Based on clinical record reviews and staff interviews, the facility failed to meet professional standards and practices as documentation was intentionally falsified and clinical records removed for 2 of 8 residents reviewed. (Resident #1, #2) The facility reported census was 81. Findings include: 1. According to a Quarterly Minimum Data Set (MDS) with a reference date of 10/23/24, Resident #1 had a Brief Mental Status (BIMS) score of 0 which indicated a severely impaired cognitive status. Resident #1 required moderate to maximal assistance with transfers, mobility, dressing, toilet use and personal hygiene needs and was frequently incontinent of bladder and occasionally incontinent of bowel. Resident #1's diagnosis included Non-Alzheimer's dementia. In an interview on 1/9/25 at 3:49 p.m. …
F642 citations in Iowa
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F642 more often than its own record predicts
7.61 times the share F642 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F642 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, policy review, and staff interview, the facility inaccurately coded a significant weight gain on the Minimum Data Set (MDS) assessment for 1 of 2 residents reviewed (Resident #48) for resident assessment. The facility identified a census of 83. Findings include: The Minimum Data Set (MDS) Assessment, dated 6/23/21, showed the dietician coded a significant weight gain (defined as a 5% weight gain in the past 30 days or 10% weight gain in the past 180 days) in section K0310. The Dietician coded K0310, Yes (significant weight gain), not on a physician-prescribed weight-gain regimen. The Weights and Vitals Summary record, provided by the facility, for Resident #42 showed the following weight changes: 1. 6/18/21 135.4 pounds. 2. 6/4/21 133.0 pounds. 3. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2024 | 0.04% | 2.00× |
| 2025 | 0.04% | 7.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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