Based on observations, resident interviews, family interviews, staff interviews, clinical record review, facility assessment review, previous 2567 review, and employee file review, the facility's administration failed to effectively and efficiently maintain administrative responsibilities to ensure provision of ethical, high-quality health care services. This resulted in an Immediate Jeopardy (IJ) to residents' health and safety affecting all residents. The facility reported a census of 86 residents. Findings include: The State Agency informed the facility of the IJ on 6/8/23 at 3:00 PM and provided the IJ template. The IJ began on 5/28/23 when the staff first reported issues with management not caring about their reported concerns. …
F835 citations in Iowa
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F835 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F835 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 council note review, staff and resident interviews and review of the facility's job description, the facility's administration failed to effectively and efficiently maintain administrative responsibilities to ensure provision of ethical, high quality health care services. The facility reported a census of 33 residents. Findings include:Review of the Resident Council Notes revealed during the 6/30/2026 meeting residents have found dog poop on the floor. During the 7/28/2026 meeting residents stated the Administrator's dog was still in the facility.On 8/12/2026 at 9:13 AM Staff E Certified Nursing Assistant (CNA) stated when the new Administrator took over, they took away the need to supervise all residents smoking and the designated smoke times for residents. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.41× |
| 2024 | 0.36% | 1.10× |
| 2025 | 0.17% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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