Based on facility record review and staff interviews, the facility failed to employ a licensed Administrator. The facility reported a census of 21 residents. Findings include: During an interview on 4/14/25 at 10:31 AM, the Director of Nursing (DON) reported she has applied for Provisional Administrator and has not been approved yet. She reported the prior Administrator had left back in October around 18th-21st but not sure of the date. During an interview on 4/17/25 at 9:11 AM, the DON reported the former Administrator was available by phone if they would need her but she was not employed by the facility and had not been in the building since October 20th. She reported the facility was not actively looking for an Administrator and has not been.
F836 citations in Iowa
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F836 more often than its own record predicts
1.25 times the share F836 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F836 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 personnel record review, staff interview, and facility policy review, the facility failed to complete written employee performance evaluations for each health care staff on at least an annual basis for 2 of 10 health care staff employee files reviewed (Staff G and Staff W). The facility reported a census of 37 residents. Findings include: 1. The facility's Nurse Aide Roster listed the following hire dates: a. Staff G Certified Nursing Assistant (CNA) - 8/24/16. b. Staff W Certified Medication Aide (CMA) - 9/18/17. Review of the employee files revealed the most recent performance evaluations as: a. Staff G - 2/8/21. b. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 2.63× |
| 2024 | 0.14% | 1.57× |
| 2025 | 0.08% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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