Based on record and policy review, observations, resident and staff interviews, the facility failed to follow up effectively when a resident threatened suicide and failed to provide the recommended psychiatric services for a resident with mental health diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The staff also failed to minimize the risks of a resident who had past suicide attempts, failed to follow through with notifications to the physician and family, and failed to provide increased monitoring or securing the environment from potential hazards such as utensils (knife, fork), call light and bed control cords, TV wires, and oxygen tubing that could be used potentially to self-harm. …
F742 citations in Iowa
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F742 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F742 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 and resident responsible party interviews, the facility failed to incorporate care requirements into resident comprehensive care plans as directed for 2 of 5 residents reviewed with Level II PASRR's (Pre-admission Screening and Resident Review, an in-depth, person-centered evaluation triggered when there is a suspected or confirmed mental illness, intellectual disability, or related condition. It ensures individuals are placed in the most integrated, appropriate setting and receive necessary specialized services), and failed to ensure the 2 resident's attained or maintained the highest practicable mental and psychosocial well-being, evidenced by 1 of the resident's repeated inpatient psychiatric hospitalizations (Resident #5), and… …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.53× |
| 2025 | 0.04% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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