Based on observation, interviews, and document review, the facility's administrative staff failed to ensure the nursing staff adequately monitored the INR level (international normalized ratio, a test measured how quickly blood clots) for 1 of 1 resident on warfarin (Resident #2), including after Resident #2's physician prescribed medications which could increase Resident #2's INR. Resident #2's physician started Resident #2 on an antibiotic (which can increase the INR) on 1/21/26, and added another antibiotic on 1/22/26. The nursing staff discovered a large bruise on Resident #2's mons pubis (the fatty area surrounding the penis) on 1/24/26. The nursing staff did not begin increased monitoring of Resident #2's bruising or check Resident #2's INR upon discovery of the bruise. …
F757 citations in Iowa
Unnecessary drugs · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F757 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F757 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 and staff interview, the facility failed to monitor [MEDICATION NAME] Time and International Ratio (PT/INR) levels for 1 of 3 sampled (Resident #5) on [MEDICATION NAME] (blood thinner). Resident #5 re-admit to the facility on [DATE] and received [MEDICATION NAME]. On 2/28/20, the physician debrided Resident #5's wound which bled profusely and resulted in hospitalization . The staff failed to identify no lab orders to monitor the [MEDICATION NAME] and failed to notify the physician to clarify the orders. The facility reported a census of 69. Findings include: 1. Resident #5 admitted to the facility on [DATE] and had [DIAGNOSES REDACTED]. …
Based on clinical record review, staff interviews, resident interview and policy review the facility failed to regulate a resident's medication to treat the resident's medical condition for 1 of 3 residents (Resident #16) reviewed. The facility failed to provide a current diagnosis for a narcotic medication. The facility reported a census of 32 residents. Findings include: Resident #16's Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15/15 indicating intact cognition. The MDS included the diagnoses of traumatic brain injury (TBI), and other psychoactive substance abuse, uncomplicated. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 0.22× |
| 2024 | 0.29% | 0.41× |
| 2025 | 0.34% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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