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. …
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.
Against expectation — 2025
Iowa cites F638 more often than its own record predicts
1.47 times the share F638 takes of citations nationally.
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.
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 short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.31× |
| 2024 | 0.29% | 1.67× |
| 2025 | 0.17% | 1.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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