Based on observation, record review, and interview, the facility failed to ensure staff provided range of motion (ROM) (joint movement exercises) to maintain functional status and prevent joint contractures (permanent tightening of muscles or joints) for 1 of 2 residents reviewed for restorative care (Resident #37). The facility reported a census of 68 residents. Findings included:Resident #37's MDS assessment dated [DATE] listed diagnoses including cancer (malignant growth), age-related debility (weakness from aging), and adult failure to thrive (decline in physical and cognitive function). Resident #37's MDS documented impairment in ROM on both sides of upper and lower extremities and a Brief Interview for Mental Status (BIMS) score of 7, indicating severely impaired cognition. …
F688 citations in Iowa
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F688 more often than its own record predicts
1.32 times the share F688 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F688 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, record review, staff interview, and facility policy review the facility failed to implement an individualized program for application of a hand splint, failed to care plan for use of a hand splint, and clarify OT recommendations for use of a splint to prevent a potential decrease in range of motion for 1 of 1 resident reviewed with a splint (Resident #57). The facility identified a census of 62 residents. Findings include: Resident #57's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating cognitively intact status. Resident #57 had a diagnosis of cerebrovascular accident (CVA) and hemiplegia or hemiparesis (weakness/paralysis of one side of the body). …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 0.89× |
| 2024 | 0.90% | 1.02× |
| 2025 | 1.05% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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