Deficiency Index

F638 citations in Iowa

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F638 in Iowa. Pick another state for the same tag.

Against expectation — 2025

Iowa cites F638 more often than its own record predicts

Versus expected share1.47×

1.47 times the share F638 takes of citations nationally.

Share of Iowa citations0.17%

Of every deficiency written in Iowa in 2025, this is the portion that was F638.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Iowa surveyors wrote

F638 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.

D · No harm, potential for more than minimal, isolatedJuly 15, 2026

Based on record review, staff interviews and the Resident Assessment Instrument (RAI) manual the facility failed to complete the quarterly Minimum Data Set (MDS) assessment in the required timeframe for 1 of 1 residents reviewed (Resident #34). The facility reported a census of 43 residents. Findings include:Resident #34's Minimum Data Set (MDS) assessment report in the Electronic Health Record (EHR) documented completion of the last MDS assessment on 3/4/26. The MDS report showed the facility didn't complete the current quarterly MDS assessment. On 7/13/26 at 10:20 AM, the MDS Coordinator reported the tracking system in the EHR didn't exist, causing the facility to miss the quarterly MDS. …

Oakview Nursing Home

B · No harm, potential for minimal, patternMarch 3, 2022

Based on clinical record reviews, Resident Assessment Instrument (RAI) Manual, and staff interviews, the facility failed to set an assessment reference date (ARD) for the next quarterly Minimum Data Set (MDS) assessment due within 92 days from the last MDS assessment completed, failing to complete the quarterly assessment for 2 of 2 residents (Resident #1 and #2) sampled. The facility identified a census of 60 residents. Findings include: 1. The MDS tracking screen in the electronic record system (EHR) for Resident #1 documented the last completed MDS assessment as a quarterly assessment dated ,d+[DATE]/ 21. The Tracking screen showed the next quarterly assessment due as of 1/20/22, 26 days overdue. 2. …

The Highlands

The short window

Recent years

YearShare of Iowa citationsvs expected
20230.29%1.31×
20240.29%1.67×
20250.17%1.47×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Iowa surveyors cite →

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