Based on clinical record review and staff interviews the facility failed to update a pre-admission screening and resident review (PASARR) for one out of one resident reviewed with change in psychiatric diagnosis (Resident #8). The facility identified a census of 34 residents. Findings include:The Minimum Data Set (MDS) assessment for Resident#8 dated 4/8/26 listed diagnoses of anxiety disorder, depression and bipolar disorder. The MDS indicated Resident #8 was not a level 2 for PASSR for serious mental conditions. Review of the preadmission screening and resident review completed 1/5/24 prior revealed a level I outcome and failed to include the diagnosis of bipolar disorder. …
F644 citations in Iowa
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F644 more often than its own record predicts
2.45 times the share F644 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F644 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 an electronic health record (EHR) review, policy review, and staff interview, the facility failed to submit a new Preadmission Screening and Resident Review (PASRR) assessment for 1 of 1 resident reviewed (Resident #14). The facility reported a census of 42 residents. Findings include: Resident #14 Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 3 indicating severe cognitive impairment. The MDS included diagnoses of Alzheimer's disease, Schizophrenia, and Depression. Resident #14 current PASRR Level 1 Screening Outcome dated 3/2/2022 reflected a PASRR Level 1 outcome referral for a Level II onsite visit. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 2.24% | 3.13× |
| 2024 | 1.98% | 3.11× |
| 2025 | 1.56% | 2.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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