Inspection Reports for
Gardens at Ridgecrest Village
4126 Northwest Blvd., Davenport, IA, 528064264
Back to Facility Profile4 Reports
Inspection Report — Mar 25, 2026
Renewal
Date: Mar 25, 2026
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program. The investigation also covered Incident #131465-I.
Complaint Details
Incident #131465-I
Findings
Two regulatory insufficiencies were cited related to program policies and procedures and service plans. The program failed to complete an incident report following an injury to a discharged tenant and failed to update the service plan timely after significant changes in the tenant's condition.
Violations (2)
481-67.2(1)a Program Policies and Procedures: The program failed to ensure an incident report was completed following an injury suffered by 1 of 1 discharged tenants (Tenant C1). The program also failed to have an incident report and witness statements available for review related to Tenant C1's fall.
481-69.26(3) Service Plans: The program failed to update the service plan for Tenant C1 after significant changes in condition, including increased anxiety, agitation, and insomnia during the summer of 2025.
Inspection Report — Mar 11, 2025
Plan of Correction
Date: Mar 11, 2025
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia and to investigate Incident #123244-I.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #123244-I or the recertification visit.
Inspection Report — May 24, 2023
Renewal
Date: May 24, 2023
Visit Reason
The inspection was a recertification visit to determine compliance with certification of a Dedicated Dementia Specific Assisted Living Program.
Findings
The Program failed to administer medications as ordered, failed to provide adequate nurse delegation training on activities of daily living and service plan tasks, failed to ensure dependent adult abuse training was completed timely, failed to develop individualized service plans reflecting tenant needs, failed to provide food safety training to staff, and failed to ensure dementia-specific education was completed within 30 days of employment for staff.
Violations (7)
Failed to administer medications as ordered, including administering non-prescribed eye drops and missing supplement orders in electronic records.
Failed to provide training on activities of daily living for non-certified staff.
Failed to provide nurse delegated training on service plan tasks including wound care.
Failed to ensure staff completed dependent adult abuse training within six months of employment.
Failed to develop individualized service plans reflecting tenant identified needs and preferences.
Failed to provide orientation and annual in-service training on food safety to staff responsible for food preparation and service.
Failed to ensure staff completed eight hours of dementia-specific education and training within 30 days of employment.
Report Facts
Number of tenants without cognitive impairment: 2
Number of tenants with cognitive impairment: 11
Number of staff reviewed for training deficiencies: 5
Number of tenants files reviewed for service plans: 3
Number of staff reviewed for dementia training deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Non-certified staff with incomplete ADL training, delayed dependent adult abuse training, no food safety training, and no dementia-specific education within 30 days. | |
| Staff B | Medication Manager | Failed to have nurse delegated training on wound care, no food safety training, and no dementia-specific education within 30 days. |
| Staff C | Non-certified staff with incomplete ADL training, no food safety training, and no dementia-specific education within 30 days. | |
| Staff D | Non-certified staff with incomplete ADL training, no food safety training, and no dementia-specific education within 30 days. | |
| Staff E | Medication Manager | Failed to have nurse delegated training on wound care and no food safety training. |
| Staff F | Observed administering incorrect eye drops to Tenant #4 and involved in medication error incident. | |
| Assisted Living Director | Interviewed confirming training and service plan deficiencies and corrective actions. |
Inspection Report — Sep 3, 2020
Annual Inspection
Date: Sep 3, 2020
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program serving people with dementia.
Findings
No regulatory insufficiencies were cited during the onsite infection control survey or the recertification inspection.
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