Based on personnel file review, policy review, and staff interview, the facility failed to verify Certified Medication Assistant (CMA) certification validity prior to hire for 1 of 1 newly hired CMAs. The facility reported a census of 47 residents. Findings included:1. The facility undated New Hire List and Roster listed a hire date for Staff J CMA as 8/14/25.The facility lacked documentation of verification of Staff J's CMA certification. The facility policy License Verification, revised 2025, stated the facility would verify all personnel certifications.On 5/7/26 at 11:36 a.m., the Director of Nursing(DON) stated CNA verification and criminal background checks should be done before hire.
F728 citations in Iowa
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F728 more often than its own record predicts
1.93 times the share F728 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F728 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.
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.78× |
| 2025 | 0.13% | 1.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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