Good Samaritan - Davenport

700 Waverly Road, Davenport, Iowa 52804

Last survey January 2026 · Provider #165169

CMS FIVE-STAR RATINGS

Not rated by CMS — ratings are suppressed for new or low-volume facilities.

COMPLIANCE AT A GLANCE
Citations, last 12 months
11
48% above the Iowa average of 7.4
Serious citations (J–L)
0
no immediate jeopardy–level findings
Fines on record
None
civil monetary penalties
On cycle

The next survey window likely opens around December 2026

8 of ~15 typical months since the last standard survey (January 2026)
Jan 2026 · on cycle Window opens Dec 2026 → ~Apr 2027

Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.

Citation history

Health deficiencies cited at Good Samaritan - Davenport during CMS and state inspections, most recent first.

11 in the last 12 months40 all-time 26 inspections on file
Inaccurate PASARR Diagnoses for Two Residents
E
F0644 F644: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Short Summary

The facility failed to ensure accurate mental health diagnoses on the PASARR for two residents. One resident's PASARR lacked diagnoses of manic episode and bipolar disorder, while another's did not include a psychotic disorder diagnosis. The Social Worker and DON acknowledged the need for updated PASARR submissions, as per facility policy.

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Delayed Call Light Response Leads to Resident Incontinence
E
F0725 F725: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Short Summary

The facility failed to respond to call lights within 15 minutes for several residents, resulting in incontinence and dissatisfaction. Residents reported long wait times for assistance, with some experiencing delays of up to an hour. A family member observed staff ignoring call lights, leading to incontinence for their relative. Staff interviews indicated frequent delays, especially when multiple staff were needed or during breaks. The call light system's design contributed to the issue, with no audible signal in the hallway.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Follow Enhanced Barrier Precautions for Catheter Care
D
F0880 F880: Provide and implement an infection prevention and control program.
Short Summary

A facility failed to follow Enhanced Barrier Precautions (EBP) for a resident with a urinary catheter. The resident, with moderate cognitive impairment, required substantial assistance and had a care plan mandating EBP, including gown and glove use during catheter care. However, a CNA performed catheter care without a gown, despite signage and available PPE. Staff interviews confirmed awareness of EBP requirements, but non-compliance led to the deficiency.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Adequate Personal Hygiene Services
E
F0677 F677: Provide care and assistance to perform activities of daily living for any resident who is unable.
Short Summary

The facility failed to ensure residents were provided adequate personal hygiene services, including at least two bathing opportunities per week, and failed to provide incontinence care at a necessary frequency. Specific instances included a resident missing four scheduled showers, another missing two, and others missing multiple scheduled showers, compromising their personal hygiene.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Individualized Activities Program
D
F0679 F679: Provide activities to meet all resident's needs.
Short Summary

The facility failed to provide an activities program based on a resident's individual interests. The resident had severe cognitive impairment and required significant assistance. Despite having a Plan of Care that included specific interests, no individual activities were planned, and only one activity was documented since admission.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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In the Assessment

All 10 risk areas, ranked with evidence

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Risk areas — ranked
1F689Accident hazards & supervision82
2F880Infection prevention & control74
3F812Food safety & sanitation61
4F656Comprehensive care plans49

Illustrative

In the Assessment

What surveyors actually found near you

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Findings near you
Gulf Coast Village · 1.6 mi F689J

Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.

Cypress Cove · 4.2 mi F812D

Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.

Illustrative

In the Assessment

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Self-audit checklist — do-first orderPer risk area
Walk supervision coverage on the memory-care unit at shift changeDo first
Audit fall-risk care plans for residents flagged high-riskF689
Verify kitchen temperature logs for the last 30 daysF812

Illustrative

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Nursing homes near Davenport

How nearby facilities compare on the same public inspection record.

Facility Distance Overall rating Citations, 12 mo Serious (J–L)
Harmony Davenport 3.1 mi 14 0
Ivy At Davenport 3.2 mi 7 2
Ridgecrest Village 3.3 mi 12 0
Friendship Manor 3.4 mi 2 0
Davenport Lutheran Home 3.7 mi 10 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.

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