Based on resident interview, clinical record review, staff interviews, and policy review, the facility failed to complete an accurate comprehensive assessment for 1 of 1 resident (#29). The facility reported a census of 40 residents.Findings include:On 2/23/26 at 11:48 AM, Resident #29 stated she was hard of hearing and has been trying to get hearing aids but her insurance would not cover them.The Baseline Care Plan dated 3/27/25 revealed the resident was hearing impaired.The Care Plan dated 3/31/25 included a hearing deficit focus category and directed staff to validate the resident's message by repeating aloud.The Appointment Note dated 10/21/25 at 2:33 PM revealed the facility was waiting for the resident's Ear, Nose, and Throat (ENT) provider to supply a phone number for the facility… …
F636 citations in Iowa
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F636 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 F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F636 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 record review, staff interview, and policy review the facility failed to complete an Annual Minimum Data Set (MDS) assessment in the required timeframe for 1 of 1 resident reviewed (Resident #54). The facility reported a census of 101 residents. Findings include: Resident #54's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) of 8, indicating moderately cognitive impairment. The MDS included diagnoses of hypertension (high blood pressure), anxiety, quadriplegia (paralysis of all four extremities), type II diabetes, and schizophrenia (mood disorder that causes hallucinations and delusions). Resident #54 MDS Summary reviewed on 6/27/24 at 9:17 AM reflected an assessment reference date (ARD) for the annual MDS as 4/17/24. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 1.04× |
| 2024 | 0.32% | 1.11× |
| 2025 | 0.21% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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