Based on observation, interview and record review the facility failed to ensure that staff were orientated and trained to care for residents. Temporary nurses and Certified Nurse Aides (CNA) were expected to perform the job duties without proper training. The facility reported a census of 36 residents.Findings include: On 8/12/25 at 1:00 PM, the Administrator and the Assistant Director of Nursing (ADON) stated they had orientation checklists for agency staff. In the absence of the Director of Nursing (DON) they would look for documentation that the following temporary staff had been oriented: Staff C, CNA, Staff E, CNA, and Staff D, Registered Nurse (RN). In an observation on 8/12/25 at 1:10 PM, Staff L, CNA was assisting residents with transfers too and from their rooms. …
F947 citations in Iowa
Nurse aide training · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F947 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F947.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F947 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 staff interview and record review, the facility failed to provide sufficient in-service training to ensure the competency of their staff. The facility reported census was 86 residents. Findings include: In an interview on 10/6/20 at 11:00 a.m. the Administrator stated all staff are expected to review monthly on-line training videos through Relias. In addition there are periodic in-service training. The Administrator provided this surveyor all 2019 training records for 10 sampled Certified Nursing Assistants (CNA's). Review of 10 CNA training records, reveled 5 aides, with over a year of service, did not receive the minimum (12 hours) in-service training required per year in 2019. (Staff L, M, N, O, P)
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.45× |
| 2024 | 0.04% | 0.12× |
| 2025 | 0.25% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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