Based on interview with staff, family and medical professionals, and record and policy review the facility failed to adequately plan for resident's discharge for 1 of 4 residents reviewed. Resident #1 was admitted to the facility after surgery to install a feeding tube. The facility failed to teach her how to use the feeding tube pump, and failed to ensure she had all the needed supplies and medications when she returned home. This failure resulted in the hospitalization of the resident related to dehydration, failure to thrive and urinary tract infection, therefore causing an Immediate Jeopardy to the health, safety and security of the residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of 1/1/24, on 1/10/24 at 9:57 AM. …
F660 citations in Iowa
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F660 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F660 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 interviews with facility staff and healthcare services, policy and record review the facility failed to ensure that follow up services and appointments were established before discharge for 1 of 3 residents reviewed. Resident #173 was discharged to a hotel without securing home health services or follow up appointments with the doctor. The facility reported a census of 22 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE] Resident #173 had a Brief Interview for Mental Status (BIMS) score of 15 (intact cognitive ability). He required partial assistance with showers or bath, supervision or touch assistance with toileting hygiene, dressing and applying footwear and transfers. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 1.01× |
| 2024 | 0.29% | 1.38× |
| 2025 | 0.04% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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