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Nursing HomeMedicaid Investigative

Ivy at Davenport

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

800 East Rusholme Street, Davenport, IA 5280375 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 49 Google reviews

5
4
3
2
1
Ivy at Davenport Nursing Home in Davenport, IA — Street View
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9/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (23 vs median 5)
  • High staff turnover (56%)
  • High RN turnover (73%)

Bottom 25% in IA · Below recommended RN staffing · Worst in IVY HEALTHCARE GROUP chain · $209,816 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While many families report positive experiences with the therapy and social services teams, the facility has a pattern of serious allegations regarding medical oversight and cleanliness. We strongly recommend that you conduct an unannounced visit and specifically ask for the facility's most recent state inspection report to verify their compliance history before making a decision.

Google Reviews

Google Reviews

49 reviews on Google
The Ivy at Davenport receives polarized feedback, with many families praising the compassionate, family-like atmosphere and the dedication of specific staff members like Dawn and the therapy team. However, there are serious, recurring reports of neglect, poor sanitation, and communication breakdowns, particularly regarding medical oversight and responsiveness to resident needs. Families considering this facility should weigh the positive experiences of some against the severe concerns raised by others regarding basic care standards.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean2.0Activities8.0Meds2.0MemoryN/AComms5.0Value2.0

Strengths

  • Compassionate and friendly nursing and CNA staff
  • Effective physical and occupational therapy services
  • Helpful administrative and social services staff
  • Welcoming environment for new residents

Concerns

  • Neglect and poor quality of care (mentioned by 6 reviewers)
  • Unsanitary conditions and lack of cleanliness (mentioned by 3 reviewers)
  • Understaffing and slow response times (mentioned by 3 reviewers)
  • Inadequate medical oversight and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02020(2)4.32021(6)4.02022(12)4.12023(11)2.52024(8)3.32025(3)2.72026(11)

Distribution · 53 analyzed

5
31
4
4
3
0
2
0
1
18

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2Given that you have 75 residents, what specific steps are you taking to ensure that staff response times remain prompt, especially during evening and overnight hours?
  • 3Could you walk me through your current protocols for maintaining cleanliness and sanitation in resident rooms and common areas?
  • 4How does your clinical team coordinate medical oversight and keep families updated when a resident has a change in health status?
  • 5What does the daily activity calendar look like, and how do you ensure that residents who may need extra assistance are actively included in these social programs?
  • 6Regarding medication management, what systems do you have in place to ensure accuracy and consistency for residents with complex health needs?

Personalized based on this facility's data


Key Review Excerpts

The staff is very compassionate and cares about the residents, they are more like family then anything!!

Memory care family member · 2024★★★★★

I felt comfortable voicing any concerns to Dawn or LeAnn and they took corrective action or provided direction.

Long-term resident's family · 2025★★★★

My poor dad passed away in that dump! I have pictures of his room & how filthy it was & mold in the food dishes that had sat there for days!

Long-term resident's family · 2022☆☆☆☆
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

2

measures

Worse Than Avg

12

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility69.5%
Worse than Avg
Here
69.5%
US
93.4%
IA
93.9%
Scott
92.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
12.1%
IA
4.1%
Scott
6.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility76.6%
Worse than Avg
Here
76.6%
US
95.5%
IA
95.2%
Scott
96.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
5.3%
IA
4.9%
Scott
6.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
15.4%
IA
19.4%
Scott
16.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
15.3%
IA
17.5%
Scott
18.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility21.3%
Worse than Avg
Here
21.3%
US
79.7%
IA
73.3%
Scott
77.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
81.8%
IA
84.0%
Scott
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
US
1.6%
IA
2.0%
Scott
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
8penalties
Well above state avg (6.2)
47 complaint-triggered
$209,816 in fines

Ivy at Davenport has concerning patterns of ongoing complaints from families, with persistent issues in safety supervision, wound care, and food safety appearing repeatedly across surveys. Problems with accident prevention have occurred multiple times as recently as 2025, while issues with infection control, pressure ulcer care, and food temperature have recurred despite corrections. Given the high volume of 105 deficiencies across 10 surveys with 43 triggered by family complaints, families should visit to assess current conditions firsthand.

Mar 25, 2026Complaint
4
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Dec 16, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Jul 16, 2025Complaint
3
0600Potential for harm · IsolatedCorrected

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 5, 2025Complaint
1
0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Mar 6, 2025Routine
11
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0656Potential for harm · IsolatedCorrected

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0756Potential for harm · IsolatedCorrected

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

Mar 6, 2025Complaint
10
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0584Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 25, 2026

$10,225

Fine

Dec 16, 2025

$12,535

Fine

Jun 24, 2024

$85,737

Payment Denial

Jun 24, 2024

77-day denial

Payment Denial

Oct 12, 2023

1-day denial

Fine

Oct 12, 2023

$13,039

Payment Denial

Jun 5, 2023

6-day denial

Fine

Jun 5, 2023

$111,040

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
42deficiencies
Mar 25, 2026Inspection
Clean

Fed violations: 16, State violations: 2

Feb 18, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Dec 16, 2025Complaint
Clean

Fed violations: 3, State violations: 1

Nov 18, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 7, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Aug 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 16, 2025Complaint
Clean

Fed violations: 3, State violations: 0

Jun 5, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ivy at Davenport

Organization Type

for profit

Chain Affiliation

Chain Name

Ivy Healthcare Group

Chain Size

4 facilities nationwide

Chain avg rating: 1.8/5 · Rank 2 of 4 (Worst)

Ownership & Management

Owners

Accordius Health at St Mary, LLC

Owner · Organization

100%

Key personnel

Accordius Health at St Mary, LLCManagerHyman, ChaimManagerKooken, JimmyManagerMathew, StanleyManagerHyman, ChaimAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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