear the words abuse or suspect abuse they are to go directly to the Administrator who is the Abuse Coordinator to report it and if Administrator is not available then they would come to me (Director of Nursing) and if I am not available they are to go to Human Resources.
They are to keep calling or looking until one of us is available. On 4/28/26 at 3:45pm, V1 (Administrator) who stated she became aware of the allegation between 3-4pm on April 15th. V1 stated, it is the expectation of staff to report any allegation of abuse to the Administrator, Me in this instance, immediately.
145598 04/29/2026
Seminary Manor 2345 North Seminary Street Galesburg, IL 61401
(R1) of seven residents in a sample of seven reviewed for abuse.
Findings include:The facility policy,
To protect residents from any kind of abuse such as verbal, sexual, mental, physical, including corporal punishment, involuntary seclusion, neglect, misappropriation of property, exploitation and any physical or chemical restraint not required to treat the resident's symptoms.Shift coordinators and shift nurses, will be instructed to be aware of inappropriate staff behavior and take the necessary procedure for correction of these behaviors.
They would include, but not limit to derogatory language, rough handling, ignoring resident requests, and not observing appropriate safety measures that would endanger resident.Facility employee or agent who becomes aware of alleged abuse or neglect of a resident should immediately report the matter to the facility Administrator or designee. If allegation involves the Administrator then the facility employee or agent should immediately report the matter to the facility DON (Director of Nursing).The administration shall notify the resident's representative of the alleged abuse.If the incident involves alleged abuse and evidence indicates that an employee is the perpetrator of the abuse, then the Administrator shall immediately suspend the employee suspected to be involved in the alleged abuse without pay pending investigation of the incident.Interviews with all involved parties or potential witnesses will be completed. If possible, at least two interviewers shall be present for each witness interview. At least one interviewer shall take notes.
Signed statements from those persons who saw or heard information pertinent to the incident shall be obtained.
Statements shall be taken from the suspect, the person making the accusations, the resident abused or neglected (if cognitive level permits), other staff or residents who may have witnessed the incident, and any other person who may have information related to the incident.The following will be documented in the resident's medical record: a.
The nature and extent of any injuries sustained or the condition resulting from the alleged incident. B.
Whether the resident was sent to the hospital. C.
Whether the resident's physician was called. R1's resident face Sheet documents that R1 admitted to the facility on [DATE] and R1's diagnoses on admission include but are not limited to Acute respiratory Failure with Hypoxia, Peripheral Vascular Disease, General Anxiety Disorder and Benign Prostatic Hyperplasia. On 4/24/26 at 3:00pm, R1 stated, No one from this facility has come to talk to me about what occurred, they have talked to my son and (R2) but not me. R1's electronic medical record or the facility reported incident investigation dated 4/15/26 has no documentation that the facility spoke with R1 regarding the allegation of abuse reported on 4/15/26. On 4/28/26 at 2:15pm, V2 (Director of Nursing) verified that there is no documentation in R1's medical record or the investigation that the facility attempted to interview R1 regarding the allegation. On 4/28/26 at 3:45pm, V1 verified that there is no documentation in R1's medical record or investigation to prove attempts were made by the facility to speak with R1.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.