Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Vistas At Bettendorf during CMS and state inspections, most recent first.
Unlabeled, undated, and expired food items were found in resident refrigerators and a freezer, along with dirty refrigerator surfaces and non-food items stored with resident food. Observations showed multiple expired condiments, drinks, sandwiches, and other items without names or dates, while staff said 3rd shift was responsible for cleaning and checking for expired and unmarked items. The facility policy required foods stored in the refrigerator or freezer to be covered, labeled, and dated.
Missing Required Abuse Training for Multiple Staff: The facility failed to ensure required DAA training was completed for 3 of 9 staff reviewed. A CNA hired in the facility had no record of completing DAA training within 6 months of hire, and two other staff members had no documentation of the required 3-year renewal training. The HR Director confirmed the missing training, and the Administrator stated DAA training should be completed within 6 months of hire and renewed every 3 years.
A facility failed to prevent wrong-resident medication administration for three residents. One resident with intact cognition, one resident with moderate cognitive impairment, and one resident with severe cognitive impairment each received another resident’s meds during morning pass, including multiple cardiac, diabetic, anticonvulsant, antibiotic, and diuretic agents. Staff reported being distracted or sidetracked while preparing meds and then giving a med cup from the cart without properly identifying the resident, despite the facility’s policy on wrong-person errors and the 6 rights of med administration.
A resident with moderate cognitive impairment and multiple diagnoses developed a new diabetic foot ulcer, but the family representative was not notified by staff as required. The family only learned of the wound when a wound care provider visited, despite facility policy and staff expectations that families be informed of such changes within 24 hours and documentation be made in the progress notes.
A resident with moderate cognitive impairment and a diabetic foot ulcer did not consistently receive physician-ordered wound care treatments. Review of records and staff interviews revealed multiple missed or undocumented dressing changes, with staff sometimes unsure of when care was last provided. Facility policy requiring documentation of all treatments and refusals was not consistently followed.
Nursing staff failed to ensure safe medication administration by not observing residents swallow their medications, leaving medications at the bedside, and allowing a resident to take another resident's medication. These actions involved residents with varying cognitive abilities and medical conditions, and staff did not consistently follow facility policy or document incidents as required.
A resident with severe cognitive impairment and total dependence on staff for personal hygiene was repeatedly observed with a brown-black substance under multiple fingernails, despite staff attempts at cleaning during peri-care. Documentation showed nail care was not consistently performed during showers, and staff interviews revealed confusion about responsibility for nail care, with inconsistent practices and a lack of clear policy direction.
A resident did not receive care in accordance with physician orders and their stated preferences and goals, as surveyors found discrepancies between the care provided and the documented care plan.
The facility did not ensure that an area was free from accident hazards and failed to provide adequate supervision to prevent accidents. Surveyors observed environmental hazards and insufficient staff monitoring, increasing the risk of resident accidents.
A resident with Multiple Sclerosis, paraplegia, and epilepsy did not receive adequate restorative care due to staffing shortages. The care plan required ROM exercises 1-5 times per week, but these were not provided for five weeks. Interviews revealed that the sole Restorative Nursing Aide was frequently reassigned to other duties, preventing her from delivering the necessary care. The facility's policy required restorative care as ordered, but staffing issues led to non-compliance.
Unlabeled, Undated, and Expired Food Stored in Resident Refrigerators
Penalty
Summary
The facility failed to label, date, and store food in accordance with professional standards in the resident refrigerators and freezer. During an observation in the Rehab hallway, the refrigerator had sticky substances on the door and interior shelves and contained unlabeled and undated resident food items, including grapes in a sandwich bag, an opened tea drink with no name or open date and an expired date of 4/26/26, sour cream packets with an expiration date of 11/20/25, undated coffee creamers, a patterned face mask in the bottom drawer, a mustard container with an expiration date of 5/13/25, and a drink in a to-go container with no name or date. The freezer also contained a blue and black bio mask with a visible hair in the velcro strap, and two protein supplement containers on top of the refrigerator had a cream-colored liquid at the base. During a separate observation on the second floor, the refrigerator had food particles inside the unit and contained multiple expired or unlabeled items, including Italian dressing packets with an expiration date of 04/04/26, yogurt with an expiration date of 5/23/26, an open container of chocolate milk with no name or opened date, apple juice with an expiration date of 04/16/25, two sandwiches wrapped in plastic film with no name and dated 5/27/26, Mexican food in a to-go container with no name or date, and grapes in a sandwich bag with no name or date. Staff stated third shift was responsible for cleaning the refrigerator and checking for expired and unmarked items, and the Administrator stated the refrigerators were expected to be cleaned, all food dated and labeled, and expired food thrown out. The facility policy stated that all foods stored in the refrigerator or freezer shall be covered, labeled, and dated.
Missing Required Abuse Training for Multiple Staff
Penalty
Summary
The facility failed to ensure staff completed required Dependent Adult Abuse (DAA) training within 6 months of hire and failed to ensure renewal training was completed within 3 years for 3 of 9 staff reviewed: Staff C, a CNA; Staff D, a CNA; and Staff E, a cook. Staff C’s employee file documented a hire date of 3/27/25, but no DAA certificate showing training completed within 6 months of hire was found. Staff D’s file showed DAA training completed on 5/16/23, but there was no documentation of the required renewal training within 3 years. Staff E’s file showed DAA training completed on 10/22/22, but there was no documentation of the required renewal training within 3 years. During interviews, the HR Director stated Staff C had not completed DAA training, Staff D had not completed the 3-year renewal, and Staff E never completed the correct renewal DAA training. The Administrator stated DAA should be completed within 6 months of hire and renewed every 3 years. Review of the undated Abuse Prevention Program policy showed the facility required abuse prevention, identification, and reporting training for new hires and existing staff as required by CMS.
Wrong-resident medication administration errors
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors when three residents received medications prescribed to other residents. Resident #19, who had a BIMS score of 15/15 and diagnoses including hypertension, renal insufficiency, and diabetes, was given another resident’s morning medications, including aspirin, Caltrate, carvedilol, ferrous sulfate, furosemide, hydrochlorothiazide, and a multivitamin. The MAR showed several of those medications were not ordered for Resident #19 on that date. The DON stated the nurse was distracted after being pulled away from the cart and then failed to identify the resident before administering the medications. Resident #1, who had a BIMS score of 9/15 and diagnoses including CHF, dementia, and renal insufficiency, received another resident’s medications during morning administration, including amlodipine, carbamazepine ER, lacosamide, Macrobid, potassium chloride ER, and vitamin C. The CMA reported she prepared medications for Resident #1, was called away, then prepared medications for Resident #20, was called away again, and later gave Resident #1 medication from one of the cups in the cart, realizing afterward that Resident #20’s medications had been given to Resident #1. Resident #3, who had a BIMS score of 3/15 and diagnoses including hypertension, seizure disorder, and CVA/TIA/stroke, also received another resident’s medications, including amiodarone, apixaban, carvedilol, clopidogrel, doxazosin, empagliflozin, gabapentin, pantoprazole, paroxetine, senna plus, spironolactone, and torsemide. The CMA stated she was preparing Resident #2’s medications while talking to Resident #3, became sidetracked, and gave Resident #3 Resident #2’s medications. The facility policy identified wrong person medication errors and listed the 6 rights of medication administration, including the right patient.
Failure to Notify Family of New Diabetic Foot Ulcer
Penalty
Summary
The facility failed to notify the family representative of a resident regarding the development of a diabetic foot ulcer. Clinical record review showed that the resident, who had moderate cognitive impairment and diagnoses including dementia, coronary artery disease, and diabetes mellitus, did not have any wounds or skin problems documented on the Minimum Data Set (MDS) assessment. However, an electronic health record entry from a wound physician documented a new full-thickness diabetic wound on the resident's left medial heel. The family representative reported that they were not informed by the facility about the wound and only became aware of it when the wound care provider visited the resident. Interviews with facility staff, including the MDS Coordinator and the Assistant Director of Nursing (ADON), confirmed that the expectation was for nursing staff to notify the family of any new wounds or changes in condition on the same day and to document this notification in the progress notes. Review of the facility's policy also required notification of the resident's representative within 24 hours of a significant change in the resident's condition. Despite these policies and expectations, there was no evidence that the family was notified of the new wound as required.
Failure to Complete Physician-Ordered Wound Care Treatments
Penalty
Summary
The facility failed to provide wound care treatments as ordered by the physician for a resident with a diabetic foot ulcer. The resident, who had moderate cognitive impairment and diagnoses including unspecified dementia, coronary artery disease, and diabetes mellitus, had physician orders for daily wound care to the left medial heel. Review of the Treatment Administration Records (TAR) revealed multiple instances where wound care treatments were either not documented as completed or were marked as refused without appropriate supporting documentation. Specific dates were identified where no evidence of treatment was recorded, and in some cases, the dressing on the resident's foot was observed to be outdated, indicating the treatment had not been performed as scheduled. Interviews with staff and the resident's family confirmed that wound care was missed on several occasions, and staff were sometimes unsure of when the last dressing change had occurred. Staff also acknowledged that if treatments were not signed out, it may indicate they were not done or not properly documented. Facility policy required that all administered treatments be recorded, and any refusals or missed treatments be documented with appropriate codes and progress notes, which was not consistently followed in this case.
Failure to Ensure Safe Medication Administration and Competency of Nursing Staff
Penalty
Summary
Nurses and nurse aides failed to ensure that residents took their medications as intended, resulting in multiple incidents where medications were left at the bedside or taken by the wrong resident. In one case, a cognitively intact resident with a history of brain dysfunction and dementia took another resident's seizure medications after they were left unattended in her room. The incident report and interviews revealed that the nurse did not observe the resident swallowing the medication, and the care plan did not address the risk of such an event. There was also no documentation of the incident in the resident's progress notes for the month. Another resident, who was severely cognitively impaired and had a seizure disorder, was given his medications by a nurse who did not ensure he swallowed them. Instead, the resident took the medication cup to another resident's room, where the medications were subsequently ingested by the wrong person. The care plan for this resident did not address the need for staff to observe medication administration or swallowing, and there was no documentation of the incident in the progress notes. Staff interviews confirmed that the nurse was unfamiliar with the resident's routine and did not follow the facility's policy to observe the act of swallowing. Additionally, a resident with moderate cognitive loss and COPD was observed with an albuterol inhaler at the bedside without a documented assessment or order permitting self-administration. Staff interviews indicated inconsistent practices regarding leaving medications at the bedside, and the resident's records lacked a self-medication administration assessment. Another cognitively intact resident was found with multiple pills left on her overbed table, and staff confirmed that medications should not be left in resident rooms. Facility policy required staff to observe residents swallowing medications and prohibited leaving medications at the bedside, but these procedures were not consistently followed.
Failure to Provide Routine Fingernail Care for Dependent Resident
Penalty
Summary
Facility staff failed to provide adequate fingernail care as part of grooming for one resident with severe cognitive impairment and total dependence on staff for personal hygiene. The resident, diagnosed with Alzheimer's Disease, non-Alzheimer's dementia, end stage renal disease, and other conditions, was observed with a brown-black substance under multiple fingernails on several occasions. The resident was seen licking her fingers and digging inside her brief, with the substance persisting under her nails despite staff attempts to wipe her fingers during peri-care. Documentation showed that nail care was not recorded as completed during multiple showers over a two-month period. Interviews with CNAs and nursing staff revealed inconsistent practices and unclear responsibility for nail care, with some staff believing it was handled by activities or environmental aides, and others stating it was done only if time allowed or if the resident requested it. The facility's nail care policy lacked specific direction on when nail care should be provided, and both the Assistant Director of Nursing and Director of Nursing confirmed that CNAs were expected to perform nail care during showers or baths and as needed. However, observations and documentation indicated this was not consistently done for the resident in question.
Failure to Follow Physician Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. This deficiency was identified through surveyor observation and review of records, which showed that care provided did not align with the documented orders or the expressed wishes and objectives of the resident. The lack of adherence to these directives resulted in the resident not receiving care as intended by their care plan.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Inadequate Restorative Care Due to Staffing Shortages
Penalty
Summary
The facility failed to provide adequate restorative care services to a resident, identified as Resident #9, who required assistance to maintain and improve range of motion (ROM) due to conditions such as Multiple Sclerosis, paraplegia, and epilepsy. The resident's care plan, initiated in November 2022, specified that restorative therapy staff should provide bilateral lower and upper extremity ROM and stretching 1-5 times per week. However, a review of the Restorative Nursing Flow Sheets from June to August 2024 revealed that the facility did not provide the required programming for five weeks during this period. Interviews with the resident and staff highlighted staffing issues as a significant factor contributing to the deficiency. The resident reported that restorative care was not being provided due to a lack of available staff. Staff A, a Certified Nursing Aide/Restorative Nursing Aide, confirmed that she was often pulled to work on the floor, which prevented her from completing restorative care as needed. The Director of Rehab and the Director of Nursing acknowledged the staffing challenges, noting that the facility had only one person available for restorative care, leading to unmet care frequencies. The facility's policy required restorative care to be performed as ordered, but staffing shortages hindered compliance with these directives.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bettendorf
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allure Of The Quad Cities | 2.5 mi | ★★★★★ | 15 | 2 |
| Bettendorf Health Care Center | 2.9 mi | ★★★★★ | 8 | 0 |
| Allure Of Moline | 3 mi | ★★★★★ | 3 | 0 |
| Harmony Utica Ridge | 3.2 mi | ★★★★★ | 16 | 0 |
| St Anthony's Nsg & Rehab Ctr | 3.5 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.