Hearth Record

River Valley Nursing and Rehabilitation

A nursing home in Pleasant Valley, Iowa 52767

17990 Spencer Road, Pleasant Valley, Iowa 52767. (563) 332-4600.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 32 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

11 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Aug 20, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Feb 11, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

32 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

32 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 38 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 27 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 20, 2026: standard inspection4 citations
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 7, 2026.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 7, 2026.

  • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Rule F0801. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 7, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 7, 2026.

Aug 20, 2026: standard and complaint inspection2 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 7, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 7, 2026.

Jun 10, 2026: complaint inspection3 citations
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 8, 2026.

  • Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 8, 2026.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 8, 2026.

Nov 18, 2025: complaint inspection1 citation
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2025.

Oct 21, 2025: complaint inspection1 citation
  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2025.

May 14, 2025: complaint inspection1 citation
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 3, 2025.

Feb 11, 2025: complaint inspection1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Oct 24, 2024: complaint inspection1 citation
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 15, 2024.

Sep 9, 2024: standard inspection7 citations
  • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.

    Rule F0710. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Rule F0801. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 27, 2024.

Sep 9, 2024: standard and complaint inspection11 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Rule F0809. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

Nov 21, 2023: complaint inspection6 citations
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Rule F0810. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Rule F0882. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 20, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 1, 1998.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 44 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 27 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.26 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day3.263.86
Of which registered nurses0.470.74
At weekends2.923.38
Nursing staff turnover50%44.1%
Registered nurse turnoverNot given42.1%
Administrators who left2Not given

Who owns it?

  • Black Hawk Healthcare, LLC owns 100% directly since May 14, 2021.
  • Everest Management Solutions LLC runs it.
  • 10 owners or officers are people: Bruce E Wertheim (owns a share through other companies, 100%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Stanley Mathew (runs it (operational or managerial control)); Stanley Mathew (additional disclosable party (controls, leases property to, or provides services to the home)); Brooke Vondal (runs it (operational or managerial control)); Brooke Vondal (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Flanagan (runs it (operational or managerial control)); Michael Flanagan (on the governing body (managing control)).
  • Part of Beacon Health Management (11 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Black Hawk Healthcare, LLCOwns 5% or more directly100%May 14, 2021
Riverview Property Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021
Hawkeye Investors, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021
Everest Management Solutions LLCRuns it (operational or managerial control)Nov 1, 2025
Everest Management Solutions LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 31, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021
Nci Hawkeye Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)May 14, 2021

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Iowa average 3.4).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 7.3 miles, this one had the 8th most health citations at the latest inspection cycle (11; the middle value was 13.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
River Valley Nursing and Rehabilitation This nursing home11
The Summit of Bettendorf2.82
Bettendorf Health Care Center3.717
Avenues at Quad Cities4.714
The Vistas at Bettendorf4.99
Silvis Center for Nursing Rehab & Care4.924
Allure of Moline4.914
Harmony Utica Ridge5.113
Hope Creek Nursing & Rehab5.927
Kahl Home for the Aged & Infirmed6.26
Celebrate Sr Living of Moline6.35
Allure of the Quad Cities7.321

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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