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Complaint Investigation

Bettendorf Health Care Center

Inspection Date: September 11, 2025
Total Violations 9
Facility ID 165280
Location Bettendorf, IA
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-09-11.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm

Review of the Facility Policy titled Abuse, Neglect, and Exploitation approved 8/30/18, and revised 4/29/25, revealed the following: Deprivation of Good and Services: Deprivation by staff of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being. Example includes staff has

the knowledge or ability to provide care and services, but choose not to do it, or acknowledge the request for assistance from a resident(s) which result in care deficits to the resident(s).

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/11/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bettendorf Health Care Center

2730 Crow Creek Road Bettendorf, IA 52722

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0677 Level of Harm - Minimal harm or potential for actual harm

During an interview on 9/10/25 at 10:56 AM, Resident #20 laid in bed and stated staff changed her right

before breakfast, which was around 8:30 AM. Resident #20 stated the staff changed her at least twice in a shift.

During an observation on 9/10/25 at 12:50 PM, Resident #20 sat up in her chair and ate her lunch.

Residents Affected - Few

During an observation on 9/10/25 at approximately 1:00 PM, Staff E, CNA took the mechanical lift into Resident #20 room.

During an interview on 9/10/25 at 1:35 PM, Staff S, CNA queried on when Resident #20 changed today

during Staff S's shift. Staff S stated Resident was checked and changed after breakfast this morning, then Staff S and Staff E didn't realize therapy had gotten Resident #20 up until after Staff E went to get Resident #20 lunch tray. Staff S stated therapy would have gotten Resident #20 up between 9 AM and 11 AM. Staff S stated they were going to change her after lunch, but Resident's bed was deflated and they didn't want to put Resident #20 in bed and hurt her. Staff S stated she wasn't sure if Resident #20 had been changed yet.

When asked how often residents were changed in her shift, Staff S stated it depended, but usually in the morning before breakfast, lunch and before shift ended. When asked how often residents needed checked and changed, Staff S stated every 2 hours.

During an interview on 9/10/25 at 1:57 PM, Staff E stated check and changes needed done every 2 hours and for some residents more often. Staff E confirmed Resident #20 required check and change. Staff E asked when Resident #20 checked and changed today, and Staff E stated he didn't know when therapy got Resident #20 up and Resident #20 was still eating when he went to get her tray. Staff E stated when he went to get Resident #20 up, Resident #20 bed was deflated and didn't want to lay her on the deflated bed.

Staff E asked if Staff E changed Resident #20 brief today and Staff E stated Staff S changed Resident #20 around 10, and then Staff E went into her room around 12:30 to check and change her, but Resident #20 refused.

During an interview on 9/11/25 at 11:29 AM, the Director of Nursing (DON) confirmed check and changes needed completed every 2 hours. The DON asked how she thought check and changes were going and the DON stated it depended on the shift and the DON was working with the shifts to make sure the staff knew

the policy and procedures. The DON asked how often Resident #20 should be checked and changed and

the DON stated Resident #20 always incontinent and needed check at a minimum of every 2 hours.

During an interview on 9/11/25 at 2:16 PM, the Regional Nurse Consultant stated the did not have a policy for the time frame of check and changes and to refer to the care plan. The Regional Nurse Consultant stated the professional standard of care is no longer than 2 hours.

The Facility Incontinent Cares dated 7/21/22 revealed: a. Cleanse Perineal Area with a Perineal Cleanser. b. Females: Separate Labia, Cleanse one side and then the other, Cleanse center of the Labia wiping towards the Rectal Area. c. Cleanse Perineal Area from Front to Back. d. Cleanse Thighs, Rectal Area & Buttocks.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

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F-Tag F0725

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-09-11.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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F-Tag F0804

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-09-11.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-11.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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F-Tag F0838

Administration Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0838 during a standard health inspection conducted on 2025-09-11.

Category: Administration Deficiencies

The facility was found deficient in the following area: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: No revisit needed.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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F-Tag F0943

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Bettendorf Health Care Center in Bettendorf, IA for a deficiency under regulatory tag F-F0943 during a standard health inspection conducted on 2025-09-11.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Bettendorf Health Care Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

📋 Inspection Summary

Bettendorf Health Care Center in Bettendorf, IA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Bettendorf, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Bettendorf Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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