Based on clinical record review, facility policy, and staff interview, the facility failed to submit a new preadmission screening and resident review (PASRR) level 1 screening as required for 1 of 20 residents screened (Resident #32). The facility reported a census of 49. Findings include: The Annual Minimum data set (MDS) for Resident #32, dated 08/02/2024, documented a brief interview for mental status score (BIMS) score of 11, indicating moderate cognitive impairment. It recorded the following relevant diagnoses: stroke, non-Alzheimer's dementia, hemiparesis, seizure disorder, depression, and psychotic disorder. …
F646 citations in Iowa
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Iowa cites F646 more often than its own record predicts
1.54 times the share F646 takes of citations nationally.
Of every deficiency written in Iowa in 2024, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F646 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.
What else Iowa surveyors cite →
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