Davenport Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Davenport Nursing and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jan 29, 2026

  Based on observations, record reviews, and interviews the facility failed to ensure transmission-based precautions were adhered to for one (#7) of one resident, failed to ensure staff completed hand hygiene appropriately while delivering meal trays and assisting residents with meals, and staff failed to manage laundry in a manner preventing cross contamination.Findings include: An observation was made on 1/26/26 at 9:52 a.m. of two signs posted on the door to Resident #7's room. The signs showed staff and visitors of Enhanced Barrier Precautions and Contact precautions were to be utilized with the residents of the room. The sign for Contact precautions instructed for all family and visitors to report to the nursing station or see staff before entering the room. […]

• No harm, potential for more than minimal, widespreadF656Oct 4, 2023

  Based on interviews and record review, the facility failed to ensure interventions in the comprehensive care plan were implemented for eight residents (#27, #7, #8, #10, #29, #31, #37, and #41) out of nine residents sampled for anticoagulant medications. Findings included: Review of admission records showed Resident #27 was admitted on [DATE] with diagnoses including paroxysmal atrial fibrillation and atherosclerotic heart disease of native coronary artery (CAD). The resident had a care plan in place for Anticoagulant Therapy, dated 2/16/21. Interaction/Approaches included Monitor labs as ordered, notify physician, and monitor for signs of abnormal bleeding, bloody black stool, bruises, nose bleeds, blood urine and report to physician. […]

• No harm, potential for more than minimal, patternF644Oct 4, 2023

  Based on interviews and record review the facility failed to refer five residents (Residents #7, #16, #25 #40 and #41) of 14 residents reviewed for Pre-Admission Screening and Resident Review (PASRR), for a newly evident or possible serious mental disorder, intellectual disability, or a related condition for a level II PASRR resident review upon a significant change in status assessment. Findings included: Review of Resident #7's admission record showed Resident #7 was readmitted to the facility on [DATE] with a diagnosis of Major Depressive Disorder, recurrent, moderate. The level I PASRR dated 08/30/23 showed in Section I part A MI (Mental Illness) or suspected MI (Mental Illness) check all that apply was blank. […]

• No harm, potential for more than minimal, patternF645Oct 4, 2023

  Based on interviews and record review the facility failed to ensure five residents (Residents #10, #12, #18, #23 and #43) of 14 residents reviewed for Pre-Admission Screening and Resident Review (PASRR) had a level I completed prior to admission and two residents (Residents #7 and #40) of 14 residents had a level I PASRR completed by an appropriate and authorized staff member. Findings included: Review of Resident #10's admission record showed Resident #10 was admitted to the facility on [DATE] with diagnoses of displaced interochanteric fracture of right femur, subsequent for closed fracture with routine healing, Iron deficiency, lack of coordination and abnormalities of gait and mobility. There was no PASRR available to review in Resident #10's medical chart. […]

• No harm, potential for more than minimal, patternF880Oct 4, 2023

  Based on observations, interviews, and record review the facility failed to ensure proper infection control practices related to handwashing, cleaning of reusable equipment, and washing of reusable water pitches in two of two resident halls. Findings included: An observation was made on 10/1/23 at 9:18 a.m. of a bedpan sitting in a basket in the bathroom of Resident #7. The bedpan was uncovered, and wet washcloths were in the basket with it. Resident #7 said the bedpan had been sitting in her bathroom like that since she had to give a urine sample several days ago. […]