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. …
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.
Against expectation — 2025
Iowa cites F676 more often than its own record predicts
1.14 times the share F676 takes of citations nationally.
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.
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. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 0.83× |
| 2024 | 0.29% | 0.80× |
| 2025 | 0.34% | 1.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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