2730 Crow Creek Road, Bettendorf, IA 52722 · Scott County · (563) 332-7463
86 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165280 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 11, 2025, inspectors cited 9 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 62 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $35,622 in the last three years; the largest was $19,656, and the latest is dated June 20, 2024.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
CMS links it to Campbell Street Services, an affiliated group of 24 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 62 health citations on file.
Inspectors wroteBased on observation, clinical record review, resident, family and staff interviews, the facility failed to answer call lights in a timely manner for 4 of 6 dependent residents reviewed (Resident #6, Resident #9, Resident #13, and Resident #14) for call lights. The facility reported a census of 56 residents.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, the facility failed to treat 2 of 9 residents with dignity and respect when staff did not respond to Resident #6's request to stop washing her hip; and when a staff took Resident #3's cigar from him when he planned to leave the non-smoking facility campus to smoke. The facility reported a census of 56 residents.
Inspectors wroteBased on observation, clinical record review, facility policy review and staff interviews, the facility failed to ensure that a resident with a physician order for a nebulizer treatment scheduled for four times daily had been assessed for the ability to self-administer the medicated treatment for 1 of 15 (Resident #13) reviewed for medication administration. The facility reported a census of 56 residents.
Inspectors wroteBased on clinical record review, facility policy review, and resident and staff interviews, the facility failed to complete a thorough investigation of an allegation of abuse made by Resident #7. The facility failed to interview all staff working on the night of the allegation and all residents residing in the same hallway to ensure they felt staff and had no concerns with how treated by staff. The facility reported a census of 56 residents.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, the facility failed to follow up on hospital discharge orders for 1 of 1 residents (Resident #3) reviewed. After a September 2025 hospitalization Resident #3 discharged with recommendations to be evaluated by a rheumatologist and podiatrist. The facility reported a census of 56 residents.
Inspectors wroteBased on clinical record review, facility policy review and staff interviews, the facility failed to ensure 1 of 1 residents (Resident #5) attended dialysis on time and as scheduled, and to complete thorough pre and post dialysis assessments for 1 of 1 resident (Resident #5) reviewed for dialysis related care. The facility reported a census of 56 residents.
Inspectors wroteBased on observation, clinical record review, facility policy review, consulting pharmacy staff interviews and staff interviews, the facility failed to complete disposition of medications by destruction in the facility or return to the pharmacy upon a resident death, resident discharge or change in medication regime for 3 of 4 residents (Resident #6, Resident #7, and Resident #9) reviewed. The facility reported a census of 54 residents.
Inspectors wroteBased on clinical record review, resident and staff interviews and policy review, the facility failed to attempt to educate a resident on potential discharge options prior to his leaving after having signed an Against Medical Advice form for 1 of 1 resident reviewed. The facility reported a census of 63 residents.
Inspectors wroteBased on observation, record review and staff interview that facility failed to provide adequate linens for bariatric beds for 2 out of 2 residents reviewed with bariatric beds (Resident #3, Resident #41). The facility reported 18 residents who utilized bariatric beds in the facility. The facility identified a census of 66 residents.
Inspectors wroteBased on clinical record review, staff and resident interviews, Payroll Based Journal (PBJ), and facility document review the facility failed to provide enough staff to care the residents for four out of eight residents reviewed Resident #20, #28, #34 and #54). The facility reported a census of 66 residents.
Inspectors wroteBased on observations, clinical record review, and staff interviews, the facility failed to ensure pureed meat was reheated to 165 degrees for fifteen seconds when held for hot service after the temperature of the pureed meat dropped below 135 degrees Fahrenheit. The facility reported a census of 66 residents.
Inspectors wroteBased on observation, record review, staff interviews, and the facility policy, the facility failed to clean the ceiling vents and oven hood and maintain the dishwasher sanitizer at the appropriate sanitizing level. The facility reported a census of 66 residents.
Inspectors wroteBased on observation, clinical record review, staff and resident interviews, and facility policy review the facility failed to ensure residents remained free from verbal abuse, mental abuse, and neglect by facility staff for three of five residents reviewed for staff treatment (Resident #6, Resident#28, Resident #34). The facility reported a census of 66 residents.
Inspectors wroteBased on observations, clinical record review, staff interviews and facility policy review the facility failed to provide incontinence care for two out of two residents reviewed (Resident #2 and Resident #20). The facility reported a census of 66 residents.
Inspectors wroteBased on observation, record review and staff interview the facility failed to utilize proper technique when dispensing oral medications to prevent spread of infections. The facility also failed to maintain a catheter bag off the ground to prevent infections for 1 of 2 residents reviewed for catheters (Resident #3). The facility reported a census of 66 residents.
Inspectors wroteBased on employee file review, staff interviews, and facility policy review the facility failed to ensure a staff member completed the required Dependent Adult Abuse training withing six months of hire for one of eight staff reviewed (Staff S, Certified Nurse Aide). The facility reported a census of 66 residents.
Inspectors wroteBased on staff and resident interviews, Payroll Based Journal (PBJ), and the Facility Assessment the facility failed to assess and identify the number of nursing staff needed during the week, weekends, and the different shifts. The facility reported a census of 66 residents.
Inspectors wroteBased on clinical record review, facility policy review, and resident and staff interviews, the facility failed to provide resident baths/showers twice weekly or as directed by resident preference for 4 of 5 residents (Resident's #2, #3, #4 and #5) reviewed in the sample. The facility reported a census of 66 residents.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to maintain 3 of 3 Shower Rooms in a functional and sanitary manner. The facility reported a census of 66 residents.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, the facility failed to answer call lights within 15 minutes, with an observation of a staff response time of 32 minutes. The facility reported a census of 66 residents.
Inspectors wroteBased on observation, staff interview and clinical record review the facility failed to provide adequate nail care for 1 out of 3 residents reviewed for activities of daily living (Resident # 51). The facility reported a census of 61 residents.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to follow a physician order to ensure a resident ate meals in a safe manner for 1 of 1 residents reviewed (Resident #38). The facility reported a census of 61.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to maintain a Foley catheter bag and tubing off the floor for one of two residents (Resident #18), and failed to provide adequate incontinent care to one out of three residents reviewed (Resident # 2). The facility identified a census of 61 residents.
Inspectors wroteBased on observation, clinical record review, resident, and staff interviews the facility failed to provide on going assessments and monitoring of a resident condition before and after dialysis treatments for 1 of 1 residents (Resident #38) who receive Dialysis services. Facility reported a census of 61 residents.
Inspectors wroteBased on observation, staff interviews and record review the facility failed to properly puree food to a physician ordered texture for 2 out of 2 residents reviewed on a pureed diet. (Resident # 13 and Resident #39 ). The facility reported a census of 61 residents.
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS) Certification and Survey Provider Enhanced Reporting system ([NAME]), review of the facility Quality Assurance Performance Improvement (QAPI) Plan and staff interview the facility failed to ensure effective measures had been taken to effectively correct deficiencies without repeated citation. The facility reported a census of 61 residents.
Inspectors wroteBased on clinical record review, policy review and staff interview the facility failed to ensure a resident received their ordered medications and not someone else for 1 of 5 residents reviewed (Resident #1). On 6/3/24 as the nurse and Certified Medication Aide (CMA) passed the medication to the residents, the CMA delivered the wrong medications to Resident #1. Following the error, the CMA reported the incident to the nurse who notified the appropriate people. After receiving notification, the provider gave the nurse an order to send Resident #1 to the emergency room (ER) for further evaluation. During her stay in the ER, Resident #1 had a change in condition due to the accidental overdose, that resulted in the need to have tube placed down her throat to assist her with breathing (intubated). [...]
Inspectors wroteBased on clinical record review and staff interview, the facility failed to provide rehabilitation services in accordance with physician orders for 1 of 3 residents reviewed (Resident #3). The facility reported census was 60.
Inspectors wroteBased on record review, and staff and physician interviews, the facility failed to provide timely assessments and failed to implement appropriate interventions in a timely manner when there was a noted change in a resident's condition, for 1 of 9 resident records reviewed (Resident #1). The facility reported a census of 57 residents.
Inspectors wroteBased on record review and staff interviews, the facility failed to implement directives as required and stipulated in a resident's Level II PASRR (Pre admission Screening and Resident Review), for 1 of 3 resident records reviewed with Level II PASRR requirements (Resident #8). The facility reported a census of 57 residents.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to follow a resident's Nursing Care Plan for 1 of 9 resident records reviewed (Resident #1). The facility reported a census of 57 residents.
Inspectors wroteBased on clinical record review, resident, facility staff, Hospice staff and hospital staff interviews, the facility failed to provide baths and bathing assistance to 6 of 16 residents reviewed in the open sample, (Resident's #8, #11, #27, #64, #66 and #258). The facility reported a census of 57 residents. Findings Include: Review of the facility's required Plan of Correction (POC), related to this deficiency, identified concerns for Resident's #11 and #27, cited during the Annual Recertification Survey completed 10/12/23, with 11/7/23 identified as the date of credible compliance, stated: a. Resident's #11 and #7 are receiving their baths/showers per their wishes. b. Staff were educated on 10/11/23 on the requirement to complete baths according to the resident's Care Plan and wishes. c. [...]
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS), Certification and Survey Provider Enhanced Reporting System ([NAME]), observations, clinical record review, staff and resident interviews, the facility failed to ensure effective measures were taken to correct deficiencies that continue to be cited, including self-administration of medication, timely Preadmission Screening and Resident Review (PASRR) submissions, Activity of Daily Living (ADL) assistance and administration of annual Influenza and Pneumococcal vaccinations. The facility reported a census of 57 residents. Findings Include: [...]
Inspectors wroteBased on clinical record review, observations, resident and staff interviews, the facility failed to ensure a resident was assessed for self-administration of medications and failed to obtain a Physician's Order for the resident's self administration of medications, for 1 of 3 resident's reviewed for self-administration of medications (Resident #61). The facility reported a census of 57 residents. Findings Include: The Minimum Data Set (MDS) Assessment tool dated 9/18/23 revealed Resident #61 had diagnoses that included congestive heart failure, anemia and hypertension, and scored 15 out of 15 points possible on the Brief Interview for Mental Status (BIMS) cognitive assessment, that indicated no cognitive impairment or symptoms of delirium present. [...]
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to re-submit the Preadmission Screening and Resident Review (PASARR) Assessments following a change in condition, and after identified as a deficiency on the previous Annual Recertification Survey, for 3 of the 4 residents cited in the previous survey (Resident's #20, #21 and #24). The facility reported a census of 57 residents. Findings Include: 1. The [DATE] Minimum Data Set (MDS) Assessment tool revealed Resident #20 had diagnoses that included bipolar disorder, anxiety, depression and post traumatic stress disorder (PTSD), scored 15 out of 15 possible points on the Brief Interview for Mental Status (BIMS) cognitive assessment, that indicated no cognitive impairment or symptoms of delirium, and received antipsychotic, antidepressant and antianxiety medication on 7 of the 7 days that preceded the assessment. [...]
Inspectors wroteBased on clinical record review, facility staff, Hospice staff and Hospital staff interviews, the facility failed to provide timely assessments and implement appropriate interventions when a change in a resident's condition was identified, and failed to implement a Physician Order for antibiotic to treat a resident's leg infection, for 1 of 19 resident records reviewed (Resident #64). The facility reported a census of 57 residents. Findings Include: [...]
Inspectors wroteBased on clinical record review, observations, and staff interviews, the facility failed to ensure employees hired as Nurse Aides did not continue to work at the facility after 4 months as per requirements, unless the employee was competent to provide nursing and nursing related services, and the employee had completed a training and competency evaluation program and certified through the program, for 2 Nurse Aides hired 8/2/23 (Staff B and Staff E). The facility reported a census of 57 residents. Findings Include: Staff B and Staff E were both hired as Hospitality Aides on 8/2/23, to work as Nurse Aides at the facility while enrolled in the Certified Nursing Assistant (CNA) course at a local Community College. [...]
Inspectors wroteBased on clinical record review, staff and resident responsible party interviews, the facility failed to seek and obtain appropriate authorization for administration of the annual Influenza vaccine, for 2 of the 4 residents identified in this deficiency on the previous Annual Recertification Survey completed 10/12/23. Both resident had not received the vaccination (Resident's #21 and #52) as of the current review. The facility reported a census of 57 residents. Findings Include: 1. The MDS Assessment Tool, dated 8/26/23 revealed Resident #21 had diagnoses including congestive heart failure, hypertension (high blood pressure) schizoaffective disorder, anxiety disorder and non-Alzheimer's dementia. [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to prevent development of new pressure ulcers and further failed to provide necessary treatment and services, consistent with professional standards of practice, to promote healing of existing pressure ulcers for 4 out of 5 residents reviewed for pressure ulcers (Resident #18, #24, #38, and #258). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) dated [DATE], identified Resident #258 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15 and had the following diagnoses: Cerebral Vascular Accident (CVA), also known as stroke, Diabetes Mellitus, general weakness, and arthritis. [...]
Inspectors wroteBased on observations, clinical record review, staff interviews, review of the Infection Control Nurse Job Description and review of Centers for Disease Control and Prevention (CDC) recommendations, the facility failed to implement additional Personal Protective Equipment (PPE) for 1 of 1 residents (Resident #35) on Enhanced Barrier Precautions, to prevent the spread of contagious microorganism during wound care. Failed to ensure the Infection Preventionist (IP) had completed the specialized training in Infection Prevention and Control, resulting in lack of staff knowledge and adherence to enhanced barrier precautions. Failed to ensure the wound vac machines and tubing remained off the floor for 2 of 2 residents with wound vacs (Residents #24 and #38), and ensure clean resident clothing was delivered in a covered cart. The facility reported a census of 56 residents.
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, review of Resident Council Meeting Minutes, and facility policy review, the facility failed to provide a respectful, dignified environment and care to 4 out of 12 residents reviewed (Residents #11, #16, #17, #29, #39 and #41). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment for Resident #11 dated 8/15/23, reflected a Brief Interview for Mental Status (BIMS) of 14 out of 15, indicating intact cognition. The MDS reflected Resident #11 independent with toileting and transfers. The Care Plan for Resident #11 dated 5/4/23, identified her independent with transfers, and continent of bowel and bladder (B&B) at times may have incontinent episodes and wears incontinence material for dignity. The Care Plan continued to direct, promote dignity by ensuring privacy. [...]
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to ensure submission, and resubmission of the Preadmission Screening and Resident Review (PASARR) following admission and a change in medical diagnosis for 4 of 6 residents reviewed (Residents #16, #20, #21, and #24). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment Tool, dated 8/30/23, listed diagnoses for Resident #16 included: Bipolar disorder, and depression. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. The Care Plan dated 8/24/22, revised on 3/27/23 documented, The resident uses psychotropic medications related to (R/T) behavior management. Review of the PASARR, dated 2/11/22, revealed an outcome of NO Level II required. [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review the facility failed to ensure two out of two residents reviewed for use of antipsychotic medication were prescribed the medication for an accurate diagnosis (Residents #16, and #48). The facility also failed to follow Physician Orders for two of three residents reviewed for following Physician Orders (Residents #17 and #108). The facility reported a census of 56 residents. Findings Include: 1. The admission Minimum Data Set (MDS) Assessment for Resident #48 dated 8/15/22, included diagnoses of thyroid disease, malnutrition, and adult failure to thrive. The MDS failed to identify psychiatric mood disorders. The MDS identified the Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating intact cognition. The MDS reflected Resident #48 failed to exhibit behaviors. [...]
Inspectors wroteBased on observations, clinical record review, staff interviews and facility policy review the facility failed to provide complete assessments for 4 out of 6 residents reviewed for skin (Residents # 24, #37, #38 and #44). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment for Resident#44 dated 7/16/23, included diagnoses of cerebrovascular accident (CVA), and post thrombotic syndrome. The MDS reflected no memory problems and moderately impaired daily decision making skills. The MDS reflected Resident #44 skin conditions included two arterial ulcers. The Care Plan for Resident #44 dated 7/26/2022, identified an arterial ischemic (inadequate blood flow) ulcer of the on both lower extremities. The Care Plan directed nursing staff on the following interventions: a. Monitor/document wound: Size, depth, margins: [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to ensure catheter bags and tubing were off the floor for 4 of 6 residents reviewed with indwelling catheters and urostomies (a surgically constructed opening in the urinary tract allowing urine to exit the body) (Residents #17, #24, #26 and #38). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment Tool, dated 8/8/23 , listed diagnosis for Resident #26 included: Diabetes mellitus type 2, respiratory failure, and obstructive uropathy (blocked urine flow). The MDS documented the resident's Brief Interview for Mental Status (BIMS) score as 15 of 15, indicating intact cognition. The Care Plan dated 4/26/23 documented, Indwelling Catheter related to: Neurogenic bladder (lack control of bladder). [...]
Inspectors wroteBased on observation, clinical record review, resident, family and staff interviews, and review of Resident Council Meeting Minutes, the facility failed to answer call lights in a timely manner for seven of seven residents reviewed (Residents #10, #16, #24, #27, #38, #44, #108). The facility reported a census of 56 residents. 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #10 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 12 out of 15 and had the following diagnoses: Fractures and Other Multiple Trauma, Peripheral Vascular Disease and Diabetes Mellitus. The MDS documented Resident #10 required extensive staff assistance with bed mobility, transfers, toileting and bathing. In an interview on 9/12/23 at 9:23 AM, Resident #10 reported when she turns on her call light, the longest she had to wait was an hour on 2nd shift. [...]
Inspectors wroteBased on clinical record review, facility Incident Reports and staff interviews, the facility failed to follow Physician Orders which resulted in medication errors for 4 of 4 residents reviewed (Residents #1, #27, #29 and #60). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #1 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 14 out of 15 and had the following diagnoses: Sepsis (when an infection you already have triggers a chain reaction throughout your body), Coronary Artery Disease and Heart Failure. The MDS also identified Resident #1 required extensive staff assistance with bed mobility, dressing, personal hygiene and bathing and totally dependent on staff for transfers, locomotion on and off the unit and toileting. [...]
Inspectors wroteBased on observation, staff interviews, review of the Staff Identification List, and Position Summary Review, the facility failed to meet the required qualifications for a dietary professional position for 1 of 1 Food Service Directors reviewed. The facility reported a census of 56 residents. Findings Include: On 9/19/23 at 11:15 AM, observed Food Service Director assist the [NAME] in kitchen during lunch service. Food Service Directed plated and sent out room trays to the hallways. On 9/25/23 at 4:00 PM, Director of Nursing (DON), reported that the current Food Service Director was in the process of taking classes for a Certified Dietary Manager (CDM) certificate. On 9/26/23 at 1:00 PM, the Food Service Director explained that she has been in her current position for approximately 1 year and started taking classes in April or May of this year for her CDM. [...]
Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility failed to ensure food brought in by family or other visitors was handled properly to ensure safety of the residents for 1 of 1 unit refrigerators observed. The facility reported a census of 56 residents. Findings Include: On 09/26/23 at 11:30 AM, the following observations of the [NAME] Hallway unit refrigerator labeled as Resident Refrigerator and Freezer were made: a. [NAME] stains covering the outside of fridge. b. Crumbs and stains on racks, drawers, and bottom of fridge. c. Many undated Tupperware containers with different food items. d. One dated Ziploc bag indicated it is from 8/24/23. e. Two bottles of expired mayonnaise found in fridge door (1 expired July 2022 and 1 expired August 16th 2023). f. Two 2% milk cartons of milk expired 9/02/23. f. One chocolate milk carton expired 9/03/23. g. [...]
Inspectors wroteBased on staff interviews, clinical record review, recommendations by Centers for Disease Control and Prevention (CDC), and facility policy review, the facility failed to screen for eligibility, offer, provide education, and document vaccine consent or refusal for pneumococcal, influenza, and/or Coronavirus vaccinations to residents and/or resident representatives for 4 out of 5 residents reviewed for vaccination documentation (Resident #8, #10, #21, and #52). The facility reported a census of 56 residents. Findings Include: On 9/27/23 at 1:19 PM, Director of Nursing (DON), reported all Immunizations Records were located in Resident Electronic Health Records (EHR) within the immunization tab and resident assessment tab. DON stated the facility does not offer pneumococcal vaccination unless requested. 1. [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to complete self-medication assessments, and obtain a Physician Order to self-medicate for 5 of 5 residents in the sample (Residents #7, #27, #37, #38 and #258). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment Tool, dated 8/21/23, listed diagnoses for Resident #27 included spina bifida, chronic obstructive pulmonary disease (COPD), and weakness. The MDS documented the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. During the following observations, the medications diclofenac sodium gel 1%, fluticasone-salmeterol inhaler, and albuterol inhaler were found to be in the residents room, sitting on the bedside table: a. On 9/18/23 at 9:43 AM. b. [...]
Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to provide accurate documentation of Advanced Directives according to resident wishes for 1 of 3 residents reviewed for Advanced Directives. The facility reported a census of 56 residents. Findings Include: The Minimum Data Set (MDS) identified Resident #258 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15. It also identified the resident with the following diagnoses: Stroke, Atherosclertic Heart Disease and Renal Insufficiency. A review of Iowa Physicians Orders for Scope of Treatment (IPOST) document shown Resident #258 requested to be a Do Not Resuscitate (DNR), comfort care measures only. Resident #258 signed the IPOST on [DATE], The Nurse Practitioner signed the IPOST on [DATE]. [...]
Inspectors wroteBased on clinical record review, family and staff interviews, and facility policy review, the facility failed to notify a resident's Power of Attorney (POA) of an allegation of potential abuse for one of one residents reviewed (Resident #52). The facility reported a census of 56 residents. Findings Include: The Minimum Data Set (MDS) dated [DATE] identified Resident #52 as severely cognitively impaired with a Brief Interview for Mental Status (BIMS) of 0 and had the following diagnoses: Non-traumatic Brain Dysfunction, Dementia with Mood Disturbance and Diabetes Mellitus. The MDS documented Resident #52 required extensive staff assistance with transfers, dressing and bathing and totally dependent on staff for toileting. [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to ensure residents wheelchairs were clean for 3 of 3 residents in the sample (Residents #26, #33, and #52). Residents #20 and #108 and Resident Council Members reported rooms were not cleaned daily. The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment Tool, dated 8/8/23 , listed diagnosis for Resident #26 included: Diabetes mellitus type 2, respiratory failure, and obstructive uropathy (blocked urine flow). The MDS documented the resident's Brief Interview for Mental Status (BIMS) score as 15 of 15, indicating intact cognition. During an observation on 9/27/23 at 10:25 AM, while sitting in his wheelchair in his room, the resident's wheelchair wheels found to have: [...]
Inspectors wroteBased on clinical record review, facility Incident Report and staff interview, the facility failed to report an allegation of possible abuse to the State Agency in a timely manner for one of one residents reviewed (Resident #52). The facility reported a census of 56 residents. Findings Include: The Minimum Data Set (MDS) dated [DATE] identified Resident #52 as severely cognitively impaired with a Brief Interview for Mental Status (BIMS) score of 0 and had the following diagnoses: Non-traumatic Brain Dysfunction, Dementia with Mood Disturbance and Diabetes Mellitus. The MDS documented Resident #52 required extensive staff assistance with transfers, dressing and bathing and totally dependent on staff for toileting. A review of a facility Incident Report dated 9/1/23 with a time 1:20 p.m.: Nursing Description: [...]
Inspectors wroteBased on clinical record review, facility incident report and staff interview, the facility failed to follow the facility policy after a report of an allegation of possible abuse for one of one residents reviewed (Resident #52). The facility reported a census of 56 residents.
Inspectors wroteBased on observations, clinical record review, staff and resident interview, and facility policy review the facility failed to complete baths, as directed in Care Plans and according to resident wishes and failed to ensure resident are clean for three out of seven residents reviewed (Residents #11, #27 and #52). The facility reported a census of 56 residents.
Inspectors wroteBased on observation, clinical record review, staff interviews, the facility failed to ensure the residents' feet were placed on the wheelchair foot pedals during transport to prevent any injuries for residents in wheelchairs for two of three residents observed (Residents #17 and #36). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #17 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15 and had the following diagnoses: Hydronephrosis (a condition characterized by excess fluid in a kidney due to a backup of urine), Obstructive Neuropathy (a disorder of the urinary tract that occurs due to obstructed urinary flow) and other fracture. [...]
Inspectors wroteBased on observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to ensure a Physician Order obtained for the use of oxygen for 2 of 2 residents in the sample (Residents #18 and #20). The facility reported a census of 56 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment tool, dated 7/21/23, listed diagnosis for Resident #18 included: Cerebrovascular accident (stroke), chronic obstructive pulmonary disease (COPD), and pressure ulcer of sacral region stage 4. The MDS identified the resident's Brief Interview for Mental Status (BIMS) score as 13 out of 15, indicating intact cognition. The MDS documented the resident does not currently use oxygen. [...]
Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to provide ongoing assessment of resident condition and monitoring for complications before and after Dialysis treatments for 1 of 1 residents who received Dialysis services (Resident #258). The facility reported a census of 56 residents. Findings Include: The Minimum Data Set (MDS), dated [DATE] identified Resident #258 as cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15 out of 15, and had the following diagnoses: renal insufficiency, renal failure, and End Stage Renal Disease (ESRD). The MDS also identified Resident #258 required Dialysis services. A review of the Physician Order Summary dated 8/26/23 revealed no Dialysis orders in place. [...]
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS), Certification and Survey Provider Enhanced Reporting system ([NAME]), review of the facility Quality Assurance Performance Improvement (QAPI)) Plan and staff interview the facility failed to ensure effective measures had been taken to correct deficiencies that continue to be cited. The facility reported a census of 56 residents.
31 fire safety citations on file: 6 on September 11, 2025, 12 on August 15, 2024, 13 on October 12, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| June 20, 2024 | Fine | $15,966 |
| October 12, 2023 | Fine | $19,656 |
| October 12, 2023 | Payment Denial | 33 days from November 9, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.82 | 3.86 |
| Registered nurses | 0.69 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.37 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.47 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.40 on weekdays and 2.79 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.22 | 0.69 | 3.40 | 2.79 | 1.4% | 1 of 90 | 58 |
| Oct to Dec 2025 | 3.41 | 0.60 | 3.58 | 2.97 | 0.0% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.44 | 0.59 | 3.73 | 2.71 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.33 | 0.58 | 3.50 | 2.91 | 0.0% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.0 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bettendorf Health Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 10 eligible stays.
12.9% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 30 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 21 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.
0.0% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: OPCO BETTENDORF, IA, LLC. CMS links this home to Campbell Street Services, a group of 24 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Isaac Dole Revocable Trust U/a/D January 31, 2017 | 5% or greater indirect ownership interest | Organization | 100% | 11/03/2025 |
| Dole, Isaac | Managing control - governing body | Individual | 11/03/2025 | |
| Birchwood Healthcare Partners LLC | Operational/managerial control | Organization | 11/03/2025 | |
| Campbell Street Services LLC | Operational/managerial control | Organization | 11/03/2025 | |
| Holdco, Ia 5, LLC | Operational/managerial control | Organization | 11/03/2025 | |
| Dole, Isaac | Operational/managerial control | Individual | 11/03/2025 | |
| Dominguez, Kimberly | Operational/managerial control | Individual | 11/03/2025 | |
| Dunk, Jennifer | Operational/managerial control | Individual | 11/03/2025 | |
| Kumar, Pomilla | Operational/managerial control | Individual | 11/03/2025 | |
| Satterfield, Brenda | Operational/managerial control | Individual | 11/03/2025 | |
| Bettendorf Property, LLC | Adp of the SNF | Organization | 11/03/2025 | |
| Campbell Street Services LLC | Adp of the SNF | Organization | 11/05/2025 | |
| Cyclone Holdco LLC | Adp of the SNF | Organization | 11/03/2025 | |
| Holdco, Ia 5, LLC | Adp of the SNF | Organization | 12/23/2025 | |
| Dole, Isaac | Adp of the SNF | Individual | 11/03/2025 | |
| Dominguez, Kimberly | Adp of the SNF | Individual | 11/03/2025 | |
| Dunk, Jennifer | Adp of the SNF | Individual | 11/03/2025 | |
| Kumar, Pomilla | Adp of the SNF | Individual | 11/03/2025 | |
| Satterfield, Brenda | Adp of the SNF | Individual | 11/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.