A list of the most recent deficiencies for Allure of Galesburg. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-02-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-30 | 2023-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-30 | 2023-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-10 | 2023-09-22 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-14 | 2023-05-03 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-14 | 2023-05-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-14 | 2023-05-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-04-14 | 2023-05-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-14 | 2023-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-14 | 2023-05-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-14 | 2023-05-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-14 | 2023-05-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-04-14 | 2023-05-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-04-14 | 2023-05-03 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-04-14 | 2023-05-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-08 | 2023-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-02 | 2022-08-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-02 | 2022-08-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-04 | 2022-04-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-02 | 2022-03-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-26 | 2022-02-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-01-27 | 2022-02-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-26 | 2022-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-27 | 2022-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-02-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-27 | 2022-01-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-12 | 2022-01-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-12 | 2022-01-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-01-21 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-06 | 2021-10-28 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-06 | 2021-10-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-06 | 2021-10-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-06 | 2021-10-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-22 | 2021-10-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-22 | 2021-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-27 | 2021-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-27 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-20 | 2021-09-07 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-24 | 2021-07-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-24 | 2021-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-08 | 2020-11-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-10-08 | 2020-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-08 | 2020-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-08 | 2020-11-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-10-08 | 2020-11-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-10-08 | 2020-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-08 | 2020-11-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-10-08 | 2020-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-08 | 2020-11-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-10-08 | 2020-11-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish methods for sharing information. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-10-15 | 2020-11-02 | N |
