Based on observation, record review, and staff interview, the facility failed to provide adequate Cardiopulmonary Resuscitation (CPR), to a resident requiring CPR prior to the arrival of Emergency Medical Services (EMS) personnel for 1 resident (Resident #1). Resident #1 had requested CPR and was not breathing and had no pulse. Staff performed some compressions, but failed to perform airway resuscitation, and failed to continue the compressions until EMS took over. The facility had a crash cart and back board to perform CPR, but staff failed to utilize the available resources. EMS started CPR when they arrived and transported the resident to the hospital. This failure resulted in Immediate Jeopardy to the health, safety, and security of the resident. …
F678 citations in Iowa
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F678 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F678 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 facility document review, Facility Assessment review and staff interviews the facility failed to provide sufficient nursing staff with appropriate competencies and skill sets by not having a staff on duty at the facility trained in cardiopulmonary resuscitation (CPR) at all times. The facility reported a census of 28 residents.Findings include: On [DATE] at 11:03 AM the DON stated there was nothing available for CPR certification on any staff at the facility. The DON explained there was no list for CPR certified staff and no way Staff O planned 24 hour CPR coverage at the facility. The DON stated Staff O thought as long as a nurse was present that nurse was CPR certified. …
Based on facility record review and staff interview, the facility failed to ensure availability of a staff member certified with cardiopulmonary resuscitation (CPR) for each shift. The facility reported a census of 26 residents. Findings include: 1. Review of the Daily Assignment sheets dated [DATE] - [DATE] indicated four night shifts lacked a scheduled staff member certified in CPR. Those night shifts included ,[DATE], ,[DATE], ,[DATE], and [DATE]. Review of the CPR list provided by the facility indicated Staff C, Registered Nurse's CPR expired in (MONTH) 2019. In an interview on [DATE] at 9:23 a.m., the Director of Nursing (DON) verified Staff C's CPR expired in (MONTH) 2019. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.31× |
| 2024 | 0.11% | 0.52× |
| 2025 | 0.08% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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