Allure of Sterling

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Dec 3, 2025

  Based on interview, and record review the facility failed to ensure a resident (R1) was not sexually abused by another resident (R2) for 1 of 3 residents reviewed for sexual abuse in the sample of 5.This failure resulted in an Immediate Jeopardy.The Immediate Jeopardy began on 11/19/25 when facility staff failed to ensure R2 did not enter R1's room and have sexual activity with R1. Both R1 and R2 have cognitive impairment and lack the ability to consent for sexual activity. V1 Administrator was notified of the Immediate Jeopardy on 12/3/25 at 8:15 AM. […]

• Actual harm, isolatedF689Jan 7, 2026

  Based on interview and record review, the facility failed to supervise residents in a manner that prevented resident injury for one of six residents (R1) reviewed for safety/supervision in the sample of six. This failure resulted in R1 obtaining a large skin tear that required sutures at the local hospital emergency room and increased pain. This past noncompliance occurred from January 1, 2026-January 2, 2026.The findings include:R1's admission Record dated January 7, 2026 shows that she was admitted to the facility on [DATE] with diagnoses including heart disease, long term use of anticoagulants, diabetes mellitus, major depressive disorder, anxiety disorder, morbid obesity, need for assistance with personal care, history of falling, and muscle wasting. […]

• Actual harm, isolatedF686Sep 26, 2024

  Based on observation, interview, and record review, the facility failed to identify a pressure injury prior to be becoming a Stage 3, failed to assess a new pressure injury, and failed to implement pressure relieving interventions after a new wound was found for 1 of 6 of residents (R82) reviewed for pressure in the sample of 19. These failures resulted in R82 having a Stage 3 pressure injury for a week before an assessment was done, pressure relieving interventions were put into place and the pressure care plan interventions were updated. […]

• Actual harm, isolatedF689Aug 31, 2022

  Based on observation, interview, and record review the facility failed to ensure coffee was served at a safe temperature to a resident. This failure resulted in R3 sustaining a full thickness (third degree) burn to her right thigh from hot coffee. The facility failed to ensure needles were safely disposed of. This applies to 2 of 18 residents (R3, R32) reviewed for safety in the sample of 18. The findings include: 1. On 08/29/22 at 09:43 AM, V14 Hospice Nurse said R3 has a burn on outer right thigh from coffee she spilt on herself last week. On 08/29/22 at 11:42 AM, V4 Dietary Manager stated, we had a resident get burned last week with coffee. It was too hot. The resident who got burned was served coffee that was above 155 degrees. […]

• Actual harm, isolatedF684Sep 29, 2021

  Based on interview and record review the facility failed to ensure a resident with skin tears was monitored for signs and symptoms of infection, failed to assess and document an initial wound assessment and weekly wound assessments for a skin tear, and failed to ensure treatment orders were obtained for a skin tear for 1 of 3 residents (R1) reviewed for skin tears in the sample of 3. This failure resulted in R1 being transferred to an acute care hospital on 9/12/21 and requiring debridement of her left lower extremity and intravenous antibiotic treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] The findings include: R1's face sheet showed she was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]