Based on facility records, interviews, and the facility Quality Assurance Performance Improvement (QAPI) Plan the facility failed to ensure all required staff or a designee attended quarterly QAPI meetings and that the Infection Preventionist provided relevant infection control information to the committee. The facility reported a census of 31 residents. Findings include:A document titled N & R (Nursing and Rehabilitation) QAPI Meeting dated 8/11/2025 documented the Medical Director and the Interim Administrator were absent from the meeting. The list of attendees did not include designees for these roles. A document titled Nursing and Rehabilitation QAPI Meeting Minutes dated 2/19/2026 documented the Director of Nursing/Infection Preventionist (DON/IP) attended the meeting. …
F868 citations in Iowa
Quality assurance committee · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F868 more often than its own record predicts
2.00 times the share F868 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F868 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 Quality Assurance and Performance Improvement(QAPI) Committee Meeting Attendance Records, policy review, and staff interview, the facility failed to conduct meetings at least quarterly with the minimum required members. The facility reported a census of 43 residents.Findings included: Review of QAPI Committee Meeting Attendance Records revealed a 12/9/25 meeting held with the Director of Nursing(DON) present. Review of subsequent meeting attendance sheets for the period of 12/9/25 to 6/25/26 revealed the DON was not present for the following meetings:1/20/26 2/17/26 3/31/26 4/20/26 5/26/26 The facility QAPI Policy, revised 10/2023, stated the QAPI team developed and implemented appropriate plans of action to correct identified quality of care, quality of life, or safety problems. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 3.22× |
| 2024 | 0.69% | 2.81× |
| 2025 | 0.46% | 2.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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