Based on record review and staff interview, the facility failed to attempt to enter into a transfer agreement with a hospital in an effort to ensure that the transfer of residents was safe and orderly. The deficient practice had the potential to affect all residents who resided in the facility. The facility identified a census of 67 residents. Findings include: Review of the facility provided records for the Extended Survey on 2/21/24 at 3:30 PM revealed the facility lacked a Transfer Agreement with the local hospital(s). On 2/22/24 at 8:30 PM the Director of Nursing (DON) reported she didn't know anything about hospital transfer agreements and would have to check with the Administrator. …
F843 citations in Iowa
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Iowa cites F843 more often than its own record predicts
4.18 times the share F843 takes of citations nationally.
Of every deficiency written in Iowa in 2024, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F843 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 facility document review and staff interview, the facility failed to hold a written transfer agreement with a hospital in order to assure that residents would be transferred from the facility to the hospital. The facility reported a census of 30 residents. Findings include: The facility lacked documentation of a transfer agreement with a local hospital. On 7/11/24 at 8:50 a.m., via phone, the Regional Director of Clinical Services stated the facility did not have a transfer agreement with a local hospital but the Administrator was in contact with the hospital last night to get this completed. Via email correspondence on 7/11/24 at 12:00 p.m., the Regional Director of Clinical Services stated the facility did not have a policy regarding a hospital Transfer Agreement.
What else Iowa surveyors cite →
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