F909 in Iowa. Pick another state for the same tag.
Against expectation — 2024
Iowa cites F909 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of Iowa citations0.07%
Of every deficiency written in Iowa in 2024, this is the portion that was F909.
Iowa0.07%
National0.12%
Share of all citations that were F909.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F909 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.
G · Actual harm, isolatedMay 30, 2024
Based on clinical record review and staff interview the facility failed to appropriately inspect bed rails in the facility for 1 of 1 resident reviewed (Resident #8). The facility reported a census of 41 residents.
Past Noncompliance determined during the annual recertification survey of a facility incident that occurred on 12/25/23 regarding deficiency F909 with a scope and severity of a Level G. The facility provided evidence of the bed being changed out with safe bed rails.
Findings include:
The Minimum Data Set (MDS) assessment dated [DATE] for Resident #8 documented diagnoses of diabetes mellitus, neurogenic bladder and hypertension. …
E · No harm, potential for more than minimal, patternMay 21, 2026
Based on observation and staff interviews the facility failed to complete and/or maintain documentation of routine bed rail inspections for 10 of 10 residents with side rails. The facility reported a census of 78 residents. Findings include:A record review of Resident #32's current care plan revealed the resident used a side rail (bilateral half rails) to aid in repositioning and safety due to frequent falls out of bed. The goal, initiated on 6/27/25, directed that Resident #32 will remain free of falls out of bed and will assist with repositioning through the review date. A care plan intervention, initiated on 6/27/25, instructed staff to assist in resident independence with repositioning. …
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