Based on facility record review, staff interview, and policy review the facility failed to have an effective Quality Assurance and Performance Improvement (QAPI) program in place to provide quality care for residents. The facility failed to make good faith attempts to correct quality deficiencies, and maintain and implement a comprehensive QAPI program and plan. The facility identified a census of 82 residents.Findings include:The Department of Health and Human Services/Centers for Medicare and Medicaid Services Provider History Report revealed the facility had repeated deficient practices during standard annual health surveys with current identified deficient practices as exhibited by the following:F550 Resident Rights/Exercise of Rights - 2/4 past surveysF580 Notification of Changes -… …
F865 citations in Iowa
QAPI program · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F865 more often than its own record predicts
7.79 times the share F865 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F865.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F865 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 review of the Certification and Survey Enhanced Report (CASPER) from the Centers for Medicare & Medicaid Services (CMS), facility policy review, and staff interviews, the facility failed to ensure an effective QAPI program to address previously cited deficiencies which resulted in five deficiencies being re-cited during the current Health Recertification survey. The facility reported a census of 89 residents.Findings include:A review of the facilities 4/21/25 Statement of Deficiencies and Plan of Correction revealed the following citations: F641 (Accuracy of Assessments); F684 (Quality of Care); F689 (Free of Accident Hazards/Supervision/Devices); F812 (Food Procurement, Store/Prepare/Serve-Sanitary); F880 (Infection Prevention and Control)The Health Recertification survey… …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 4.10× |
| 2024 | 0.94% | 5.05× |
| 2025 | 1.85% | 7.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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