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Complaint Investigation

The Vistas At Bettendorf

October 23, 2025 · Bettendorf, IA · 2500 Grant Street
Citations 2
CMS Rating 3/5
Beds 79
Provider ID 165553
Healthcare Facility
The Vistas At Bettendorf
Bettendorf, IA  ·  View full profile →
Inspection Summary

The Vistas at Bettendorf in Bettendorf, IA — inspection on October 23, 2025.

Found 2 citations. Severity: Standard violations.

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

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the electronic health record (EHR) revealed a [Name redacted} Wound Physician's Initial Wound Evaluation & Management Summary, dated 9/15/25, revealed a Diabetic Wound of the Left, Medial Heel Full Thickness.

The summary indicated, in part: Etiology (type) Diabetic; Duration: less than 1 days.Estimated Time to Heal: 2-4 months.Wound Size (L x W x D): 3.0 x 6.0 x 0.1 cm (centimeter).

During an interview on 10/22/25 at 10:32 AM, Resident #1 family representative sated the facility did not tell them of the development of the resident's diabetic foot ulcer.

They stated they were not aware of the wound, and learned of it when the Wound Care provider came to the resident's room to provide care during their visit.

During an interview on 10/23/25 at 10:24 AM, the MDS Coordinator reported the nurse who found the wound first is responsible for notifying the family that same day.

During an interview on 10/23/25 at 12:02 PM, the ADON (Assistant Director of Nursing) stated she expected nursing staff to notify the family of any change of condition, new wounds, new medication orders, any new orders, any behavioral changes.

She would also expect them to document the notification in the progress notes the same day.A review of the Facility Policy titled: Change in a Resident's Condition or Status, dated as last revised December 2016 and had the following documentation:1.

Unless otherwise instructed by the resident, a nurse will notify the resident's representative when:a.

The resident is involved in any accident or incident that results in an injury including injuries of an unknown source;b.

There is a significant change in the resident's physical, mental, or psychosocial status;c.

There is a need to change the resident's room assignment;d. A decision has been made to discharge the resident from the facility; and/ore. It is necessary to transfer the resident to a hospital/treatment center.2.

Except in medical emergencies, notifications will be made within twenty-four (24) hours of a change occurring in the resident's medical/mental condition or status.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Vistas at Bettendorf

2500 Grant Street Bettendorf, IA 52722

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility policy titled Physician Orders, Approval Signature of Administer dated 10/13/25, directed: a.

The individual administering the medication must initial the resident's MAR on the appropriate line after administering medications.b.

Topical medications used in treatments must be recorded on the resident's treatment record.c. If a drug is withheld, refused, or given at a time other than the scheduled time, the individual administering the medication shall note in the EMAR with the appropriate code and make a progress note as to why med was not given.

Facility ID:

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 The Vistas at Bettendorf or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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