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Statistics for Iowa (Last 12 Months)

413
Total Providers
998
Total Inspections in the last 12 months
Information
This includes all types of inspections: standard annual surveys, life safety code surveys, re-surveys, complaint investigations, and follow-up inspections.
85.5%
Providers with Citations in the last 12 months
Information
Among all providers that received one or more inspections in the last 12 months, this represents the percentage that received at least one citation of any severity level.
8%
Providers with Serious Citations in the last 12 months

Financial Impact (Last 12 Months)

$203,060
Maximum Single Fine
$36,635
Median Fine
76
Max Payment Suspension Days
14
Median Suspension Days

Some of the Latest Corrective Actions taken by Facilities in Iowa

  • Staff education was provided to ensure all staff and departments are aware that oxygen equipment cannot be on residents or in the designated smoking area while residents smoke. (J - F0689 - IA)
  • Facility educated Resident #32 and other residents who smoke that oxygen equipment cannot be with them while smoking. (J - F0689 - IA)
  • Facility posted signs near the exit to the designated smoking area and the front entrance for visitors, stating that oxygen use is not allowed while smoking. (J - F0689 - IA)
  • Facility planned audits for compliance to ensure oxygen equipment is not present in the designated smoking area while residents are smoking, with any concerns to be reported to the Administrator immediately and addressed in the facility Quality Assurance meeting. (J - F0689 - IA)

Latest Citations in Iowa

Where do we get this info
Information
Our data comes from the CMS latest release (July 30, 2025) and state websites, both sourced from public records.
Failure to Administer Scheduled Morphine Due to Lapsed Order Renewal
G
F0658
Short Summary

A resident with severe cognitive impairment and chronic pain did not receive scheduled morphine for 11 days after a durational order was not renewed or sent to the pharmacy following a provider review. The medication remained active on the MAR, but no new script was generated, leading to withdrawal symptoms and an ER visit. Staff interviews confirmed the lapse was due to failure to renew the order and lack of follow-up on the provider's documentation.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Update and Communicate Resident Transfer Requirements Leads to Injury
D
F0689
Short Summary

A resident with a history of falls and recent changes in transfer needs was transferred by only one CNA, despite the care plan requiring two-person assistance. The CNA relied on an outdated care sheet in the room, resulting in the resident sustaining a toe injury during the transfer. The incident was due to a lack of updated and accessible care plan information for staff.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Prescribed Mechanically Altered Diet
D
F0805
Short Summary

A resident with severe cognitive impairment and a history of weight loss was served a regular diet meal with large, tough meat chunks instead of the prescribed mechanically altered diet with ground meats. Staff identified the inconsistency during feeding, and interviews revealed confusion over dietary orders contributed to the error, as the meal did not meet the requirements for a mechanically soft diet.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Notify Provider of Change in Condition for Resident with Hyperglycemia and Tachycardia
D
F0684
Short Summary

A resident with diabetes, stroke, and aphasia experienced persistently high blood glucose and elevated heart rate over several days without timely provider notification or additional insulin administration. Nursing documentation was lacking, and staff did not escalate care until the resident's condition became critical, resulting in hospitalization for DKA, sepsis, and pneumonia.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Adequate Supervision and Follow Care Plan Results in Resident Fall
D
F0689
Short Summary

A resident with severe cognitive impairment and a history of falls, who required substantial assistance with transfers and toileting, was left to ambulate independently from the bathroom, resulting in a fall and injury. Staff were inconsistent in following the care plan, and there was confusion regarding the resident's required level of assistance. The care plan was not updated to reflect the resident's current needs, and staff did not provide the supervision necessary to prevent the accident.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Update PASRR Following New Mental Health Diagnoses
D
F0644
Short Summary

A resident with a history of psychiatric and mood disorders, who was prescribed multiple psychotropic medications and developed new diagnoses including bipolar and paranoid personality disorder, did not have their PASRR updated to reflect these changes. Staff interviews indicated uncertainty about when the new diagnoses were received and acknowledged that PASRR updates were expected but not completed. Facility policy required PASRR updates for residents with mental illness, but this was not followed.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Follow Infection Control Guidelines During Resident Care
D
F0880
Short Summary

Staff failed to follow infection control protocols during care for three residents, including an LPN who did not change gloves or perform hand hygiene between tracheostomy and gastrostomy care, and left and re-entered a resident's room wearing the same gown. The same LPN also did not sanitize hands between glove changes during a wound dressing change for another resident. Additionally, a CNA did not wear a gown while providing catheter care to a resident with an indwelling device, despite EBP signage and available PPE.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Timely Notify Family After Resident Fall
D
F0580
Short Summary

A resident with severe cognitive impairment and a history of falls was found on the bathroom floor by staff and assessed for injuries after a fall. Although the resident's family should have been notified promptly, the nurse did not inform them until the following day, contrary to facility policy requiring timely family notification after such incidents.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Timely Arrange Dermatology Referral for Resident with Skin Lesion
D
F0658
Short Summary

A resident with a facial lesion diagnosed as basal cell carcinoma did not receive a timely dermatology appointment after a physician's referral order. Despite the order being signed and the family notified, there was a two-month delay before the appointment was scheduled, with no documentation of efforts or reasons for the delay. Staff later discovered the initial referral was denied by insurance and only then sent a second referral, but the timing of this was not documented. Both the resident and her daughter reported no contact from the dermatology office.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Identify and Document Resident Bruising
D
F0684
Short Summary

A resident with severe cognitive impairment and a history of falls and skin picking developed multiple undocumented bruises that were not identified or assessed according to care plan directives and facility policy. Despite photographic evidence of bruising, staff failed to document or communicate these findings, resulting in missed interventions and incomplete records.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

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