Based on clinical record review, observations, staff interviews, and review of the facility assessment, the facility failed to ensure one of five Certified Nursing Assistants (CNA's) (CNA 2) was competently trained to report changes in one resident's skin immediately (Resident #171) to the Charge Nurse. In addition, the facility failed to ensure the Director of Nursing (DON) completed a Skin Assessment using basic competencies, including observing all areas of the resident's skin. These failures resulted in the resident experiencing actual harm (delay in treatment to a newly acquired wound.). (Cross Reference F686). The facility reported a census of 82 residents. Findings Include: 1. …
F726 citations in Iowa
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F726 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F726 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, facility policy review, personnel file review and staff interviews, the facility failed to ensure that a staff who changed positions from a dietary employee to a certified nursing assistant completed orientation and demonstrated skill competencies prior to working independently with residents. The facility reported a census of 43 residents.Findings include:Review of a facility's self-reported incident submitted on 3/26/26 described a fall experienced by Resident #6 while being transferred without the use of a gait belt by one staff [Staff E, Certified Nursing Assistant (CNA)]. The fall resulted in fracture that required a surgical repair. Review of Resident #6 Care Plan dated 1/26/26 revealed a Focus areas to address:a. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.65% | 1.06× |
| 2024 | 0.36% | 0.55× |
| 2025 | 0.55% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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