Deficiency Index

F676 citations in Iowa

Activities of daily living · Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F676 in Iowa. Pick another state for the same tag.

Against expectation — 2025

Iowa cites F676 more often than its own record predicts

Versus expected share1.14×

1.14 times the share F676 takes of citations nationally.

Share of Iowa citations0.34%

Of every deficiency written in Iowa in 2025, this is the portion that was F676.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Iowa surveyors wrote

F676 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.

G · Actual harm, isolatedMay 12, 2022

Based on observations, clinical record reviews, and staff interviews the facility failed to maintain, restore, or improve the functional ability of a residents's range of motion (ROM) for 3 of 4 residents reviewed (Residents #21, #23, and #45). On 1/4/21, Resident #45 went to a specialty hospital clinic due to pain in their right shoulder with a right upper extremity contracture. The specialty hospital identified Resident #45 couldn't continue private outpatient physical therapy in October 2020 due to the novel Coronavirus 2019 (COVID) outbreak. The facility failed to provide Resident #45 a restorative nursing ROM during that time to maintain their ability and/or prevent a decline. …

Exira Care Center

E · No harm, potential for more than minimal, patternJune 25, 2026

Based on Electronic Health Record (EHR) review, resident interviews, staff interviews, and policy review the facility failed to provide restorative services to maintain or improve residents abilities for 6 of 19 residents reviewed (Resident #12, #18, #19, #3, #4, and #23). The facility reported a census of 19.Findings include:1. The Minimum Data Set (MDS) dated [DATE] for Resident #12 documented a Brief Interview for Mental Status (BIMS) of 11 indicating moderate cognitive impairment. The MDS also documented diagnoses of age-related physical debility, generalized muscle weakness, abnormalities of gait and mobility and a need for assistance with personal care.Review of the residents EHR documented no restorative documentation. …

Accura Healthcare of Creston

The short window

Recent years

YearShare of Iowa citationsvs expected
20230.29%0.83×
20240.29%0.80×
20250.34%1.14×

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