Based on clinical record review and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 1 of 1 residents reviewed who transferred to the hospital (Resident #2). The facility reported a census of 73 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #2 documented diagnoses of hypertension, diabetes mellitus, and seizure disorder. The MDS showed the Brief Interview for Mental Status (BIMS) score of 13 indicating no cognitive impairment. Review of Resident #2's Progress Notes revealed the following information: On 7/31/24 at 8:36 a.m. resident admitted to hospital. On 8/5/25 at 2:45 p.m. readmission from the hospital. On 1/12/25 at 11:57 p.m. resident transferred to emergency department. On 1/13/25 at 3:22 a.m. …
F623 citations in Iowa
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F623 more often than its own record predicts
1.14 times the share F623 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F623 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 clinical record review, interview, and policy review the facility failed to notify the Office of the State Long-Term Care Ombudsman of resident transfers to the hospital for 3 of 3 residents reviewed for hospitalizations (Residents #31, #43, #70). The facility reported a census of 74 residents. Findings include: 1. The Minimum Data Set (MDS) for Resident #31 dated 3/15/25 documented diagnoses including heart failure, renal failure, and non-rheumatic aortic (valve) stenosis with an admission date of 12/6/24. Clinical record review revealed the resident was transferred to the hospital on the following date: a. 2/19/25 at 8:25 PM 2. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 1.29% | 1.42× |
| 2024 | 1.48% | 1.45× |
| 2025 | 0.46% | 1.14× |
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