All states › Iowa › Pleasant Valley › River Valley Nursing and Rehabilitation
17990 Spencer Road Pleasant Valley, IA 52767 · Scott County
CMS certification number 165376 · See this home on Medicare Care Compare
Is River Valley Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for River Valley Nursing and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.26 hours per resident per day at River Valley Nursing and Rehabilitation, below the Iowa median of 3.76 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 2.92 hours, 11% below its all-week average. 50% of nursing staff left within a year (Iowa median 41.7%). 2 administrators left in the past year.
About this nursing home
Paying for care at River Valley Nursing and Rehabilitation: Medicare and Medicaid
River Valley Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 20, 2026 and found 4 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at River Valley Nursing and Rehabilitation across 9 inspection dates, 27 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on February 11, 2025. The most common areas cited were quality of life and care (10) and nutrition and dietary (8). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, February 11, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 6 citations · includes complaint inspection
FHave 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.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide and implement an infection prevention and control program.
June 10, 2026 · 3 citations · includes complaint inspection
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
November 18, 2025 · 1 citation · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 21, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
May 14, 2025 · 1 citation · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
February 11, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
October 24, 2024 · 1 citation · includes complaint inspection
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
September 9, 2024 · 18 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
DEnsure 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
November 21, 2023 · 6 citations · includes complaint inspection
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
Questions to ask on a tour of River Valley Nursing and Rehabilitation
- Inspectors cited the home at the actual-harm level on February 11, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 20, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 2/5 |
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Location
Hospitals near River Valley Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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5.1 mi
Trinity Bettendorf BettendorfEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 25m for patients treated and sent home
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5.1 mi
Genesis Medical Center Illini Campus SilvisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 15m for patients treated and sent home
- 5.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.