Based on employee file review, staff interviews, and facility policy review the facility failed to ensure 1 of 5 staff members completed the Dependent Adult Abuse training every 3 years. The facility reported a census of 59 residents. Findings include: Review of Staff's M, Registered Nurse (RN) employee file found no documentation of a current Dependent Adult Abuse training. During an interview on 7/15/26 at 3:06 PM Staff P, Human Resources (HR) stated Staff M did have Dependent Adult Abuse training, and she had just sent Staff M a copy of the certificate. Staff P added she is not sure how often staff need to update the training but guessed it was annually.On 7/16/26 at 11:30 Am the Director of Nursing (DON) stated Dependent Adult Abuse education should be completed every 3 years. …
F943 citations in Iowa
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F943 more often than its own record predicts
4.39 times the share F943 takes of citations nationally.
Of every deficiency written in Iowa in 2025, this is the portion that was F943.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F943 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 record review, and staff interviews the facility failed to ensure 1 of 5 employee files reviewed contained a completed Dependent Adult Abuse training certificate (Staff B). The facility reported a census of 50 residents. Findings included: During review of the Employee File for Staff B revealed no evidence of the Dependent Adult Abuse training completed. On 2/19/20 at 2:18 p.m., the Administrator reported an inability to locate a Dependent Adult Abuse training certificate for Staff B. In an interview on 2/20/20 at 10:01 a.m.,, the Business Office Manager reported that there is a checklist that is used on hire to ensure receipt of Dependent Adult Abuse training for new employees. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.47% | 3.48× |
| 2024 | 0.43% | 3.74× |
| 2025 | 0.42% | 4.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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