Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F849 in Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F849 less often than its own record predicts
Versus expected share0.15×
0.15 times the national share — cited less often here than elsewhere.
Share of Iowa citations0.04%
Of every deficiency written in Iowa in 2025, this is the portion that was F849.
Iowa0.04%
National0.27%
Share of all citations that were F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F849 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.
J · Immediate jeopardy, isolatedNovember 9, 2023
Based on clinical record review, hospital document review, staff interviews, family interviews, hospice documents, hospice agreement and facility policy review the facility failed to notify in a timely manner 1 of 3 resident's hospice provider when she had a fall with injury (Resident #1). On [DATE] at 8:30 AM the nurse was called to the resident's room by another staff member. Resident #1 was lying on the floor on her left side. The resident reported she was getting up to go to the bathroom and fell . An assessment was completed and found skin tears to her left arm and next to her left eye. Bruising was noted to start over her left eye. At 10:07 AM the hospice nurse was notified that the resident had a fall and sustained an injury. …
D · No harm, potential for more than minimal, isolatedJuly 21, 2026
Based on clinical record review, hospice contract review, and staff interview, the facility failed to ensure that a hospice service agreement was signed with 1 of 2 hospice providers currently serving 1 of 4 residents on hospice (Resident #1); and failed to ensure required language addressing immediate notification of hospice administration in the event of alleged abuse by hospice staff was included in 1 of 1 signed agreement for a provider currently serving 3 residents (Resident#2, #3 and #5). The facility reported a census of 125 residents. Findings include: 1. Review of the Care Plan for Resident #1, dated 1/6/2026, revealed the addition of hospice services starting on 12/26/25, with Hospice A identified as the provider. Heart failure listed as the admitting diagnosis. …
B · No harm, potential for minimal, patternFebruary 10, 2022
Based on record review and facility staff interviews the facility failed to have a current contract with 1 of 2 hospice providers reviewed (Hospice #1). Review on [DATE] of Hospice #1 contract with the facility revealed the contract terminated 5 years after [DATE] ([DATE]). The facility reported a census of 35 residents.
Findings include:
Record review on [DATE] at 11:59 AM of the facilities contract with Hospice #1 titled, Hospice and Nursing Facility Services Agreement revealed the policy documented it went into effect on [DATE]. The policy directed the agreement shall be effective for a term of one (1) year, commencing on the effective date, unless earlier terminated in accordance with the provisions of the agreement. …
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