Based on facility document review, observations, resident council notes review, staff, family and resident interviews and facility policy review the facility failed to ensure they provided a safe and sanitary environment for their residents. The facility reported a census of 33 residents. Findings include:Review of the Resident Council Notes revealed during the 6/30/2026 meeting residents have found dog poop on the floor. During the 7/28/2026 meeting residents stated housekeeping is not always here, it's ok but it's not good either and the Administrator's dog was still in the facility.Observations on 8/12/2026 at 10:18 AM revealed the following:-water stains throughout the carpeted areas on the 100, 200 and 300 halls,-room [ROOM NUMBER] did not have a transition strip between the room's… …
F584 citations in Iowa
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F584 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F584 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 observation, the facility failed to assure residents resided in a clean, sanitary and homelike atmosphere. The facility identified a census of 50 residents. Findings include: An observation 6/17/22 at 10:11 a.m. revealed the following: a. Room 19 - The paint on the inside of the bathroom door scraped off of the door and peeling, the paint by the light switch and door jam peeled away. b. Room 3 - The paint on the bathroom ceiling bubbled and peeled away, the paint bubbled 1/2 way down the wall and a build up of a brown and black substance along the base of the toilet. c. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 2.18% | 0.98× |
| 2024 | 1.48% | 0.69× |
| 2025 | 1.77% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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