Based on observation, review of facility records, resident and staff interviews, and facility policy, the facility failed to ensure that residents and staff were adequately educated regarding the definition of a grievance, the grievance process, and the specific procedures for obtaining forms and filing grievances anonymously for 5 out of 5 residents interviewed (Residents #14, #19, #29, #31, and #33). The facility reported a census of 40 residents.Finding include:Observation on 7/8/26 at 2:37 PM, revealed that the facility failed to provide readily accessible grievance forms in a public area for residents.During an interview on 7/8/26 at 3:10 PM, Resident #14 reported an understanding of the definition of a grievance. …
F585 citations in Iowa
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F585 less often than its own record predicts
0.33 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F585 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 document review, policy review, and staff interview, the facility failed to utilize a grievance form to address missing resident items for 1 of 2 residents sampled (Resident #40). The facility reported a census of 44 residents. Findings include: Resident #40's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition. The MDS documented Resident #40 with adequate vision and hearing and able to understand others and be understood. The 1/23/25 Resident Council Meeting Note detailed Resident #40 missing a Black Iowa Select hooded sweatshirt. The 2/11/25 Resident Council Meeting Note documented Resident #40 continued to be missing a Black hooded Iowa Select sweatshirt. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.58× |
| 2024 | 0.22% | 0.34× |
| 2025 | 0.21% | 0.33× |
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