Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Iowa Veterans Home during CMS and state inspections, most recent first.
Staff failed to use wheelchair foot pedals during transport for two residents with severe cognitive and physical impairments, resulting in one resident abruptly stopping the wheelchair with their feet and another being pushed with feet skimming the floor, despite facility policy requiring foot pedals for safety.
A resident with severe cognitive impairment and multiple diagnoses was given PRN lorazepam for anxiety and agitation beyond 14 days without documented rationale or periodic re-evaluation. The facility's policy required such documentation and re-evaluation, but it was not provided, leading to a deficiency.
Failure to Use Wheelchair Foot Pedals During Resident Transport
Penalty
Summary
Facility staff failed to ensure safe wheelchair transportation for two residents with severe cognitive impairment and significant physical limitations. In one instance, a resident who was dependent on staff for all transfers and used a wheelchair for mobility was transported out of the dining room without foot pedals attached to the wheelchair. As the staff member pushed the resident over a threshold, the resident abruptly put both feet down on the floor, stopping the wheelchair's forward motion. The staff member then left to retrieve and apply the foot pedals before continuing transport. In another instance, a resident with hemiparesis and traumatic brain injury, who required staff assistance for transfers and used a wheelchair, was observed being pushed by a registered nurse without their feet placed on the foot pedals, even though the pedals were attached but folded away. The resident's feet skimmed over the floor during transport. Both staff and the Nursing Services Director confirmed that facility policy required foot pedals to be used during wheelchair transport to keep residents' feet off the floor, and this expectation was documented in the facility's Standards of Care.
Failure to Document Rationale for Continued PRN Psychotropic Medication
Penalty
Summary
The facility failed to provide a documented rationale for the continued use of a PRN psychotropic medication for a resident beyond 14 days. Resident #87, who had severe cognitive impairment and multiple diagnoses including non-Alzheimer's dementia, Parkinson's disease, depression, bipolar disorder, and impulse disorder, was receiving lorazepam for anxiety and agitation. The facility's care plan required a gradual dose reduction review, but the clinical records showed that the PRN lorazepam order was extended multiple times without proper documentation or evaluation for continued need. The facility staff, including the RN Nurse Clinician and the RN Nursing Service Director, confirmed that the medication orders were extended indefinitely due to the resident receiving hospice services, but no documented rationale from the prescribing provider was provided to justify this extension. The facility's policy on antipsychotic and psychoactive drug protocol required that psychotropic medications be given only when necessary to treat a specific diagnosed and documented condition, and that PRN psychotropic medications not be extended beyond 14 days unless deemed appropriate by the prescriber. Despite this policy, the facility could not provide documentation from the prescribing provider to support the continued use of lorazepam for Resident #87. Additionally, there was no evidence of periodic re-evaluation of the medication regimen to determine the continued need for the medication, leading to a deficiency in the facility's compliance with regulatory requirements.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 117 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Marshalltown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmony Marshalltown | 2.5 mi | ★★★★★ | 18 | 0 |
| Accura Healthcare Of Marshalltown | 2.6 mi | ★★★★★ | 14 | 0 |
| Southridge Specialty Care | 2.9 mi | ★★★★★ | 0 | 0 |
| Oakview Nursing Home | 12.4 mi | ★★★★★ | 1 | 0 |
| State Center Specialty Care | 12.4 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Iowa Veterans Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.