2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Bettendorf, IA
3-star overall rating with 3-star inspections with $26,358 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4699 53rd Avenue, Bettendorf, IA
(515) 271-6789
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
39
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wesleylife
Operator or chain grouping
Approved since
2021-11-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.97
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
3.01
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.69
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
4.32
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.70
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
4.66
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
79%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
2,180
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.21
Composite VBP score used to determine payment impact.
Payment multiplier
1.0055
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.57
Baseline 24.23% · Performance 22.74% · Measure score 1.57 · Achievement 0 · Improvement 1.57
Healthcare-associated infections
6.97
Baseline 9.62% · Performance 6.17% · Measure score 6.97 · Achievement 5.58 · Improvement 6.97
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
6.82
Performance 5.02 hours · Measure score 6.82 · Achievement 6.82 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.29% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 234 · Observed rate 8.97% · Lower 95% interval 7.82% |
| Discharge to community | 59.6% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 228 · Observed rate 57.02% · Lower 95% interval 54.46% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.76% |
95.27%
1.5 pts better
|
Numerator 179 · Denominator 185 |
| Falls with major injury | 0.54% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 185 |
| Discharge self-care score | 56.52% |
53.69%
2.8 pts better
|
Numerator 78 · Denominator 138 |
| Discharge mobility score | 51.45% |
50.94%
0.5 pts better
|
Numerator 71 · Denominator 138 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 5 · Denominator 185 · Adjusted rate 3.1% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 4.23% · Lower 95% interval 3.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 106 |
| Staff flu vaccination coverage | 3.73% |
42%
38.3 pts worse
|
Numerator 6 · Denominator 161 |
| Discharge function score | 62.32% |
56.45%
5.9 pts better
|
Numerator 86 · Denominator 138 |
| Transfer of health information to provider | 86% |
95.95%
10 pts worse
|
Numerator 43 · Denominator 50 |
| Transfer of health information to patient | 98.28% |
96.28%
2 pts better
|
Numerator 114 · Denominator 116 |
| Resident COVID-19 vaccinations up to date | 11.83% |
25.2%
13.4 pts worse
|
Numerator 11 · Denominator 93 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
94.0%
2.4 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 85.7% · Q4 100.0% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
95.2%
0.3 pts better
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.7%
2.5 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.8% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.0%
4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 17.9% |
4.9%
13 pts worse
|
5.4%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.0% |
20.6%
0.6 pts better
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 25.0% · 4Q avg 20.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.9% |
19.8%
17.9 pts better
|
16.7%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.1% |
18.3%
4.8 pts worse
|
14.9%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.7%
1.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.5%
1.3 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 10.0% · Q4 5.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
26.0%
3.1 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
4.3%
2.9 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 6.2% · Q3 7.0% · Q4 12.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.2% |
84.3%
0.1 pts worse
|
81.7%
2.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.1% · Q3 77.8% · Q4 67.5% · 4Q avg 84.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.2% |
13.1%
1.1 pts worse
|
12.0%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 13.3% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.9%
1.4 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
73.3%
17.7 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.5% |
21.3%
7.2 pts worse
|
23.9%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 26.7% · Expected 22.3% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-02-07
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-02-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-04
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-04-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-08
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-08
Penalties and ownership
Fine · fine $26,358
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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