Based on clinical record review, policy review, and resident and staff interviews, the facility failed to ensure Resident#32 received diabetic shoes as ordered by the physician on 7/10/24 to maintain good foot health and to prevent complications for a resident with a known history of bilateral foot diabetic ulcers. The failure continued throughout July and an encounter note on 7/26/24 recorded the resident required diabetic shoes due to a history of type 2 diabetes mellitus with foot ulcer and neuropathy (nerve damage). the facility failed to follow up with a shoe vendor to ensure the shoes ordered. On 8/26/24 the resident expressed a desire for the diabetic shoes and on 8/30/24, the facility identified the resident had developed a foot ulcer. …
F687 citations in Iowa
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Iowa cites F687 less often than its own record predicts
0.19 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2024, this is the portion that was F687.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F687 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 observation, clinical record review, Facility Assessment review, resident and staff interview, the facility failed to provide routine podiatry services for 1 of 5 residents (Resident #16) reviewed for foot care. The facility reported a census of 25 residents. Findings include:Review of Resident #16's Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The list of diagnoses included diabetes mellitus, congestive heart failure, respiratory failure, and morbid obesity.During an interview on 7/06/26 at 12:42 PM, Resident #16 stated she does not see podiatry often enough and said because she is diabetic not just anyone can take care of her toenails. …
What else Iowa surveyors cite →
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