Iowa Veterans Home

In the surveyor’s words

From the most serious findings on record at Iowa Veterans Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF689Nov 17, 2025

  Based on observation, interview, clinical record review, and facility policy review, the facility failed to ensure safe wheelchair transportation for 2 of 3 residents reviewed (Resident #12 and Resident #13). The facility staff failed to put on foot pedals when pushing residents in their wheelchair. The facility reported a census of 353 residents.Findings include: 1. Review of the Minimum Data Set (MDS) assessment, dated 6/24/25, identified Resident #12 had a Brief Interview for Mental Status (BIMS) score of 7 out of 15, which indicated severe cognitive impairment. The list of diagnoses included non-Alzheimer's dementia, cancer, and diabetes mellitus. The MDS indicated Resident #12 depended on staff for all transfers, they couldn't walk and used a wheelchair for mobility. […]

• No harm, potential for more than minimal, isolatedF758May 2, 2024

  Based on clinical record review, staff interview and facility policy review, the facility failed to provide a documented rationale on why a resident's as needed (PRN) psychotropic medication needed continued longer than 14 days for 1 of 5 residents reviewed (Resident #87). In addition, the facility failed to perform a periodic re-evaluation of the medication regimen to determine the continued need for the medication. Findings include: Resident #87's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 3, indicating severe cognitive impairment. […]