River Valley Nursing and Rehabilitation

CMS star ratings

Overall★★★★★ 2/5

State avg 3.1

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 3.7

Quality measures★★★★★ 2/5

State avg 3.3

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.72 (state 3.82 · U.S. 3.86)
Registered nurses (RN): 0.86 (state 0.74 · U.S. 0.69)
Licensed practical nurses: 0.34 (state 0.56 · U.S. 0.86)
Nurse aides: 2.51 (state 2.51 · U.S. 2.32)
Weekend total: 3.30 (state 3.37 · U.S. 3.42)
Nursing staff turnover: 48.5 (state 44.0 · U.S. 45.8)%
RN turnover: 20.0 (state 42.1 · U.S. 42.9)%
Administrators who left: 2 in the last year

Inspections

Last standard inspection: August 28, 2025
Health deficiencies (last cycle): 5.0 (state 6.5 · U.S. 9.3)
From complaints: 5
Citations on record (3 years): 38 health · 2 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-06-10	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-07-08
2026-06-10	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-07-08
2026-06-10	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-07-08
2025-11-18	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2025-10-21	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2025-05-14	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-06-03
2025-02-11	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-03-13
2024-10-24	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-11-15
2024-09-09	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	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. F0801 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. F0710 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2024-09-09	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-09-27
2023-11-21	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20
2023-11-21	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Black Hawk Healthcare, LLC (organization)	5%+ Direct Ownership Interest · 100%
Everest Management Solutions LLC (organization)	Administrator · NOT APPLICABLE
Hawkeye Investors, LLC (organization)	Administrator · NOT APPLICABLE
Mathew, Stanley (individual)	Administrator · NOT APPLICABLE
Nci Hawkeye Holdings, LLC (organization)	Administrator · NOT APPLICABLE
Riverview Property Holdings, LLC (organization)	Administrator · NOT APPLICABLE
Vondal, Brooke (individual)	Administrator · NOT APPLICABLE
Wertheim, Bruce (individual)	Indirect Ownership Interest · NOT APPLICABLE
Flanagan, Michael (individual)	Managing Control - Governing Body · NOT APPLICABLE
Everest Management Solutions LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Flanagan, Michael (individual)	Operational/managerial Control · NOT APPLICABLE
Mathew, Stanley (individual)	Operational/managerial Control · NOT APPLICABLE
Vondal, Brooke (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of River Valley Nursing and Rehabilitation?

River Valley Nursing and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does River Valley Nursing and Rehabilitation have?

It has 44 certified beds and cares for about 31 residents per day.

Has River Valley Nursing and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns River Valley Nursing and Rehabilitation?

It is part of Beacon Health Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of River Valley Nursing and Rehabilitation?

(563) 332-4600. The facility is located at 17990 Spencer Road, Pleasant Valley, IA 52767.

Contact & location

Facility details