Davenport Lutheran Home
1130 W 53rd Street, Davenport, IA 52806 · Scott County · 98 certified beds · avg 70 residents/day · certified since Sep 1, 2004
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 30, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 3, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 27, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 27, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 27, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 17, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 11, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 31, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 31, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 30, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 30, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jul 27, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 27, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 27, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jul 27, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 2 | G ▲ |
| 2024 | 9 | 1 | J ▲ |
| 2025 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,913.
| Date | Type | Amount / length |
|---|---|---|
| Aug 30, 2024 | Fine | $16,913 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.85 | 4.37 | 3.95 | top 22% in Iowa; top 16% in the U.S. |
| Registered Nurse hours | 0.48 | 0.85 | 0.69 | bottom 10% in Iowa; bottom 35% in the U.S. |
| Weekend total nurse staffing | 4.18 | 3.86 | 3.50 | top 33% in Iowa; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.51 | 0.48 | bottom 3% in Iowa; bottom 17% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 44.0 | 45.8 | top 32% in Iowa; top 26% in the U.S. |
| RN turnover (%) | 42.9 | 42.1 | 42.9 | bottom 49% in Iowa; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.19, RN 0.41, weekend 3.61. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Blechle, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2013 |
| Blechle, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 10/27/2025 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brown, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/29/2012 |
| Campbell, Charles | Individual | Corporate Officer | NOT APPLICABLE | 06/21/2021 |
| Caspers, Lesa | Individual | Corporate Director | NOT APPLICABLE | 02/20/2025 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Devries, Kevin | Individual | Corporate Director | NOT APPLICABLE | 05/01/2023 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Gloede, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/1978 |
| Hesson, Ashley | Individual | Corporate Director | NOT APPLICABLE | 10/19/2023 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Kloppenborg, Dan | Individual | Corporate Director | NOT APPLICABLE | 01/20/2022 |
| Licht, Brian | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Lindstrom, Jerry | Individual | Corporate Officer | NOT APPLICABLE | 10/22/2008 |
| Loss, Gary | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| McReynolds, Ami | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/25/2024 |
| Newton, Daniel | Individual | Corporate Director | NOT APPLICABLE | 01/20/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ridgecrest Village | 0.9 mi | Davenport, IA | ★☆☆☆☆ | 1/5 | abuse |
| Ivy at Davenport | 2.6 mi | Davenport, IA | ★☆☆☆☆ | 1/5 | SFF |
| Kahl Home for the Aged & Infirmed | 2.8 mi | Davenport, IA | ★★★☆☆ | 2/5 | |
| Harmony Davenport | 2.8 mi | Davenport, IA | ★★☆☆☆ | 2/5 | |
| Harmony Utica Ridge | 3.6 mi | Davenport, IA | ★★☆☆☆ | 1/5 | |
| Good Samaritan - Davenport | 3.7 mi | Davenport, IA | ★★★☆☆ | 3/5 | |
| Bettendorf Health Care Center | 4.9 mi | Bettendorf, IA | ★☆☆☆☆ | 1/5 | |
| St Anthony's Nsg & Rehab Ctr | 5.2 mi | Rock Island, IL | ★☆☆☆☆ | 1/5 | |
| The Vistas at Bettendorf | 5.8 mi | Bettendorf, IA | ★★★☆☆ | 3/5 | |
| Friendship Manor | 5.8 mi | Rock Island, IL | ★★★☆☆ | 4/5 | |
| The Summit of Bettendorf | 5.9 mi | Bettendorf, IA | ★★★☆☆ | 3/5 | |
| Allure of the Quad Cities | 6.3 mi | Moline, IL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165510.