Based on observation, record review, and interview, the facility failed to ensure staff served meals in a timely manner for 7 of 7 residents (Resident #3, Resident #55, Resident #58, Resident #64, Resident #68, Resident #38, and Resident #28) reviewed for meal service. The facility reported a census of 68 residents. Findings included:1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] included diagnoses of heart failure (heart muscle weakness), non-Alzheimer's dementia (memory loss), and anxiety disorder (excessive worry). Resident #3's MDS listed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. On 7/13/26 at 1:24 PM Staff C, Dietary Aide (DA), delivered Resident #3's lunch to her in her room. 2. …
F809 citations in Iowa
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F809 less often than its own record predicts
0.22 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F809 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.
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.53× |
| 2024 | 0.22% | 1.02× |
| 2025 | 0.04% | 0.22× |
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