F741 in Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F741 more often than its own record predicts
Versus expected share3.51×
3.51 times the share F741 takes of citations nationally.
Share of Iowa citations0.17%
Of every deficiency written in Iowa in 2025, this is the portion that was F741.
Iowa0.17%
National0.05%
Share of all citations that were F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F741 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.
J · Immediate jeopardy, isolatedAugust 7, 2025
Based on clinical record review, facility self report, State of Iowa Administrative Hearings Findings, staff and family interviews, and facility policy review, the facility failed to recognize and address potential statements and behaviors that indicated Resident #1's self harm risk after he was served a 30 day involuntary discharge notice following an alleged assault on another resident. Resident #1 had a documented history of major depressive disorder and suicidal ideation and was placed on one to one (1:1) supervision after the alleged assault. …
Based on direct observation, clinical record review, staff interviews, family interviews, and policy review, the facility failed to provide sufficient amount of properly trained staff to implement care plan interventions for 1 of 1 residents with self-injurious behavior. (Resident#37). The facility staff also failed to intervene when the resident displayed behaviors. This resulted in harm to the resident in the form of three occurrences of cellulitis and loss of the distal portion of the left index finger - the tip of the left index finger to the first finger joint. She was placed on antibiotics for the treatment of the cellulitis. The facility reported a census of 75. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based clinical record review, staff interview, and resident interview, the facility failed to ensure individualized interventions were implemented timely to meet the resident's behavioral health needs after a resident with a documented history of history of suicidal ideation expressed suicidal ideation on 8/11/26 to a facility staff member for 1 of 3 residents reviewed for behavioral health (Resident #3). The facility reported a census of 58 residents. Findings include: The Minimum Data Set (MDS) Assessment tool dated 7/22/26 revealed Resident #3 had diagnoses that included diabetes, anxiety, depression, post traumatic stress disorder(PTSD), and dissociative and conversion disorder. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction