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Complaint Investigation

Ridgecrest Village

October 2, 2025 · Davenport, IA · 4130 Northwest Boulevard
Citations 6
CMS Rating 1/5
Beds 137
Provider ID 165049
Healthcare Facility
Ridgecrest Village
Davenport, IA  ·  View full profile →
Inspection Summary

Ridgecrest Village in Davenport, IA — inspection on October 2, 2025.

Found 6 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

Review of a facility provided document titled Abuse Prevention, Identification, investigation, And reporting, with a last revised date of 06/26/2024, it identifies under key definitions subsection #9 that Neglect is the failure of the facility, its employee or service providers to provide goods and services to a resident that are necessary to avoid physical harm.

The policy further states All residents have the right to be free from abuse and neglect.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/02/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Ridgecrest Village

4130 Northwest Boulevard Davenport, IA 52806

SUMMARY STATEMENT OF DEFICIENCIES

Provide safe, appropriate dialysis care/services for a resident who requires such services.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff and resident interviews and facility policy review the facility failed to complete dialysis site assessments before and after dialysis for 1 of 1 residents reviewed (Resident#11).

The facility reported a census of 55 residents.

Findings include: The Minimum Data Set (MDS) assessment dated [DATE] listed diagnoses of dependence of renal dialysis, end-stage renal disease, and diabetes mellitus (DM).

The Brief Interview for Mental Status listed a score of 15, intact cognition.

The Care Plan for Resident #11 dated 5/30/25, reflected she needed dialysis related to renal failure.

The Care Plan directed staff to monitor/document/report as needed (PRN) any signs or symptoms (s/s) of infection to access site: redness, swelling, warmth or drainage.

Monitor/document/report PRN for s/s of the following: bleeding, hemorrhage, bacteremia, and septic shock.The Medication Administration Record (MAR) dated 9/25, directed vital signs before and after dialysis appointment two times a day every Monday, Wednesday, and Friday.

The MAR failed to direct nursing staff to assess her left arm for s/s of bleeding or the bruit and thrill.

The Progress Notes for Resident #11 dated 9/1/25-9/30/25, lacked assessment of her left arm for s/s of bleeding or the bruit and thrill.The Assessment in the Electronic Health Record (EHR) dated 8/2/25 through 10/1/25 lacked dialysis assessments. On 09/29/2025 at 1:58 PM Resident #11 reported the staff check her vitals but they failed to check on the dialysis site for bleeding, failed to feel (thrill) or listen (bruit). On 10/02/2025 at 9:46 AM Staff D, Registered Nurse (RN) reported the dialysis assessments include listen to thrill, complete before and after vitals.

She said the assessments are under the notes of dialysis under assessments in the EHR. On 10/02/2025 at 10:00 AM the Infection Preventionist (IP) reported dialysis assessment are for staff to check and make sure she's not bleeding.On 10/02/2025 at 10:45 AM the Director of Nursing (DON) reported the dialysis process needed work.

The DON said at minimum nursing needed to check her when she gets back form dialysis.

The facility provided a policy titled End-Stage Renal Disease, Care of Resident with dated 9/2010, failed to direct assessment of the access site.

Facility ID:

Federal health inspectors cited Ridgecrest Village in DAVENPORT, IA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-10-02.

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 F: widespread, 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 6 deficiencies cited during this inspection of Ridgecrest Village.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Ridgecrest Village in DAVENPORT, IA for a deficiency under regulatory tag F-F0865 during a standard health inspection conducted on 2025-10-02.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity Level F: widespread, 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 6 deficiencies cited during this inspection of Ridgecrest Village.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

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Federal health inspectors cited Ridgecrest Village in DAVENPORT, IA for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-10-02.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level F: widespread, 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 6 deficiencies cited during this inspection of Ridgecrest Village.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Ridgecrest Village in DAVENPORT, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-10-02.

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 6 deficiencies cited during this inspection of Ridgecrest Village.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

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 Davenport, 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 Ridgecrest Village or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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