Based on employee personnel record review, staff interview and policy review, the facility failed to ensure a thorough background check had been completed before hire prior to working with dependent adults for 1 of 3 staff personnel files reviewed. The facility reported a census of 78 residents. Findings include: On 5/18/26 at 1:06 PM, the Administrator reported in an email that Staff A, Certified Nursing Assistant (CNA) had a start date of 9/9/25. Review of the Iowa Criminal History Record Check Request SING form dated 9/3/25 revealed Staff A had a history of criminal convictions. The SING form did not contain further research documentation to confirm whether or not Staff A could work at the facility. …
F606 citations in Iowa
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F606 more often than its own record predicts
1.60 times the share F606 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F606.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F606 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 facility record reviews, agency employee personnel file reviews and interviews, the facility failed to assure temporary agency employees have an Iowa criminal background check and abuse registry checks completed prior to working in the facility for one of three temporary agency employees sampled (Staff C). The facility identified a census of 60. Findings include: 1. Review of the documentation of temporary agency employees assigned to the facility 5/9/18 through 5/29/18 revealed Staff C, licensed practical nurse (LPN) worked 5/9, 5/14, 5/15, 5/16, 5/19, 5/20, 5/23, 5/24, 5/26 and 5/27. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 3.58× |
| 2024 | 0.11% | 1.76× |
| 2025 | 0.08% | 1.60× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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