Allure of Galesburg

In the surveyor’s words

From the most serious findings on record at Allure of Galesburg, in the surveyor’s own words.

• Immediate jeopardy, widespreadF678Apr 7, 2026

  Based on observation, interview and record review the facility failed to ensure emergency medical equipment was present, functional, routinely checked and available for use during a medical emergency, for one of three residents (RI), reviewed for emergency response. The facility also failed to ensure nursing staff were trained and competent in the contents and operation of emergency equipment. These failures resulted in staff being unable to provide timely life- saving interventions to R1, who suffered an unplanned medical emergency and died. The deficient practice placed all facility residents at risk for delayed or ineffective emergency response.These failures resulted in an Immediate Jeopardy. […]

• Immediate jeopardy, widespreadF880Jan 27, 2022

  Based on observation, interview and record review the facility failed to place the COVID-19 positive residents and the exposed roommates on transmission based precautions, failed to ensure staff wore required PPE (Personal Protective Equipment) with direct care during a COVID-19 outbreak, failed to place COVID positive residents in a dedicated COVID unit with dedicated staff, failed to ensure required infection control signage was on COVID positive resident doors, failed to keep the door closed for a resident with COVID-19, including a resident receiving aerosolized oxygen via [CONDITION(S)] mask on droplet isolation precautions, failed to ensure the chemical dishwasher was functioning according to manufacturer's recommendations, and failed to utilize disposal tableware for residents on… […]

• Immediate jeopardy, widespreadF886Jan 27, 2022

  Based on record review and interview the facility failed to follow up on staff and resident COVID-19 (Coronavirus Disease 2019) laboratory (lab) reports within 48 hours once an outbreak of COVID-19 was identified and failed to initiate alternative testing procedures when experiencing a delay in obtaining lab reports to prevent further [CONDITION(S)] transmission of COVID-19. These failures resulted in COVID-19 positive staff working directly with the residents and residents with COVID-19 not being isolated promptly, causing an outbreak of COVID-19 within the facility. […]

• Immediate jeopardy, isolatedF689Jul 21, 2026

  Based on interview, observation, and record review, the facility failed to provide adequate supervision and reassess elopement risk status to prevent a resident with known cognitive impairment, and with a known attempt of exiting the building unauthorized, from eloping from the facility for one of three residents (R1) reviewed for elopement in the sample of three. Specifically, the facility failed to adequately supervise (R1) with a known diagnoses of Bipolar and with cognitive impairment, who was documented at risk for elopement and a history of unauthorized exit attempts. The facility also failed to respond to and investigate sounding door alarms at secured facility exits and conduct a missing resident sweep/headcount when exit alarms were triggered. […]

• Immediate jeopardy, isolatedF600Feb 5, 2026

  Based on record review and interview the facility failed to protect a resident from staff-to-resident sexual abuse, failed to assess a resident's ability to consent to sexual activity, and failed to protect residents from staff-to-resident verbal abuse for three of seven residents (R2, R3, and R6) reviewed for abuse in the sample of seven. These failures resulted in V7 (Prior Dietary Aide) engaging in behavior indicating an attempt to initiate a personal or romantic relationship with R3 in June 2025, V7 continuing to have sexually inappropriate conversations and video nudity by electronic communication with R3, and V7 sexually assaulting R3 on at least three occasions while R3 was attending church services. […]