Based on clinical record review, Medical Examiner records, staff interviews, first responder interviews, and policy review the facility failed to meet 1 of 3 resident's mental health needs (Resident #1), when they did not intervene per her care plan with her comments of wanting to die and did not update the provider of the ongoing comments. Resident #1 had diagnoses of depression, dementia with agitation, other symptoms/signs involving appearance and behavior, and altered mental status. The resident presented with a history of suicidal ideations, previous attempts while at the facility. The facility failed to notify the provider of the continued comments of wanting to die. …
F740 citations in Iowa
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F740 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F740 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 record review, staff interviews and facility policy review the facility failed to ensure staff completed physician-ordered referrals for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 34 residents.Findings include:Resident #1's Minimum Data Set (MDS) admission assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. Resident #1's MDS documented receiving medications during the 7-day review period including an antipsychotic (mood and behavior stabilizing medication) on a routine basis only, an antianxiety (anxiety reducing medication), and an antidepressant (depression medication). …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.12× |
| 2024 | 0.07% | 0.29× |
| 2025 | 0.17% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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