Davenport Lutheran Home

1130 W 53rd Street
Davenport, IA, 52806
5633915342
CCN: 165510
2
Overall
2
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HESSON, ASHLEYCORPORATE DIRECTORNOT APPLICABLE
WOOD, DOROTHEACORPORATE DIRECTORNOT APPLICABLE
WEGENER, JAMESCORPORATE DIRECTORNOT APPLICABLE
PAYNE, SUSANCORPORATE DIRECTORNOT APPLICABLE
NEWTON, DANIELCORPORATE DIRECTORNOT APPLICABLE
LOSS, GARYCORPORATE DIRECTORNOT APPLICABLE
LICHT, BRIANCORPORATE DIRECTORNOT APPLICABLE
KLOPPENBORG, DANCORPORATE DIRECTORNOT APPLICABLE
CASPERS, LESACORPORATE DIRECTORNOT APPLICABLE
DEVRIES, KEVINCORPORATE DIRECTORNOT APPLICABLE
WOOD, DOROTHEACORPORATE OFFICERNOT APPLICABLE
CAMPBELL, CHARLESCORPORATE OFFICERNOT APPLICABLE
LINDSTROM, JERRYCORPORATE OFFICERNOT APPLICABLE
WOLTEMATH, DOUGLASCORPORATE OFFICERNOT APPLICABLE
RANGEL, TAMMIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCREYNOLDS, AMIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GLOEDE, DIANEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BROWN, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BLECHLE, KEVINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHITTINGTON, TRUDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WARM, ZACHARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TALBOT, AMBEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2024-08-30Fine$17K
2023-07-27Fine$26K
Health Deficiencies (21)
2025-12-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2024-10-31 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2024-08-30 · Health
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-07-11 · Health
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2023-07-27 · Health
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.33
3.68
RN Hrs/Resident/Day
0.35
0.54
LPN Hrs/Resident/Day
1.02
0.81
CNA Hrs/Resident/Day
2.96
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01