Based on clinical record review, staff interview, and policy review, the facility failed to provide care and services for an insulin/[CONDITION(S)] dependent resident in accordance with professional standards of care for 1 of 1 insulin/[CONDITION(S)] dependents residents reviewed (Resident #21). The facility failed to thoroughly review the resident's hospital discharge summary and orders upon admission on 4/14/22, to meet the resident's needs. The resident failed to receive insulin for a day and a half and missed a [CONDITION(S)] treatment on 4/15/22 due to a lack of transportation. The resident experienced diabetic ketoascidosis (a serious diabetes complication) and transferred to the Emergency Department with a blood glucose reading in the 1000 range. …
F698 citations in Iowa
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F698 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F698 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 and resident interviews and facility policy review the facility failed to consistently complete pre and post dialysis assessments for Resident #4, and also failed consistently coordinate transportation to and from dialysis for Resident #4. The facility reported a census of 52 residents.Findings include: The Minimum Data Set (MDS) assessment for Resident #4 dated 7/14/26 listed diagnoses of below the knee amputation, end-stage renal disease (ESRD), multidrug-resistant organism (MDRO), and diabetes mellitus (DM). The Brief Interview for Mental Status (BIMS) for Resident #4 showed a score of 14 out of 15, which indicated intact cognition. …
Based on record review, staff interviews, and policy review the facility failed to ensure emergency services are provided for [CONDITION(S)] residents if the facilities local provider is unable to provide [CONDITION(S)] services for 1 of 1 residence reviewed (Resident #202). The facility Reported a census of 160 residents. Findings Include: Record review of a letter dated 3/01/2021 provided by the facility as their form of contract with their local [CONDITION(S)] Center lacked documentation of where resident #202 will receive [CONDITION(S)] if the facility is damaged in a disaster. Record review of Resident #202's current Care Plan on 4/05/2022 lacked documentation of where he will receive [CONDITION(S)] services if the local [CONDITION(S)] Center is damaged in a disaster. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 1.00% | 1.23× |
| 2024 | 0.79% | 1.05× |
| 2025 | 0.51% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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