Azria Health Longview: QAPI Plan Failures - IA
The 80-bed facility received its second Quality Assessment and Performance Improvement violation on November 25, just five months after inspectors cited the same deficiency during the annual survey in June. State records show the facility also faced an exploitation violation in October.
When asked about the repeated failures, Administrator explained that after deficiencies are identified, staff receive education before their next shift and information is shared in huddle meetings. She said the facility conducts audits for about three months until compliance is achieved.
The Administrator attributed both the recent exploitation case and current quality program issues to "ethical issues with staff." She maintained their processes work successfully but staff "took advantage of the situation."
Federal regulations require nursing homes to operate comprehensive, data-driven quality improvement programs focused on resident care outcomes and quality of life. The facility's written policy, last revised in February 2020, outlines objectives including measuring care indicators, implementing improvement projects, and monitoring corrective actions.
The policy describes a monthly committee that reviews reports, evaluates data, and monitors quality activities. Key components include tracking performance, establishing measurement goals, identifying deficiencies, analyzing underlying causes, and developing corrective actions.
Despite having detailed written procedures, inspectors determined the facility's quality program remained inadequate. The violation affects some residents at the facility.
The repeat citations suggest ongoing challenges in translating written policies into effective practice at Azria Health Longview, where quality improvement efforts have failed to prevent recurring deficiencies across multiple areas of care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Azria Health Longview from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Azria Health Longview in Missouri Valley, IA was cited for violations during a health inspection on November 25, 2025.
State records show the facility also faced an exploitation violation in October.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.