Based on clinical record review, staff interview, and the Resident Assessment Instrument User's Manual (RAI Manual) the facility failed to ensure a comprehensive Significant Change in Status Assessment (SCSA) was completed within 14 days of a resident admitting to hospice services for 1 of 3 residents (#5). The facility reported a census of 47 residents.Findings include:Resident #5's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 01 out of 15 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia, psychotic disorder, and unspecified dementia without behavioral, psychotic, mood, or anxiety. …
F637 citations in Iowa
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F637 more often than its own record predicts
2.99 times the share F637 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F637 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, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to complete a Minimum Data Set (MDS) Significant Change in Condition Assessment (SCSA) for 1 of 1 residents reviewed for bowel and bladder (Resident #3). The facility identified a census of 40 residents.Findings include:A Quarterly Nursing Assessment Progress Note dated 1/07/25 at 10:25 PM documented Resident #15 utilized the toilet to void, was always incontinent of urine and occasionally incontinent of bowel and required extensive assistance from staff for personal hygiene.Resident #3 1/08/25 Annual MDS Assessment showed a Brief Interview for Mental Status (BIMS) score of 15/15 indicating intact… …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.65% | 2.11× |
| 2024 | 0.76% | 3.38× |
| 2025 | 0.72% | 2.99× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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