Allure of Zion
3615 16th Street · Zion, IL · 60099 · 8477468382
115 certified beds For profit - Corporation Chain: Allure Healthcare Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $107,325 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$107,325 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 4.43 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 4 · $255,454 |
Inspection citations (64 in the current record)
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Potential for harm · D February 17, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 15, 2026 · Quality of Life and Care
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Potential for harm · D December 5, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D December 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 9, 2026 · Infection Control
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Actual harm · G June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · E June 4, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 6, 2025 · Infection Control
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Potential for harm · D April 30, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2025 · Pharmacy Service
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Potential for harm · D January 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2024 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected December 18, 2024 · Resident Rights
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Potential for harm · D December 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D August 12, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected August 19, 2024 · Resident Rights
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Actual harm · G July 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 5, 2024 · Quality of Life and Care
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Actual harm · G July 12, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 5, 2024 · Quality of Life and Care
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Potential for harm · D July 12, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 16, 2024 · Quality of Life and Care
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Potential for harm · D July 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 16, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 30, 2025 | Fine | $14,505 |
| July 12, 2024 | Fine | $92,820 |
| July 12, 2024 | Payment Denial | 20 days |
| January 2, 2024 | Fine | $62,741 |
| January 2, 2024 | Payment Denial | 40 days |
| October 23, 2023 | Fine | $85,388 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145443 · certified since March 22, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.