Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F838 less often than its own record predicts
Versus expected share0.50×
0.50 times the national share — cited less often here than elsewhere.
Share of Iowa citations0.13%
Of every deficiency written in Iowa in 2025, this is the portion that was F838.
Iowa0.13%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F838 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.
F · No harm, potential for more than minimal, widespreadJune 3, 2026
Based on facility document review, observation, staff interview, and facility policy review, the facility failed to revise the facility assessment as needed to identify the changes to the leadership team, the high number of residents who required assistance with transfers and incontinence care, and how those changes directly impacted the assessment and determination of how many staff were needed to meet resident needs. The facility assessment affects all residents in the building and the facility reported a census of 81 residents. Findings include: The Facility assessment dated [DATE] documented it was last reviewed May 2026 with no changes needed. …
C · No harm, potential for minimal, widespreadSeptember 11, 2025
Based on staff and resident interviews, Payroll Based Journal (PBJ), and the Facility Assessment the facility failed to assess and identify the number of nursing staff needed during the week, weekends, and the different shifts. The facility reported a census of 66 residents.Findings include: The Facility assessment dated [DATE] reflected the building needed 15 full time (FT) Nurses and 28 FT Certified Nurses Aides. The Facility Assessment lacked the number of nurses and CNAs needed based on days, nights, or weekends to care for the residents. The PBJ Fiscal Year (FY) Quarter 2 2025 (January 1 - March 31) triggered for excessively low weekend staffing. …
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