Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Allure Of Lake Storey during CMS and state inspections, most recent first.
A resident tested positive for COVID-19 and was placed on strict isolation, with documentation showing that the DON and medical provider were notified but the family was not informed of the positive result. An RN who performed the test stated she did not successfully reach the family and did not leave a message, and confirmed no family member was told of the result. Later, a family member visited the resident and remained in the room for an extended period, sitting on the resident’s bed without PPE, stating she had not been told the resident had COVID-19 or that PPE was required, until staff later instructed her to wear a mask and PPE. This occurred despite facility COVID-19 policies requiring appropriate reporting of COVID-19 information and informing residents and representatives of risks when a resident is on transmission-based precautions.
A resident experienced a significant weight loss of 13.86% over six months, yet the facility failed to include this issue in the resident's care plan. Despite monitoring by a dietician, the care plan lacked any interventions or plans to address the weight loss. The DON confirmed the omission, acknowledging that the weight loss should have been included.
A facility failed to update a resident's care plan after a change in transfer status. The resident, initially requiring one-person assistance with a slide board, needed a mechanical lift due to difficulties with toe touch weight bearing on their right foot. Despite this change, the care plan was not revised, and the resident continued to be transferred using a mechanical lift. The MDS Coordinator confirmed the care plan was not updated, violating the facility's policy.
A resident with an indwelling urinary catheter did not receive appropriate catheter care as per the facility's policy. A registered nurse used disinfecting wipes, which are not intended for personal cleansing, to clean the catheter. The resident had a history of urinary tract infections and other urinary conditions. The Director of Nursing confirmed the improper use of disinfecting wipes, acknowledging the failure to follow the facility's catheter care policy.
A resident with a physician's order for gelato as a dietary supplement was not served the supplement with lunch, despite the facility's policy and the meal card indicating it should be provided. A CNA confirmed the omission during the meal service.
A resident on hospice care with a terminal prognosis and multiple health issues fell from bed and sustained a hematoma due to the facility's failure to ensure safe positioning during incontinence care and obtain necessary safety devices. Despite a history of falls and care plan revisions, the resident slid off a slick air mattress while being repositioned by a CNA and LPN. The facility's staff had requested a larger bed and air mattress with bolsters from the hospice company, but these were not provided in time.
A facility failed to prevent the diversion of Oxycodone by an agency nurse, who signed out five doses for a resident who had not been taking the medication and reported no pain. The nurse did not record the medication in the EMAR and documented the resident as having no pain. The discrepancy was discovered by an LPN familiar with the resident, leading to an investigation and the nurse's suspension and termination.
Failure to Inform Family of Positive COVID-19 Result and Need for PPE During Visit
Penalty
Summary
The deficiency involves the facility’s failure to inform a resident’s family of the resident’s positive COVID-19 test result and to ensure appropriate communication and guidance to a visitor before entering the resident’s room. Progress notes show that the resident tested positive for COVID-19 on 12/30/2025, was asymptomatic, and that the DON and in‑home medical group/nurse practitioner were notified. The resident’s care plan documents that the resident was placed on strict isolation related to COVID-19 beginning 12/30/2025. The RN who performed the COVID-19 test stated she could not reach the resident’s family on the day of testing, did not leave a message, and confirmed she did not inform any family member of the positive result. The DON/Infection Preventionist stated that when floor staff nurses test residents and obtain positive results, it is the nurse’s responsibility to call and inform the resident’s family. On a subsequent visit, the resident’s family member entered the resident’s room and remained there for almost three hours without being informed beforehand that the resident had COVID-19 and without being provided PPE at the outset. A complainant reported that the family member was not told of the resident’s COVID-19 status until a staff member later instructed her to wear a mask and PPE due to the resident having COVID-19. Both an LPN and a CNA who were working that day observed the family member sitting on the resident’s bed without PPE; the CNA reported that when she questioned the family member about not wearing PPE, the family member stated she did not know she was supposed to and that no one had told her the resident had COVID-19. The facility’s COVID-19 policies state that appropriate interventions will be implemented to prevent the spread of COVID-19, that COVID-19 information will be reported through proper channels, and that residents and representatives should be made aware of the potential risk of visiting when a resident is on transmission-based precautions or quarantine.
Failure to Address Significant Weight Loss in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident experiencing significant weight loss. The facility's policy mandates the creation of a person-centered care plan with measurable objectives and timeframes based on a comprehensive assessment of the resident's needs. However, the care plan for the resident, who experienced a 13.86% weight loss over six months, did not include any interventions or plans to address this issue. The resident's weight was documented as decreasing from 166 pounds to 136.5 pounds and then slightly increasing to 143 pounds. Despite being monitored for significant weight loss by a dietician, the care plan lacked any documentation of this concern. The Director of Nursing confirmed the omission, acknowledging that the weight loss should have been included in the care plan.
Failure to Revise Care Plan Following Change in Transfer Status
Penalty
Summary
The facility failed to revise the care plan for a resident following a change in their transfer status. The resident, who was initially documented as requiring one-person assistance with a slide board for transfers, experienced a change in condition that necessitated the use of a mechanical lift. Despite this change, the care plan was not updated to reflect the new transfer method. The resident reported difficulties with toe touch weight bearing on their right foot due to bleeding from a wound, which led to the use of a mechanical lift for transfers. Observations and interviews revealed that the resident was being transferred using a mechanical lift, contrary to the care plan's documentation. The Director of Rehab confirmed that the resident was discharged from therapy with a transfer status of one assist with a slide board. The MDS Coordinator verified that the care plan had not been revised to reflect the resident's current needs, indicating a failure to follow the facility's policy on care plan revisions upon a change in status.
Improper Catheter Care with Disinfecting Wipes
Penalty
Summary
The facility failed to ensure proper care for a resident with an indwelling urinary catheter, as observed during a survey. The facility's policy requires that catheters be cleaned with a clean cloth moistened with water and perineal cleaner. However, a registered nurse used disinfecting wipes containing ammonium chloride compounds, which are not intended for personal cleansing, to clean the catheter of a resident diagnosed with malignant neoplasm of the prostate, benign prostate hyperplasia, obstructive and reflux uropathy, and urinary tract infection. The incident was observed when the registered nurse provided catheter care to the resident, who was lying in bed. The nurse admitted to using the disinfecting wipes for all indwelling urinary catheters, despite the packaging clearly stating they should not be used for personal cleansing. The Director of Nursing confirmed that the disinfecting wipes should not have been used for this purpose, indicating a failure to adhere to the facility's catheter care policy.
Failure to Serve Physician-Ordered Dietary Supplement
Penalty
Summary
The facility failed to serve a physician-ordered dietary supplement to a resident identified as R50, who was being monitored for weight loss. According to the facility's Nutritional and Dietary Supplement policy, supplements are to be provided to meet residents' dietary needs. R50 had a physician's order to receive gelato as a supplement twice daily at lunch and dinner, documented since March 15, 2024. However, during an observation on July 16, 2024, R50 was not served the gelato with her lunch, despite the meal card indicating it should have been included. A Certified Nursing Assistant (CNA) confirmed that the gelato was not served with R50's lunch meal.
Failure to Ensure Safe Positioning and Equipment Leads to Resident Fall
Penalty
Summary
The facility failed to ensure safe positioning in bed during incontinence care and did not obtain an air mattress and safety devices for a resident, leading to the resident falling from bed and sustaining a hematoma. The resident, who was on hospice care with a terminal prognosis and multiple health issues, had a history of falls and required total assistance for turning and repositioning. Despite the care plan revisions to include fall interventions, such as notifying hospice to provide an air mattress with bolsters, these measures were not implemented in time. The resident experienced multiple falls, including two un-witnessed falls and one witnessed fall, which were attributed to poor balance, coordination, weakness, and restlessness. During the witnessed fall, the resident was being repositioned and cleaned by a CNA and an LPN when the resident slid off the air mattress, resulting in a head injury. The air mattress was described as slick, and the resident's clothing may have contributed to the fall. The facility's staff had requested a larger bed and air mattress with bolsters from the hospice company, but these were not provided before the resident's fall. Interviews with facility staff revealed that the resident's bed was not suitable for her size and condition, and the hospice company had not delivered the requested equipment. The staff involved in the incident acknowledged that the resident needed a larger bed and that the air mattress was not safe for her. The facility's Director of Nursing confirmed that the lack of a larger air mattress or bolsters may have contributed to the fall, and the facility had been trying to obtain the necessary equipment from the hospice company without success.
Failure to Prevent Drug Diversion of Oxycodone
Penalty
Summary
The facility failed to prevent the diversion of narcotic medication, specifically Oxycodone, for a resident who was cognitively intact and had not been taking the medication for several weeks. The resident had a physician's order for Oxycodone-APAP 5-325 mg, one to two tablets every four hours as needed for pain, but had not reported any pain or taken the medication since February. Despite this, an agency nurse signed out five doses of Oxycodone over two days in March, without the resident's consent or need for the medication. The agency nurse, who was new to the facility, signed the Oxycodone out on the paper narcotic sheet but did not record it in the electronic Medication Administration Record (EMAR). The nurse also documented that the resident had no pain and did not administer any Tylenol, which was the resident's scheduled medication. The discrepancy was discovered by a Licensed Practical Nurse (LPN) familiar with the resident, who noticed the unusual administration of Oxycodone and reported it to the Director of Nursing (DON). The investigation revealed that the narcotic count was correct at shift changes, which initially prevented the detection of the diversion. However, the resident confirmed that she had not received any Oxycodone and was trying to avoid taking Tylenol. The facility reported the incident to the police, and the agency nurse was suspended and later terminated by her employer. The facility's failure to prevent the diversion of medication resulted in a deficiency in protecting the resident's belongings and medication from wrongful use.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Galesburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allure Of Galesburg | 0.9 mi | — | 13 | 5 |
| Marigold Rehabilitation And Health Care Center | 1.4 mi | — | 6 | 2 |
| Seminary Manor | 1.6 mi | — | 5 | 0 |
| Allure Of Knox County | 1.8 mi | — | 2 | 1 |
| Knox County Nursing Home | 6.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.