Based on observation, facility policy review, resident and staff interview, the facility failed to maintain a safe and homelike environment by ensuring the metal guard was in place over the heating elements of a baseboard heater in the dining room and front sitting room located inside the main entrance of the facility and failed to ensure a the replacement of the molding trim at the base of a window in the dining room. The facility reported a census of 57 residents. Findings included: Review of the Minimum Data Set (MDS) assessment for Resident #7 dated 3/12/26, revealed a Brief Interview for Mental Status score of 15 out of 15, which indicated intact cognition. During an interview on 5/11/26 at 12:07 PM, Resident #7 reported being upset about conditions in the dining room. …
F921 citations in Iowa
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F921 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F921 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 observation, resident and staff interviews, the facility failed to maintain a clean and sanitary environment. (Resident #3, #5). Facility reported census was 62. Findings include: 1. According to a Minimum Data Set (MDS) with a reference date of 8/30/24, Resident #5 had a Brief Mental Status (BIMS) score of 14 indicating an intact cognitive status. Resident #5 required maximal to dependent assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #5's diagnosis included diabetes mellitus and obesity. Resident #5 was always incontinent of bladder and bowel. During an interview on 10/22/24 at 6:30 a.m. Resident #5 stated housekeeping is poor, noting her room is filthy and not cleaned as it should be. Area under her recliner is visibly dirty. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.41× |
| 2024 | 0.29% | 0.36× |
| 2025 | 0.29% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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