Based on the Resident's Rights policy/procedure, facility incident report, resident, and staff interview the facility failed to treat a resident with respect and dignity in a manner that promoted maintenance or enhancement of his or her quality of life for 1 out of 3 residents reviewed (Resident #1). On 1/18/26 at 2:00 AM, Resident #1 requested not to be checked and changed when Staff A, Certified Nursing Assistant (CNA), came into their room. Staff A, did not grant this request and proceeded to check Resident #1 against their wishes. Staff A put their hand in between Resident #1's thighs to check to see if they soiled their brief. Following the situation, Resident #1 became fearful of Staff A, and caused Resident #1 to have trouble sleeping during the night. …
F550 citations in Iowa
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F550 more often than its own record predicts
2.00 times the share F550 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F550 findings written in Iowa, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations, facility policy review and staff interview, the facility failed to provide a dignified dining experience when staff sitting at the table engaged in personal conversation while assisting 1 of 5 residents (Resident #33) with eating. The facility reported a census of 36 residents.Findings include: Review of Resident #33's Minimum Data Set (MDS) dated [DATE], revealed the diagnosis list included multiple sclerosis and paralytic syndrome (loss of muscle function or severe muscle weakness caused by disruptions in brain-muscle communication). …
Based on observation, policy review, and interview, the facility failed to ask seven of seven residents (Resident (R) 9, R12, R15, R16, R18, R34, R38) that ate their meals in the assisted dining room if they would like to use a clothing protector during the lunch meal before placing a clothing protector on each resident. This affected seven residents who ate in one of two dining rooms. The facility reported a census of 44. Findings include: On 8/19/19, the Surveyor noted that the facility had two dining areas, a main dining area for residents who either ate independently or required very little assistance, and an assisted dining area for residents who were dependent or required extensive assistance by a staff member to complete their meals. Observation on 8/19/19 at 12:00 p.m. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 3.18% | 1.54× |
| 2024 | 4.62% | 2.11× |
| 2025 | 4.26% | 2.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction