The Vistas at Bettendorf

Inspectors wroteBased on observation, facility policy review and staff interviews, the facility failed to label, date and store food in accordance with professional standards in an effort to prevent cross contamination and food borne illness. The facility reported a census of 70 residents.

Inspectors wroteBased on employee file review, staff interviews, and facility policy review the facility failed to ensure staff completed the required Dependent Adult Abuse training within 6 months of hire and that staff completed renewal training within 3 years of previous training for 3 of 9 staff reviewed ( Staff C and Staff D, Certified Nurses Aide and Staff E, Cook). The facility reported a census of 70 residents.

Inspectors wroteBased on clinical record review, facility policy review and staff interviews, the facility failed to ensure a resident only received medications prescribed to them for 3 of 3 residents reviewed (Resident #19, Resident #1, and Resident #3) for medication errors. The facility reported a census of 70 residents.

Inspectors wroteBased on clinical record review, facility policy review, family and staff interview, the facility failed to notify the family representative of the development of a diabetic foot ulcer for 1 of 3 residents (Resident #1) reviewed for notifications. The facility reported a census of 75 residents.

Inspectors wroteBased on observation, clinical record review, facility policy review, family and staff interview, the facility failed to complete wound treatments as ordered by the physician for 1 of 3 residents (Resident #1 ) reviewed for physician orders. The facility reported a census of 75 residents.

Inspectors wroteBased on record review, staff interview and facility policy review, the facility failed to ensure two residents took their medications and left the medications at the bedside (Residents #9 and #54) and failed to ensure Resident #42 swallowed his medications before Resident #20 took them. The facility reported a census of 70 residents.

Inspectors wroteBased on observation, clinical record review, document review and staff interview the facility failed to clean resident fingernails as part of grooming for 1 of 6 resident sampled (Resident #58). The facility identified a census of 70 residents.

Inspectors wroteBased on clinical record review, policy review and staff interview, the facility failed to monitor a change in condition which resulted in a hospitalization for 1 of 1 residents sampled (Resident #37). The facility reported a census of 70 residents.

Inspectors wroteBased on clinical record review, document review and staff interview the facility failed to document completion of fifteen-minute checks to ensure appropriate supervision which resulted in a fall on 5/27/25 for 1 of 4 resident sampled for supervision (Resident #82). The facility identified a census of 70 residents.

Inspectors wroteBased on record review, staff and resident interviews, and policy review the facility failed to follow the rehabilitation directives and provide sufficient services to residents in need of their services for 1 of 4 residents reviewed (Resident #9). The facility reported a census of 63 residents.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to provide the required documentation needed for transfers to the hospital for 1 of 4 residents reviewed for hospitalizations (Resident #18). The facility reported a census of 69 residents. Findings Include: The MDS (Minimum Data Set) assessment dated [DATE] revealed Resident #18 scored a 11 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition moderately impaired. The MDS revealed medical diagnosis for Benign Prostate Hyperplasia (BPH), obstructive uropathy, and a Urinary Tract Infection (UTI) in the last 30 days. The MDS revealed resident used an indwelling catheter. [...]

Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to consistently notify the Long Term Care Ombudsman of resident transfer to the hospital for three of four residents reviewed for hospitalization (Resident #8, #18, and#54). The facility reported a census of 69 residents.

Inspectors wroteBased on clinical record review, staff interview, and facility policy review the facility failed to accurately code receipt of an antiplatelet medication on the Minimum Data Set (MDS) assessment for one of five residents reviewed for unnecessary medications (Resident #51). The facility reported a census of 69 residents. Findings Include: The Minimum Data Set (MDS) assessment dated [DATE] revealed the resident scored 4 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severely impaired cognition. Section N of the Assessment lacked receipt of antiplatelet medication for Resident #51 during the last seven days. The Physician Order dated 2/19/21 documented, Clopidogrel Bisulfate Tablet 75 milligram (mg) with directions to give 1 tablet by mouth one time a day. [...]

Inspectors wroteBased on observations, clinical record review, staff interviews, and facility policy review, the facility failed to update a Care Plan after hospitalizations for respiratory disease for 1 of 3 residents sampled (Resident #8). The facility reported a census of 69 residents. Findings Include: The Minimum Data Set (MDS) Assessment Tool, dated 10/23/23, listed diagnosis for Resident #8 included asthma, acute bronchitis, and dementia. The MDS identified the resident ' s Brief Interview for Mental Status (BIMS) score as 6 out of 15, indicating a severe cognitive impairment. During an observation on 1/2/24 at 12:33 PM, the resident noted with a wet sounding intermittent cough while in the dining room for lunch. The resident tested positive for COVID on 12/24/23. [...]

Inspectors wroteBased on observation, clinical record review, staff interviews, and facility policy review, the facility failed to provide assistance to an incontinent resident to ensure an opportunity to use the bathroom at least every two hours for 1 of 1 residents (Resident #58) in the sample. The facility reported a census of 69 residents. Findings Include: The Minimum Data Set (MDS) Assessment Tool, dated 12/29/23, listed diagnosis for Resident #58 included severe dementia, anxiety, and dementia. The MDS assessed the resident required substantial assistance to use the toilet, and experienced frequent urinary and bowel incontinence. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 4 out of 15, indicating a severe cognitive impairment. [...]

Inspectors wrote2. The Minimum Data Set (MDS) Assessment Tool, dated 12/1/23, listed diagnosis for Resident #11 included respiratory failure, anxiety, and depression. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. The Physician Order Summary for Resident #11 included the medical condition of macular degeneration (an eye disease causing blurred vision). A clinical record review revealed a Physician's Order for doralamide-timolol solution 22.3-6.8 milligram/milliliter (mg/ml) 1 drop in each eye two times daily for macular degeneration. During an observation on 1/4/24 at 8:05 AM, Staff D, Licensed Practical Nurse (LPN) prepared medications for Resident #11. At 8:11 AM, Staff D donned gloves and removed the dorzolamide-timolol eye drop bottle from a plastic bag. [...]