The Vistas at Bettendorf

In the surveyor’s words

From the most serious findings on record at The Vistas at Bettendorf, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 4, 2026

  Based on observation, facility policy review and staff interviews, the facility failed to label, date and store food in accordance with professional standards in an effort to prevent cross contamination and food borne illness. The facility reported a census of 70 residents.Findings include:During an observation on On 6/2/26 at 11:17 AM, the resident refrigerator in the Rehab hallway noted to have sticky substances on the door and on the interior shelves. The refrigerator contained the following unlabeled an undated resident food items: a. Grapes in a sandwich sized bag with no name or date indicated. b. A opened tea drink with no name or open date indicated, and an expiration date of 4/26/26.c. 3 - individual sour cream packets with an expiration date of 11/20/25.d. […]

• No harm, potential for more than minimal, patternF943Jun 4, 2026

  Based on employee file review, staff interviews, and facility policy review the facility failed to ensure staff completed the required Dependent Adult Abuse training within 6 months of hire and that staff completed renewal training within 3 years of previous training for 3 of 9 staff reviewed ( Staff C and Staff D, Certified Nurses Aide and Staff E, Cook). The facility reported a census of 70 residents. Findings include:1. Review of Staff C, Certified Nurses Aide (CNA)'s employee file documented a hired date of 3/27/25. A Dependent Adult Abuse (DAA) certificate to indicate the training completed within 6 months of hire not found in the file. 2. Review of Staff D, CNA's employee file revealed documentation DAA training completed on 5/16/23. […]

• No harm, potential for more than minimal, patternF726Aug 14, 2025

  Based on record review, staff interview and facility policy review, the facility failed to ensure two residents took their medications and left the medications at the bedside (Residents #9 and #54) and failed to ensure Resident #42 swallowed his medications before Resident #20 took them. The facility reported a census of 70 residents. Findings include:1. The Minimum Data Set (MDS) dated [DATE] identified Resident #20 as cognitively intact with a BIMS (Brief Interview for Mental Status) score of 15 and had the following diagnoses: Non-Traumatic Brain Dysfunction, Non-Alzheimer’s Dementia and Peripheral Vascular Disease. […]

• No harm, potential for more than minimal, isolatedF760Jun 4, 2026

  Based on clinical record review, facility policy review and staff interviews, the facility failed to ensure a resident only received medications prescribed to them for 3 of 3 residents reviewed (Resident #19, Resident #1, and Resident #3) for medication errors. The facility reported a census of 70 residents.Findings include:1. Resident #19's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS documented he had diagnoses of hypertension, renal insufficiency, and diabetes.Review of the Medication Error Incident Report for Resident #19 documented on 02/03/26 morning medication administration, he received another resident's medication. […]

• No harm, potential for more than minimal, isolatedF580Oct 23, 2025

  Based on clinical record review, facility policy review, family and staff interview, the facility failed to notify the family representative of the development of a diabetic foot ulcer for 1 of 3 residents (Resident #1) reviewed for notifications. The facility reported a census of 75 residents.Finding include:The Minimum Data Set (MDS) dated [DATE] identified Resident #1 with a BIMS (Brief Interview for Mental Status) score of 9 out of 15, which indicated a moderate cognitive impairment. The MDS list of diagnoses included unspecified dementia, coronary artery disease and diabetes mellitus. The MDS indicated at the time of assessed Resident #1 did not have any wound or skin problems. […]