F684 in Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F684 more often than its own record predicts
Versus expected share1.21×
1.21 times the share F684 takes of citations nationally.
Share of Iowa citations5.18%
Of every deficiency written in Iowa in 2025, this is the portion that was F684.
Iowa5.18%
National4.29%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F684 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.
K · Immediate jeopardy, patternJune 3, 2026
Based on clinical record review, staff interview, observation, and facility policy review, the facility failed to conduct comprehensive, ongoing nursing assessment and interventions for 7 of 7 residents reviewed for significant changes of condition (Resident #2, #7, #93, #71, #41, #83, #94). Resident #2 fell out of bed on [DATE] striking his face on the floor sustaining injury. The resident was sent to the emergency room (ER) where a nose fracture was ruled out and he returned to the facility. The morning of [DATE] the resident complained of pain and transferred back to the ER returning with orders for 5 days of antibiotic medication to treat a diagnosed UTI (Urinary Tract Infection) with hematuria (blood in urine). …
Based on clinical record review, observations, staff and family interviews and facility policy review the facility failed to ensure 1 of 1 resident (Resident #7) reviewed had updated enteral flush orders. The facility also failed to ensure 1 of 3 residents (Resident #7) reviewed had accurate bowel records, document when a PRN was given and the outcome of the PRN, and staff failed to utilize additional PRN interventions when Resident #7 did not have a bowel movement from 8/2/2026 AM shift until 8/14/2026 at AM shift. This resulted in the resident going to the emergency room (ER) and admitted to the hospital with a diagnosis of a severe 9mm impaction without surgical intervention. …
D · No harm, potential for more than minimal, isolatedAugust 12, 2026
Based on policy, clinical record, and staff interview reviews, the facility failed to complete and document post-accident follow-up assessments after the initial evaluation for 2 of 3 sampled residents (Residents #3 and #5). The resident census was 111. Findings include:1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] documented diagnoses of non-Alzheimer's Dementia (brain decline), Parkinson's disease (neurological movement disorder), and depression (mood disorder). Resident #3's MDS showed a Brief Interview for Mental Status (BIMS) score of 5, indicating severely cognitively impaired cognition. …
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