Based on clinical record review, resident interview, and staff interview, the facility failed to develop a baseline care plan that included diabetic monitoring and management for 1 of 3 resident reviewed for care planning (Resident #46).The facility reported a census of 43 residents.Findings include:Resident #46 was admitted to the facility on [DATE] with diagnoses that included Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease.The Physician Orders dated 08/20/2026 documented an active order for Insulin Glargine Subcutaneous Solution, inject 15 units subcutaneously in the morning related to Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease.The Baseline Care Plan initiated on 08/19/2026 lacked interventions and daily monitoring for the management of Type 2 Diabetes… …
F655 citations in Iowa
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F655 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F655 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 and staff interviews the facility failed to document the use of oxygen on the Baseline Care Plan (48 hour Care Plan) for 1 of 1 residents reviewed for oxygen use, (Resident #15). The facility reported a census of 35 residents Findings include: The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/23/2022 for Resident #15 documented she was admitted to the facility on [DATE] and used oxygen. Record review of a document titled Discharge Documentation dated 2/16/2022 for Resident #15 showed an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Record review on 4/27/2022 of Resident #15's Baseline (48 hour) Care Plan lacked documentation and instruction to staff for use of oxygen. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 0.52× |
| 2024 | 0.47% | 0.68× |
| 2025 | 0.34% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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