Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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.
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.
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.
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.
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.
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.
Inaccurate PASARR Diagnoses for Two Residents
Penalty
Summary
The facility failed to ensure accurate mental health diagnoses were indicated on the Preadmission Screening and Resident Review (PASARR) for two residents. Resident #80's PASARR did not include diagnoses of manic episode, unspecified, and bipolar disorder, despite these being documented in the electronic health record. The Social Worker, responsible for reviewing and completing the PASARR, was unaware of Resident #80's mental health diagnoses and acknowledged that a new PASARR should have been submitted upon admission. The Director of Nursing (DON) confirmed that the facility should have identified the need for a Level II PASARR upon admission or by the first care conference. Similarly, Resident #84's PASARR failed to identify a diagnosis of psychotic disorder, which was documented in the Minimum Data Set (MDS) and physician orders. The Social Worker admitted that the diagnosis should have been included in the PASARR following the resident's readmission. The DON noted that Resident #84 was on antipsychotic medication for hallucinations upon returning from the hospital, indicating a need for a PASARR resubmission. The facility's policy requires PASARR Level I screening before admission and a Level II screening if a mental disorder is diagnosed during the resident's stay.
Delayed Call Light Response Leads to Resident Incontinence
Penalty
Summary
The facility failed to respond to activated call lights within 15 minutes for several residents, leading to instances of incontinence and dissatisfaction among residents and their families. Resident #3, who required substantial assistance for daily activities and was frequently incontinent of urine, reported that it usually took 45 minutes to an hour for staff to respond to her call light, resulting in incontinence. Despite discussing the issue with management, no improvements were noted. Similarly, Resident #4, who was always incontinent of bowel and frequently incontinent of urine, experienced delays of 20 to 30 minutes in call light responses, leading to incontinence on multiple occasions. Resident #5, who required substantial assistance and was frequently incontinent of urine, reported that staff response to call lights typically took 20 minutes or longer, especially during meal times. Resident #2, who had a urinary catheter and required substantial assistance, experienced call light response times of 15 to 20 minutes, with occasional longer waits. A family member of a resident observed call lights being ignored while staff were in the Nurse's Station, leading to incontinence for their family member. The family member reported the issue to the Director of Nursing and the Administrator, but the problem persisted. Staff interviews revealed that call lights were often on for longer than 15 minutes, especially when multiple staff were needed for care or when staff were on breaks. The call light system's design, with no audible signal in the hallway and limited visibility from the Nurse's Station, contributed to the delays. The Administrator noted that no concerns about call lights had been raised in recent Resident Council meetings, but expected staff to respond promptly when aware of a resident's call for assistance.
Failure to Follow Enhanced Barrier Precautions for Catheter Care
Penalty
Summary
The facility failed to adhere to Enhanced Barrier Precautions (EBP) for a resident with an indwelling urinary catheter, as observed during a survey. The resident, who has moderate cognitive impairment and requires substantial assistance for daily activities, was noted to have a urinary catheter for elimination. The care plan for the resident included specific instructions for catheter care and the use of EBP, which required staff to wear gowns and gloves during high-contact care activities, including catheter care. However, during an observation, a Certified Nursing Assistant (CNA) was seen performing catheter care without wearing a gown, despite the presence of signage indicating the need for EBP and an adequate supply of personal protective equipment (PPE) outside the resident's room. Interviews with staff revealed that the CNA was aware of the requirement to wear a gown but forgot to do so. The Registered Nurse (RN) Clinical Care Leader and the RN Infection Preventionist confirmed that staff were educated on EBP and should wear gowns and gloves during catheter care. The facility's policy on Standard and Transmission-Based Precautions outlined the need for EBP for residents with indwelling medical devices and specified the use of gowns and gloves during high-contact care activities. The policy also required clear signage and readily available PPE outside resident rooms. Despite these measures, the deficiency occurred due to non-compliance with the established precautions.
Failure to Provide Adequate Personal Hygiene Services
Penalty
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 frequency necessary to maintain adequate personal hygiene. Resident #1, with a severely impaired cognitive status and multiple diagnoses including Non-Alzheimer's dementia and hemiplegia, did not receive a shower opportunity on four out of seven scheduled Thursdays. Additionally, Resident #1 remained in a broda chair for six hours without further incontinence care after the initial morning care. Resident #3, with an intact cognitive status and requiring maximal to moderate assistance, did not receive a shower opportunity on two scheduled Saturdays. Resident #4, with a moderately impaired cognitive status and diagnoses including congestive heart failure and cancer, missed one scheduled shower opportunity in April. Resident #5, with a minimally impaired cognitive status and renal insufficiency, missed three scheduled shower opportunities on both Tuesdays and Fridays in November and December 2023. These deficiencies were identified through observations, clinical record reviews, and staff interviews. The facility's failure to adhere to scheduled bathing opportunities and provide timely incontinence care compromised the personal hygiene of the residents. The report highlights specific instances where the facility did not meet the required standards for personal hygiene care, affecting the well-being of the residents involved.
Failure to Provide Individualized Activities Program
Penalty
Summary
The facility failed to provide an activities program based on a resident's individual interests for one resident. The resident had a severely impaired cognitive status, requiring total dependence to maximal assistance with various needs and had multiple diagnoses including Non-Alzheimer's dementia and cerebrovascular accident. The resident's Plan of Care included specific interests such as TV, comedy, jazz, and calm music, and opportunities for meaningful conversation and activities. However, the Activities Supervisor confirmed that no individual activities were planned for the resident, and clinical records showed only one documented activity related to watching TV since the resident's admission.
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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 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.