Based on facility record review, interview, the Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year (FY) Quarter 2, 2026, and the Centers for Medicare & Medicaid Services Electronic Staffing Data Submission PBJ Long-Term Care Facility Policy Manual (CMS PBJ Manual) the facility failed to submit accurate staffing data to CMS for 1 of 1 quarter reviewed. The facility reported a census of 31 residents. Findings include:The facility PBJ Staffing Data Report dated FY Quarter 2 2026 (January 1 - March 31) documented the facility triggered for a one star staff rating, no RN (Registered Nurse) hours, and failure to have licensed nursing coverage for 24 hours per day. RN hours were flagged on 2/11/2026, 2/12/2026, 2/17/2026, and 2/18/2026. …
F851 citations in Iowa
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F851 more often than its own record predicts
4.08 times the share F851 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F851 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 the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (April 1st to June 30th) review, facility staffing assignments review, and staff interviews, the facility failed to submit accurate staffing data for the PBJ Staffing Data Report. The facility reported a census of 43 residents. Findings include: The PBJ Staffing Data Report run date of 11/13/24 triggered for excessively low weekend staffing for the fiscal year 3rd quarter, April 1st to June 30th of 2024. Review of Facility Daily Assignment Sheets and daily posting for the infraction dates reflected the facility had adequate weekend staffing according to their census and facility assessment equation for staff required. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.51× |
| 2024 | 0.58% | 1.97× |
| 2025 | 0.89% | 4.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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