Based on record, policy review, and interview the facility failed to complete a discharge summary with a recapitulation of the residents stay, arrangements for support and follow up appointments, and medication reconciliation for 1 of 1 resident reviewed (Resident #42.) The facility reported a census of 41 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #42 was admitted to the facility on [DATE]. The resident had frequent pain, received scheduled pain medication and was taking an antidepressant. The Care Plan dated 11/22/24, revealed Resident #42, in part: Use of anti-depressant medications; Use of anti-anxiety medications; and Pain and discomfort related to a left hip fracture and use of as needed pain medications. …
F661 citations in Iowa
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F661 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F661 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 interview, the facility failed to complete a discharge summary including a recapitulation of stay for 1 of 3 discharged residents reviewed (Resident #117). The facility reported a census of 117 residents. The Census line portion of Resident #117's chart revealed the resident was admitted on [DATE] and discharged on [DATE]. The Progress Note dated 12/5/23 at 2:51 pm documented a note that the resident discharged from the facility on that date. Her advocate came and picked her up in a personal vehicle. All personal items, her medications, and treatments as well as a list of appointments were sent with her. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.14× |
| 2024 | 0.29% | 1.26× |
| 2025 | 0.04% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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