Based on observations, staff interviews, clinical record review, and policy review, the facility failed to address a resident's significant weight loss of 41 pounds or a 13.59% weight loss in 35 days (Resident #61). Resident #61 received 51% or more of his calories and 501 cc (cubic centimeters) per day or more of fluid intake via tube feeding. The facility also failed to notify the physician of residents' significant weight loss, seek orders to address the weight loss, and follow physician ordered interventions that addressed the loss for 2 residents (Resident #25, #45). The failure resulted for 3 of 7 residents reviewed for significant weight change and this situation resulted in an immediate jeopardy to health and safety of the residents. …
F692 citations in Iowa
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F692 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F692 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 clinical record review, staff interviews and policy review the facility failed to implement weight loss interventions in a timely manner for 2 of 3 residents reviewed (Resident #6 and #3) for weight loss. The facility reported a census of 34 residents. Findings include:1. Resident #6's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. The MDS identified Resident #6 required substantial or maximal assistance with eating. The MDS included diagnoses of non-Alzheimer's dementia (brain function decline) and Huntington's disease (neurodegenerative disorder). …
Based on clinical record review, staff interview and policy review the facility failed to assess for cause and notify the primary care physician (PCP) and family of a significant weight loss for 1 of 2 resident (Resident #8) assessed for weight loss. The facility reported a census of 44 residents.Findings include:Resident #8's Minimum Data Set (MDS) assessment dated [DATE] documented Resident #8 entered the facility on 5/29/26. The MDS documented a weight of 182 pounds (lbs.). The MDS identified Resident #8 experienced a significant weight loss (a loss of 5% or more in the last month or 10% or more in the last 6 months) and didn't receive a physician-prescribed weight loss regimen. Resident #8's Care Plan lacked interventions related to weight loss. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 0.56× |
| 2024 | 0.69% | 0.58× |
| 2025 | 0.72% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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