Allure Of Moline

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 19, 2025

  Based on observation, interview and record review the facility failed to ensure a resident with dysphagia (difficulty swallowing) on a puree diet was supervised in the dining room. This failure allowed R1 to move through the dining room and consume solid foods from resident trays, resulting in him choking and expiring. This applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 4.The Immediate Jeopardy began on 8/9/25 when R1 was unsupervised in the dining room, choked on food and expired. V1 Administrator was notified of the Immediate Jeopardy on 8/19/25 at 8:10 AM. […]

• Actual harm, isolatedF602Apr 26, 2024

  Based on record review and interview, the facility failed to ensure resident funds were not misappropriated from resident account for one resident (R1) of three residents reviewed for resident funds.The facility failed to protect R1, a resident with diagnoses of bipolar disorder and autistic disorder, from theft and exploitation when V5 opened an account in R1's name and withdrew $11,900.00. This failure would result in a reasonable person experiencing anger and anxiety from having a large sum of money removed from their account without their consent. FINDINGS INCLUDE: Facility policy, entitled Abuse, Neglect, and Exploitation, dated 2023, document, Misappropriation of Resident Property. […]

• Actual harm, isolatedF684Feb 2, 2023

  Based on interview and record review, the facility failed to provide timely radiology services for one resident (R1) of three residents reviewed for falls. This failure resulted in R1 not receiving an X-ray after a noted deformity to the left leg and being diagnosed with a left femur fracture that was not immobilized for over 24 hours with increased pain and decreased range of motion of the left leg. Findings include: Physician's Order Summary Report indicates R1 was readmitted to the facility 1/3/23 with diagnoses that include Left Femur Fracture, Disc Degeneration. […]

• Actual harm, isolatedF689Apr 23, 2021

  Based on observation, interview and record review, the facility failed to safely secure one resident (R1) during transport in the facility van of three residents reviewed for accidents in the sample of three. This failure resulted in R1 experiencing a fall from R1's wheelchair while being transported in the facility van, striking R1's face and sustaining facial fractures requiring multiple hospitalization s. Findings include: The facility's Final Investigation Report (undated) documents that on 4/14/21, R1 fell in the transport van and was sent to the ED (Emergency Department) for evaluation and treatment. […]

• No harm, potential for more than minimal, widespreadF727May 21, 2025

  Based on interview and record review the Facility failed to provide the services of a Registered Professional Nurse (RN) for eight consecutive hours a day, seven days a week. This failure has the potential to affect all 99 Residents in the Facility. Findings include: The Facility's Long Term Care Facility Application for Medicare and Medicaid, dated 5/18/25, documents 99 Residents residing in the Facility. The Facility Assessment Tool, dated 5/5/25, documents: the purpose is to determine what resources are necessary to care for Residents competently, including staff and staffing plan; and decisions about direct care staff, as well as your capabilities to provide services to the Residents in your Facility; serve as a record for staff and management to understand the reasoning for the… […]