6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Bettendorf, IA
2-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2500 Grant Street, Bettendorf, IA
(563) 359-9171
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
79
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Shlomo Hoffman
Operator or chain grouping
Approved since
2004-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 2 overall / 3 health / 3 staffing / 3 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
0.53
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
4.40
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
10,376
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 23.44% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 8.95% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
3.35
Baseline 54.32% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0.97
Adjusted total nurse staffing
4.89
Baseline 4.79 hours · Performance 4.47 hours · Measure score 4.89 · Achievement 4.89 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.83% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 43 · Observed rate 23.26% · Lower 95% interval 8.64% |
| Discharge to community | 44.13% |
50.57%
6.4 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 35.14% · Lower 95% interval 30.58% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 49 · Denominator 49 |
| Falls with major injury | 4.08% |
0.77%
3.3 pts worse
|
Numerator 2 · Denominator 49 |
| Discharge self-care score | 43.33% |
53.69%
10.4 pts worse
|
Numerator 13 · Denominator 30 |
| Discharge mobility score | 53.33% |
50.94%
2.4 pts better
|
Numerator 16 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 6.12% |
2.29%
3.8 pts worse
|
Numerator 3 · Denominator 49 · Adjusted rate 6.24% |
| Healthcare-associated infections requiring hospitalization | 8.95% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 17.86% · Lower 95% interval 5.48% |
| Staff COVID-19 vaccination coverage | 1.75% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 114 |
| Staff flu vaccination coverage | 72.88% |
42%
30.9 pts better
|
Numerator 86 · Denominator 118 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 18 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 43.33% |
25.2%
18.1 pts better
|
Numerator 13 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 3.1 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.9 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.2% |
94.0%
1.8 pts worse
|
93.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 93.8% · Q3 88.9% · Q4 88.1% · 4Q avg 92.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
95.2%
5.2 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.7%
1.4 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.6% · Q3 3.2% · Q4 1.5% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.5% |
4.0%
5.5 pts worse
|
11.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 11.1% · Q3 14.0% · Q4 9.1% · 4Q avg 9.5% |
| Percentage of long-stay residents who lose too much weight | 9.5% |
4.9%
4.6 pts worse
|
5.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 11.9% · Q3 5.5% · Q4 8.2% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.8% |
20.6%
5.2 pts worse
|
19.6%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 26.6% · Q3 22.4% · Q4 22.6% · 4Q avg 25.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.4% |
19.8%
8.4 pts better
|
16.7%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 16.7% · Q3 8.9% · Q4 8.3% · 4Q avg 11.4% · 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 ability to walk independently worsened | 22.8% |
18.5%
4.3 pts worse
|
16.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 31.0% · Q3 23.2% · Q4 14.7% · 4Q avg 22.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.7% |
18.3%
9.4 pts worse
|
14.9%
12.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 35.1% · Q3 32.1% · Q4 16.7% · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.5% |
1.7%
1.8 pts worse
|
1.0%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.8% · Q3 3.6% · Q4 5.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.3% |
2.5%
2.8 pts worse
|
1.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.1% · Q3 5.0% · Q4 4.5% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
26.0%
2.8 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 33.1% · Q3 29.0% · Q4 28.5% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
4.3%
2.1 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 8.0% · Q3 7.1% · Q4 2.7% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.9% |
84.3%
13.4 pts worse
|
81.7%
10.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 71.1% · Q2 70.2% · Q3 72.1% · Q4 70.3% · 4Q avg 70.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
13.1%
4.8 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 8.3% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.2% |
1.9%
1.3 pts worse
|
1.6%
1.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 3.7% · Q3 3.8% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.7% |
73.3%
6.6 pts worse
|
79.7%
13 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.0% |
21.3%
15.7 pts worse
|
23.9%
13.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.0% · Observed 37.5% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-08-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-28
Fire Safety
Have exits that are accessible at all times.
Not marked corrected
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-20
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-09-20
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-09-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-06
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-02-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-02-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-25
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-12
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-09-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-05
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-12
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-01-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-29
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-29
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-01-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-29
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
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