Based on record review, staff and family interviews the facility failed to ensure resident rights were met due to a resident was not allowed to have family visit during the end of life for 1 of 2 (Resident #1) residents reviewed. The facility reported a census of 46 residents. Findings include: The quarterly Minimum (MDS) data set [DATE] for Resident #1 revealed the resident scored ,[DATE] for her Brief Interview of Mental Status, which indicated she was cognitively intact. The resident required extensive assist of 1 person for bed mobility, transfers, dressing and toileting and independent with eating with set up help only. The MDS revealed she weighed 133 pounds and did not have a significant weight loss or gain. …
F561 citations in Iowa
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F561 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F561 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 record review, resident interview, staff interview, and policy review, the facility failed to ensure a resident had the right choose his activity of roaming the facility for 1 of 4 residents reviewed for resident rights (Resident #1). The facility reported a census of 39 residents.Findings include:The Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #1 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition.Review of Resident #1's Care Plan focus area dated 9/3/24, revised on 8/18/25, revealed the resident experiences wandering. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 0.45× |
| 2024 | 0.18% | 0.44× |
| 2025 | 0.25% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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