Based on clinical record review, staff interviews, and the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual the facility failed to submit a quarterly assessment within the required time frame for 1 of 2 residents reviewed (Residents #38). The facility reported a census of 33 residents. Findings include: During the annual recertification survey a review of the clinical records for Resident #38 revealed the Minimum Data Set (MDS) quarterly assessment dated [DATE] was completed on 05/22/2026. It was not marked as submitted. …
F640 citations in Iowa
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F640 more often than its own record predicts
1.74 times the share F640 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F640 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 interviews and Resident Assessment Instrument (RAI) manual review, the facility failed to transmit 5 Minimum Data Set (MDS) assessments for 1 of 12 residents viewed (Resident #50). The facility reported a census of 45 residents. Findings include:Resident #50's Minimum Data Set (MDS) Clinical report printed 7/6/26 reflected the following completed assessments:Quarterly MDS dated [DATE]Discharge Return Anticipated MDS dated [DATE]Entry MDS dated [DATE]Annual MDS dated [DATE]Quarterly MDS dated [DATE]The form lacked the accepted status to show the facility transmitted (sent electronically) the MDS assessments. Resident #50's Assessment History dated 11/19/25 listed a completed status. The form identified staff never added the assessment to a batch (file group). …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 1.82× |
| 2024 | 0.43% | 1.33× |
| 2025 | 0.51% | 1.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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