Based on record review, staff interview and facility policy review, the facility failed to properly screen all contracted agency staff employees to ensure eligibility to work to prevent abuse. A concern was identified when (Resident #1) expressed concern regarding an agency staff during the night shift. There were 4 agency staff (Staff L, N, O, P) who did not have complete background checks. The facility identified a census of 78 residents. Findings include: 1. A Minimum Data Set (MDS) assessment form dated 6/26/18 indicated Resident #1 had [DIAGNOSES REDACTED]. …
F607 citations in Iowa
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F607 more often than its own record predicts
1.22 times the share F607 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F607 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 interviews, record review and policy review the facility failed to prevent retribution to a resident and a staff member for 1 of 3 residents (Resident #1). Resident #1 reported that a male Certified Nurse Aide (CNA) sexually abused her. After the facility learned of the allegations on 10/24/23, they discharged Resident #1 to a homeless shelter on 10/25/23 with only approximately 30 minutes to pack. In addition, Staff P reported that the facility suspended her after she confronted the Administrator regarding the need to report the abuse. The facility suspended Staff Q from work for not reporting abuse within 2 hours after she learned about the allegation. At the time she reported the allegation, the facility already knew from other staff. …
Based on personnel file review, facility policy review, and staff interview, the facility failed to ensure all employees had a criminal and abuse registry background checks completed prior to the start of employment for 1 of 7 employee files reviewed. The facility identified a census of 59 residents. Findings include:Review of a New Hire Date report dated 1/1/26 to 7/18/26 revealed Staff K, former Administrator had a hire date of 6/8/26. Review of Staff K's personnel file confirmed a hire date of 6/8/26, and found no documentation that a criminal and abuse registry background check had been completed. During an interview on 7/15/26 at 3:06 PM, Staff P, Human Resources (HR)/Corporate Compliance stated Staff K did not have a SING (Single Contact Repository) background check completed. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 1.10× |
| 2024 | 0.94% | 1.24× |
| 2025 | 0.80% | 1.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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