Based on Electronic Health Record (EHR) review, staff interview, and policy review, the facility failed to refer a resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who had an identified mental disorder, intellectual disability or other related condition that was not addressed on the PASRR completed prior to admission to the facility, to the appropriate state-designated authority for Level II PASRR evaluation and determination for Resident #3. The facility failed to refer Resident #3 to the PASRR appropriate state-designated authority for Level II PASSR evaluation and review for determination when a new antidepressant medication was started. …
F645 citations in Iowa
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F645 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F645 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 and staff interview, the facility failed to submit a significant change PASRR (Preadmission Screening and Resident Review) evaluation for 1 of 2 residents reviewed (Resident #17) for PASRR evaluations. The facility reported a census of 60 residents. Findings include: The Level I PASRR dated 3/18/20, section Mental Illness question #1 asked if the resident had any of the following Major Mental Illnesses (MMI). The facility's documentation indicated no the resident didn't have a MMI. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.61× |
| 2024 | 0.14% | 0.23× |
| 2025 | 0.21% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction