Based on record review and staff interview, the facility failed to ensure that a resident with a high risk of aspiration and difficulty swallowing was fed only by licensed or certified staff for 1 of 2 residents reviewed (Resident #20). Specifically, the facility allowed Paid Nutritional Assistants (PNAs) to assist a resident who exhibited active coughing during meals. The facility reported a census of 51 residents.Findings include: Resident #20's Minimum Data Set (MDS) assessment dated [DATE] identified they had a mechanically altered diet while a resident at the facility. The Care Plan Focus revised 11/4/24 identified Resident #20 needed assistance with activities of daily living (ADLs) related to progressing Alzheimer's and the lack of awareness on how to initiate/complete cares. …
F811 citations in Iowa
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F811 more often than its own record predicts
5.71 times the share F811 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F811.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F811 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 | 0.06% | 3.68× |
| 2024 | 0.04% | 3.38× |
| 2025 | 0.08% | 5.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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