The Iowa Department of Inspections and Appeals says 28 nursing homes and assisted living programs in the state were found to be free of problems during inspections in March and April. Department spokesman, Mark Werning, says that’s about an average number of facilities that are usually found to be "defficiency-free."

Werning says "deficiency-free" facility is one that has no identifiable problems whatsoever. He says the problems range from misfiling paperwork to allowing a patient to leave and the patient is later injured. Werning says overall the inspections usually come out on a bell curve.

Werning says there’s approximately the same amount of facilities on the other end of those that have no problems, that have "very significant and serious problems that require an awful lot of attention from the department to address." Werning says the remaining facilities sit somewhere in the middle.

He says there is a wide range of deficiencies, from those that need corrective action immediately, but others that they will just check up on when they do the next inspection. Werning says they do inspections of each facility once a year, unless there is a complaint.

The Department of Inspections and Appeals posts reports from all inspections conducted at nursing homes and assisted living programs on its Nursing Home Report Card website .

Here are the facilities that were recognized for being deficiency free:

Lincolnway Villa, Wheatland; Jackson County Senior Center; Maquoketa; Franken Manor, Sioux Center; Windsor Manor, Vinton; Waterford at Ames; Wellington Place, Decorah; Panora Assisted Living; Lamoni Assisted Living, Lamoni; Good Samaritan Society of Le Mars; Manor House Care Center, Sigourney; Behavioral Technologies Evans House, Pleasant Hill; Mosaic at 68th Street, Des Moines; Mosaic at E. 42nd Street, Des Moines;· Belmond I and Belmond II in Belmond; ChildServe Johnston Home; Richland Group Home, Waterloo; Beacon Hill Community Living Home, Dubuque;Bunker Hill Community Living Home, Dubuque; Concord Community Living Home, Dubuque; Kennedy Community Living Home, Dubuque; Maplewood Community Living Home, Dubuque;Solar Group Home, Waterloo; Duncan Heights, Inc., Garner; Genesis Medical Center, De Witt; Heritage Nursing Home, Bancroft; Wellington Place, Decorah; St. Francis Manor, Grinnell.