Based on observation, clinical record review, staff interview and facility policy review the facility failed to follow professional standards of practice as they allowed the Unit Managers/Supervisors to draw up liquid Morphine (pain medication) and Lorazepam (anti-anxiety medication) in one (1) milliliter (ml) syringes and placed them labeled and unlabeled in the medication carts 3 residents (Res #8, #11 and #13). The staff that drew up the medications failed to dispense the medications and were not licensed pharmacists. The facility also failed to provide sufficient detail to enable an accurate reconciliation and drug records in order to account for all controlled drugs. (Res #2 and #13) The facility identified a census of 83 residents. …
F755 citations in Iowa
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F755 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F755 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, and staff interviews, the facility failed to ensure that staff maintained an accurate inventory of each resident's narcotic medications for 1 of 5 residents reviewed that received narcotic medication (Resident #7). The facility reported a census of 58 residents. Findings include:The Minimum Data Set (MDS) Assessment tool with reference date 6/3/26 revealed Resident #7 admitted to the facility 5/28/26 with Hospice services in place. Resident #7's diagnoses included malignant neoplasm of rectum (cancer) with colostomy status, traumatic brain injury, and other symptoms/signs of cognitive with cognitive function and awareness. The assessment revealed the resident had frequent pain. …
Based on record review and staff interviews the facility failed to implement procedure to ensure an account of all controlled medications is maintained and periodically reconciled. The facility reported a census of 38 residents. Findings include: According to the E-kit Lockout/Tagout policy; each time a new E-kit is received, you must document the tag numbers on the lockout/tagout form. Each time the E-kit is utilized the (new tag) numbers must be recorded. Each shift should check and record the tags on the E-kit. According to pharmacy delivery records, an E-kit was exchanged and received by Staff C on 12/9/20 with the main kit green lock number and the green refrigerator lock number . In an interview on 6/29/21 at 11:38 a.m. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 1.29% | 0.61× |
| 2024 | 0.90% | 0.42× |
| 2025 | 1.26% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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