Based on observation, record review, and interview, the facility failed to offer an alternate for residents with food allergies for 2 of 2 residents reviewed. Resident #1 had a shellfish allergy. On 1/18/19, the facility served her shrimp for dinner. As a result, Resident #1 displayed signs of an allergic reaction (swelling and respiratory problems) that required her to be transferred to the ER (emergency room ) and intubated (tube inserted in the mouth and down the throat to maintain an airway). The resident then had to be sent to another hospital and admitted to the Intensive Care Unit for airway protection and sedation. This situation constituted an Immediate Jeopardy (IJ) to resident health and safety. The facility reported a census of 55 residents. …
F806 citations in Iowa
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F806 less often than its own record predicts
0.32 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F806 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 observations, resident interviews, staff interviews, and policy review, the facility failed to offer meal items as requested for 5 of 10 residents receiving room trays (Residents #18, #22, #17, #4, and #7). The facility reported a census of 79. Findings include:The facility's Traditional Diet Menu for Week 1 dated 3/13/26 listed the Sunday Lunch desert as cherry pie. On 7/12/26 at 12:45 PM, Resident #18 did not receive cherry pie or coffee with their lunch room tray. Both items were listed on the meal ticket. On 7/12/26 at 1:35 PM, Resident #22 did not receive cherry pie with their lunch room tray. Staff returned with a replacement pie but Resident #22 elected not to accept as they desired ice cream was well. The resident commented they could only receive 1 dessert item per meal. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.18% | 0.44× |
| 2024 | 0.11% | 0.28× |
| 2025 | 0.13% | 0.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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