Based on observation, clinical record review, staff interview, and facility policy/procedure review at the time of the investigation, the facility failed to intervene timely for a resident who needed had a change in condition following a fall on 2/3/25 for 1 of 4 residents reviewed (Resident #2). At Resident #2's admission in December 2024, he came to the facility with a repaired fractured right hip due to a fall at home. Due to his cognition, he frequently forgot he previously had a hip fracture and would frequently transfer by himself. On 2/3/25, he had an unwitnessed fall. When the nurse assessed him, he reported pain to his right hip. After the nurse's assessment, 2 Certified Nurse Aides (CNAs) assisted Resident #2 from the floor and back into bed. …
F713 citations in Iowa
Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F713 more often than its own record predicts
9.79 times the share F713 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F713.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F713 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, policy review, and staff interview, the facility failed to provide emergency services in a timely manner (Resident #8). The facility reported a census of 49 residents. Findings included: The Minimum Data Set (MDS) assessment tool, dated 1/17/25, listed diagnoses for Resident #8 which included bipolar disorder, anxiety, and depression and listed the resident's Brief Interview for Mental Status (BIMS) score as 14 out of 15, indicating intact cognition. The MDS stated the resident had no behaviors during the review period. …
What else Iowa surveyors cite →
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