Inspection Reports for Bettendorf Health Care Center

The document serves as a statement of deficiencies and plan of correction following a survey ending on October 15, 2025, with acceptance of a credible allegation of substantial compliance.

The facility was certified in compliance effective October 23, 2025, based on acceptance of the credible allegation of substantial compliance and plan of correction. No specific deficiencies are detailed in this document.

The document is a statement of deficiencies and plan of correction related to a prior survey ending September 11, 2025, indicating acceptance of a credible allegation of substantial compliance and plan of correction.

The facility was certified in compliance effective October 1, 2025, based on acceptance of the credible allegation of substantial compliance and plan of correction. No specific deficiencies are detailed in this document.

The inspection was conducted following investigation of complaints #2639178-C and #2637540-I from October 13 to October 15, 2025, related to incidents at Bettendorf Health Care Center.

The facility was found deficient for inappropriate discharge practices, including failure to educate a resident on potential discharge options and lack of a policy regarding discharge against medical advice. The investigation included review of clinical records, interviews, and incident reports involving resident discharges and incidents.

The investigation was triggered by complaints #2639178-C and #2637540-I. Complaint #2639178-C resulted in a deficiency. The complaint involved incidents including a resident pushing another resident, inappropriate discharge procedures, and failure to provide discharge education.

The inspection was an annual recertification survey combined with investigation of complaints and facility reported incidents conducted from September 8 to September 11, 2025.

The facility was found deficient in multiple areas including failure to provide adequate linens for bariatric beds, failure to prevent verbal abuse and neglect by staff, inadequate incontinence care, insufficient staffing levels, improper food temperature handling, poor kitchen sanitation, incomplete facility assessment for staffing needs, improper infection control practices, and failure to ensure required abuse training for staff.

Complaint #1749451-C resulted in a deficiency. Facility reported incidents #1749459-I and #2606536-I resulted in deficiencies.

A complaint investigation for complaint #126772-C was conducted from May 6, 2025 to May 8, 2025.

The facility was found to be in substantial compliance following the complaint investigation.

Complaint #126772-C was investigated and the facility was found to be in substantial compliance.

The document serves as a Plan of Correction following a survey ending on January 23, 2025, addressing deficiencies to achieve certification compliance.

The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, leading to certification effective February 7, 2025.

The inspection was conducted as a result of investigations into multiple complaints (#123627-C, #123741-C, #123782-C, #124438-C, #124794-C, and #124798-C) to determine substantiation of the allegations.

The facility was found deficient in providing adequate bathing and showering care to dependent residents, timely response to call lights, and maintaining safe, functional, sanitary, and comfortable environmental conditions in shower rooms. Several residents refused showers or had inadequate bathing documentation, call lights were not answered timely, and shower rooms had missing tiles and buildup of residue.

Complaints #123741-C, #123782-C, #124438-C, #124794-C, and #124798-C were substantiated as per the investigation conducted from January 12 to January 23, 2025.

The document is a Plan of Correction related to a prior survey ending August 15, 2024, indicating acceptance of credible allegation of substantial compliance and certification of the facility effective September 12, 2024.

The facility was found to be in substantial compliance based on the prior survey, and the Plan of Correction was accepted by the surveyors.

The inspection was conducted as part of the facility's annual recertification survey and included investigation of complaints #121734-C, #121951-C, and #122707-C, as well as review of facility-reported incidents from August 12 to August 15, 2024.

The survey identified multiple deficiencies related to activities of daily living care, accident hazards and supervision, bowel/bladder incontinence and catheter care, dialysis monitoring, therapeutic diet adherence, and quality assurance program implementation. Several complaints were substantiated. The facility failed to provide adequate nail care, supervision during meals, proper catheter care, and appropriate diet texture preparation among other issues.

Complaints #121734-C and #122707-C were substantiated as part of the investigation during the annual recertification survey.

The document is a plan of correction following a survey to address deficiencies and demonstrate compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The Bettendorf Health Care Center is in substantial compliance effective July 8, 2024, based on the department's acceptance of the credible allegation of compliance and plan of correction.

The inspection was conducted due to substantiated complaints #121161-C and #121267-C, and a substantiated facility self-report #121380-I, focusing on medication errors and specialized rehabilitation services.

The facility failed to ensure residents were free from significant medication errors, resulting in an accidental overdose and emergency room admission for Resident #1. Additionally, the facility failed to provide rehabilitation services as ordered for Resident #3.

Complaints #121161-C and #121267-C were substantiated. Facility self-report #121380-I was also substantiated.

The inspection was conducted as a new investigation of complaints #119979-C, #120642-C, #120966-C, and #120970-C from May 7, 2024 to June 6, 2024.

The Bettendorf Health Care Center was found to be in substantial compliance effective April 2, 2024, and the complaints investigated were not substantiated.

Complaints #119979, #120642, #120966, and #120970 were investigated and found not substantiated.

The inspection was conducted as a result of investigation of complaints #118955-C, #119218-C, #119353-C, #119369-C, #119539-C and a facility reported incident #119363-I between March 7, 2024 and March 19, 2024.

The facility failed to implement directives required by Level II PASRR for one resident and failed to follow a resident's nursing care plan for another, resulting in deficiencies related to coordination of PASARR assessments, comprehensive care plans, and quality of care. The complaints #119218-C and #119369-C and the facility reported incident #119363-I were substantiated.

Complaints #119218-C and #119369-C were substantiated. Facility reported incident #119363-I was substantiated.

This document is a plan of correction related to deficiencies identified during a prior survey event ID YEHI12.

The document references deficiencies found in a previous survey but does not provide specific findings or details within this report.

The document reflects acceptance of a credible allegation of substantial compliance and the facility's Plan of Correction, resulting in certification of compliance effective December 12, 2023.

The facility was previously subject to a Denial of Payment for New Admits (DPNA) from November 9, 2023 to December 11, 2023. Based on the Plan of Correction and compliance, certification was granted.

The inspection was conducted as an annual recertification survey from October 12, 2023 to December 5, 2023, including investigation of complaints and facility self-reported incidents.

The facility was found deficient in multiple areas including failure to assess residents for self-administration of medications, failure to submit timely PASARR assessments, inadequate assistance with activities of daily living such as bathing, failure to provide timely treatment for infections, use of nurse aides without proper certification, and failure to properly administer and document annual influenza and pneumococcal vaccinations.

Complaints #116481-C and #116789-C were substantiated as part of the investigation.

Annual Recertification Survey and investigation of Complaints 113947-C, #114558-C, #115179-C, #115277-C, #115296-C, #115349-C, #115385-C, #115388-C, #115407-C, #114816-C, #115896-C and Facility Self-Reported Incidents #115408-I and #115468-I.

The facility was found deficient in multiple areas including resident rights, self-administration of medications, advance directives, notification of changes, safe environment, reporting and investigation of alleged violations, coordination of PASARR assessments, professional standards of care, ADL care, quality of care, pressure ulcer treatment, accident prevention, catheter care, respiratory care, dialysis, nursing staffing, medication management, dietary staffing, food safety, QAPI program, infection prevention and control, immunizations, and call light response.

The document serves as a statement of deficiencies and plan of correction for Bettendorf Health Care Center, certifying compliance based on acceptance of the credible allegation of compliance and plan of correction.

The facility was certified in compliance effective July 20, 2023, based on acceptance of the credible allegation of compliance and plan of correction. No specific deficiencies or severity levels are detailed in the report.

The inspection was conducted as a COVID-19 Focused Infection Control Survey and an investigation of multiple complaints (#110088-C, #111683-C, #111775-C, #111828-C, #112080-C, #112110-C, #112646-C, #112765C, and #113699-C).

The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19. Several deficiencies were identified related to resident rights, activities of daily living, quality of care, and storage of drugs/biologicals, with some complaints substantiated.

Complaints #111828-C, #112110-C, #112080-C, #112646-C, and #112765-C were substantiated.

The document is a plan of correction submitted following a denial of payment for new admits (DPNA) that was in effect from November 30, 2022 to January 16, 2023, indicating the facility's compliance was accepted effective January 17, 2023.

The facility was previously subject to a denial of payment for new admits due to deficiencies, but based on acceptance of the credible allegation of compliance and plan of correction, the facility will be certified in compliance effective January 17, 2023.

The inspection was conducted as an On-Site Revisit of the survey ending October 24, 2022, and investigation of Complaints #109151-C, #109328-C, #109376-C, and #109631-C.

The facility was found to have deficiencies related to notification of changes, freedom from abuse and neglect, reporting of alleged violations, quality of care, and other regulatory requirements. Several residents were affected by these deficiencies, and the facility implemented corrective actions including education, audits, and policy reviews.

Complaints #109328-C, #109376-C, and #109631-C were substantiated.

The inspection was conducted as a result of substantiated complaints #106852-C, #107076-C, and #107446-C, focusing on resident care and facility compliance with regulations.

The facility failed to notify a physician promptly of a resident's injury from a fall, failed to provide adequate ADL care including bathing and incontinence care for multiple residents, failed to provide timely and appropriate treatment and follow-up for injuries and physician orders, had insufficient nursing staff responding promptly to call lights, and employed two nurses without valid Iowa nursing licenses during their employment period.

Complaints #106852-C, #107076-C and #107446-C were substantiated following investigation from October 12 to October 24, 2022.

Onsite revisit completed at the facility from July 6, 2022 to July 7, 2022 to verify compliance.

The facility was certified in compliance effective June 15, 2022 based on the revisit.

The inspection was conducted as part of the facility's Recertification Survey and investigation of multiple complaints and a Facility Self-Reported Incident from May 2 to May 17, 2022.

The facility was found to have multiple deficiencies including failure to treat residents with dignity, failure to ensure residents' rights to self-determination and smoking choices, failure to ensure proper advance directives and CPR orders, failure to complete background checks for staff, failure to provide adequate notice before transfer or discharge, insufficient nursing staff, inadequate infection control practices, and failure to provide proper education and documentation regarding immunizations and psychotropic medication use.

Complaints #98783-C, #98880-C, #99038-C, #99485-C, #99852-C, #99955-C, #99992-C, #100099-C, #100260-C, #101622-C, #102700-C, #104418-C, #104705-C were substantiated. Facility Self-Reported Incident #104540-I was substantiated.

The inspection was conducted as a result of investigations of Complaints #95036 and #97222 from 5/4/21 to 5/11/21, with Complaint #97222 substantiated and Complaint #95036 not substantiated.

The facility failed to honor a resident's and family's request to transfer the resident to a higher level of care, resulting in a deficiency related to the resident's right to be informed and make treatment decisions. The investigation detailed communication issues between staff, the resident, the resident's Power of Attorney (POA), and the physician, including delays in transferring the resident to the Emergency Room despite family requests.

Complaint #97222 was substantiated; Complaint #95036 was not substantiated.

A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey was conducted from 10/13/20 through 11/03/20, along with investigations of Complaints #91486, #91767, #93968 and a Facility Self-Reported Incident #93983. Complaints #91767 and #94014 were substantiated and resulted in deficiencies.

The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19. Deficiencies were identified related to notification of changes to residents' responsible parties, quality of care including wound care and pressure ulcer treatment, and failure to provide nursing care consistent with professional standards. Several residents had pressure ulcers and wounds that were not properly treated or documented, and family members were not properly notified of changes in resident conditions.

Complaints #91767 and #94014 were substantiated as evidenced by the deficiencies cited related to notification failures and quality of care issues.

The inspection was conducted as a COVID-19 Focused Infection Control Survey and an investigation of complaint #90335-C from 6/10-11/20.

The facility was found in compliance with COVID-19 infection control practices. However, deficiencies were identified related to failure to provide showers/baths as scheduled for 3 out of 5 residents reviewed, and failure to provide hot food at the required minimum temperature during one meal observed.

Complaint #90335-C was substantiated based on findings related to failure to provide showers/baths as scheduled and failure to provide hot food at the required temperature.

The inspection was a recertification survey conducted on 03/12/2020 to assess compliance with federal regulations for the Bettendorf Health Care Center.

The facility was found deficient in multiple areas including accounting and records of personal funds, bed hold policy before/after transfer, comprehensive care plans, quality of care, sufficient nursing staff, pharmacy services, menus meeting resident needs, food procurement and safety, and infection prevention and control. Deficiencies were documented with specific resident cases and staff interviews.