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Good Samaritan - Davenport

700 Waverly Road, Davenport, IA 52804 · Non profit - Church related · 119 certified beds · (563) 324-1651 Medicare & Medicaid certified

Call the home — (563) 324-1651 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 2024
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2826 W Locust St · (563) 332-8528 · Call to confirm hours
Pharmacy
720 Oak St · (855) 633-6948 · Call to confirm hours
Grocery
Hy-Vee0.8 mi
2351 W Locust St · (563) 324-9948 · Call to confirm hours
Park
3401 Schuetzen Ln · (563) 449-2358 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.4%17.1%15.4%better
Long-stay residents who lose too much weight6.7%4.6%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%1.5%0.9%better
Long-stay residents with a urinary tract infection2.2%2.4%2.0%worse
Long-stay residents with depressive symptoms1.4%4.2%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.4%3.8%3.3%typical
Long-stay residents whose ability to walk worsened15.5%16.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication14.1%20.8%18.9%better
Long-stay residents given the seasonal flu vaccine98.8%95.3%95.3%typical
Long-stay residents with pressure ulcers3.0%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control20.4%25.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table8.8%19.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.3%2.1%1.4%better
Short-stay residents given the seasonal flu vaccine87.6%73.3%79.4%better
Short-stay residents rehospitalized after admission21.6%20.9%22.6%typical
Short-stay residents with an outpatient ER visit11.8%13.2%12.0%typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 120 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.0%U.S. median 51.5%
Got home and stayed home
11.6%U.S. median 10.7%
Went back to hospital
40.9%U.S. median 56.6%
Met the expected recovery
0.18U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 40.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 66 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.0%CMS range 42.2–59.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.6%CMS range 8.8–16.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge27.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge34.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 4.8–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.931.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.74
RN hours/ resident / day
0.64
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.47
Total nurse hours/ resident / day
0.46
RN hoursweekends
28.4%
Total nursing turnover
23.5%
RN turnover

How full it usually is: this home is certified for 119 beds and averages 96.7 residents a day — about 81% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.06 hrs/resident/day on weekends vs 3.64 on weekdays — 16% thinner on weekends. RN hours go from 0.86 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2026-01-29)
1
at the previous standard inspection (2025-01-15)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · E2026-01-29 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, resident and staff interviews and facility policy review the facility failed to serve a palatable meal for 2 out of 2 meals observed and four out of four residents reviewed (Resident#14, 3, 43 and 6). The facility reported a census of 98 residents.Findings include: 1. The Minimum Data Set (MDS) assessment for Resident#14, dated 10/18/25, list of diagnoses included heart failure and malnutrition (insufficient intake of calories and/or protein). The Brief Interview for Mental Status (BIMS) score as 14 out of 15, indicated the resident with intact cognition. The Care Plan for Resident#14 dated 10/28/25, directed educate resident not to skip meals. During an interview on 01/26/2026 at 2:05 PM, Resident #14 reported she did not like the food, and explained it is not hot and the taste is bad. 2. The kitchen staff provided the lunch menu for 1/27/26 which consisted of beef and broccoli, fried rice, peas, and egg roll. On 01/27/2026 at 12:20 PM, the State Agency received a test tray. The beef looked an unattractive dark color, the broccoli appeared pale with little…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-29 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interview and facility policy review the facility failed to use Enhanced Barrier Precautions (EBP) and failed to completed hand hygiene for 2 out of 4 residents reviewed (Resident#2 and #92) and failed to transport clean laundry covered for 2 out of 2 days. The facility reported a census of 98 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #92, dated 11/28/25, list of diagnoses included anemia (lack of red blood cells), Parkinson's disease, and diabetes mellitus (DM). The MDS identified Resident#92 Brief Interview for Mental Status (BIMS) as 12 out of 15, which indicated moderately impaired cognition. The MDS indicated Resident#92 required a wheelchair for mobility, dependent on staff for toileting hygiene, lower body dressing and chair to chair transfer. The Care Plan for Resident #92, dated 5/20/25 revealed Resident #92 required EBP related to urine culture that held Extended-Spectrum Beta-Lactamases (ESBL) (enzymes from bacteria…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, facility policy review, resident and staff interviews, the facility failed to ensure dependent residents received assistance with personal care (showers and nail care) to maintain adequate personal hygiene for 3 of 3 residents (Resident #34, Resident #51, and Resident #84) reviewed for activities of daily living. The facility reported a census of 98 residents.Findings include:1. The Minimum Data Set (MDS) for Resident #34 dated 11/16/25 documented diagnoses of depression, diabetes mellitus, and rheumatoid arthritis. The Brief Interview for Mental Status (BIMS) score of 15/15 indicated intact cognition. The MDS indicated Resident #34 used a walker and a wheelchair for mobility, and required substantial/maximal assistance for bathing.The Care Plan for the resident with an admission date of 4/22/22 indicated the resident was a fall risk, had the potential for pressure ulcer development, and had a self-care performance deficit with limited range of motion and activity…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, observation, review of facility policy, resident and staff interview, the facility failed to ensure a safe environment free from potential hazards for 3 of 7 sampled residents (Residents #6, #11 and #43). The facility reported a census of 98 residents.Findings include:1. Review Resident #43's Minimum Data Set (MDS) assessment, dated 12/19/25, revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15 which indicated intact cognitive function. The MDS indicated Resident #43 utilized a walker and wheelchair for mobility, and required substantial/maximum staff assistance with activities of daily living related to toilet transfer and toilet/personal hygiene. The list of diagnoses included diabetes, hemiplegia (paralysis on one side of body), cerebral infarct (stroke), seizures and right shoulder pain. Review of Resident #43's Care Plan, last revised 11/26/25, revealed, in part, the resident an ADL self-care performance deficit related to left-sided hemiplegia and required 1:1 (assist of 1 staff) with the commode at shower wall or in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, facility policy review and staff interview, the facility failed to ensure nursing staff followed physician orders to flush a feeding tube before/after an enteral feeding and after the administration of medications for 1 of 2 residents (Resident #2) reviewed with feeding tubes. The facility reported a census of 98.Findings include: Review of Resident #2's Minimum Data Set (MDS) assessment, dated 12/19/25, revealed a Brief Interview for Mental Status (BIMS) score of 15 out 15 which indicated intact cognition. The list of diagnoses included cerebral vascular accident (stroke), diabetes, and hemiplegia. The MDS indicated Resident #2 received nutrition both through a gastric feeding tube (g-tube) and a mechanically altered diet. Review of Clinical Physician Orders in the electronic health record (EHR), revealed the following:a. An order, dated 6/18/25, for Isosource 1.5 Cal oral liquid, give 200 milliliters (ml) via g-tube four times per day for meals bolus feeding. Flush with 70 ml before and after each feeding. b. An order, dated 9/24/24,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-15 · tag F0644 — pattern
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, policy review and staff interviews the facility failed to accurate mental health diagnoses are indicated on the Preadmission Screening and Resident Review (PASARR) for 2 of 2 residents reviewed (Resident #80 and Resident #84). The facility reported a census of 86 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE], documented Resident #80 diagnoses included: bipolar disorder, stroke, hemiplegia (paralysis or weakness on one side) affecting right side, and aphasia (difficulty speaking). The Brief Interview for Mental Status (BIMS) assessment not completed. The electronic health record titled Medical Diagnosis, dated 1/15/25 included the diagnosis of manic episode, unspecified with a diagnosis date of 8/2/24. A review of the PASARR dated 5/29/24 lacked diagnosis of manic episode, unspecified and bipolar disorder. During an interview on 1/15/2025 at 9:28 AM. the Social Worker stated she is responsible for reviewing and completing the resident's PASARR. She…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-17 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, and resident, resident family member and staff interviews, the facility failed to respond to activated call lights within in 15 minutes for 4 of 6 (Resident's #3, #4, #6, and #2) residents reviewed for call lights. The facility reported a census of 89 residents. Findings include: 1. The 8/29/24 Minimum Data Set (MDS) Assessment tool revealed Resident #3 scored 15 out of 15 on the Brief Interview for Mental Status (BIMS), indicating intact cognition. The MDS assessed the resident required substantial staff assistance to reposition in bed, transfer to and from bed or chair, for bathing, dressing and use of the toilet. The assessment revealed Resident #3 frequently incontinent of urine. During an interview on 10/17/24 at 10:36 a.m., Resident #3 stated she used the call light several times a day, completely dependent on staff for assistance when she was in bed, it usually took staff 45 minutes to an hour to answer her call light, rarely 30 minutes or less and she had been incontinent as a result of having to wait that long for staff response…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-17 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interviews, the facility failed to follow appropriate Enhanced Barrier Precautions for 1 of 10 residents reviewed for urinary catheter care. The facility reported a census of 89 residents. Findings include: The 7/24/24 Minimum Data Set (MDS) Assessment tool revealed Resident #6 scored 10 out of 15 points possible on the Brief Interview for Mental Status (BIMS), indicating a moderate cognitive impairment. The MDS listed diagnoses included: cerebral palsy, obstructive uropathy (blockage of urine flow), and benign prosthetic hyperplasia (enlarged prostate). The MDS assessed the resident required substantial staff assistance for transfers to and from bed and chair, for dressing, bathing and use of the toilet. The assessment revealed a urinary catheter used for elimination. The Care Plan, initiated on 5/16/19 with revision on 1/31/24, included a Focus area to address The resident has an indwelling catheter R/T (related to) urethral strictures (narrowing), DX (diagnosis) Obstructive Uropathy. Interventions included, in part: a. Catheter care:…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-25 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, bathing records and staff interview, the facility failed to ensure residents are provided adequate personal hygiene services to include at least two bathing opportunities per week for 4 of 4 residents reviewed and failed to provide incontinency care at a frequency necessary to maintain adequate personal hygiene for a resident unable to carry out the activity independently. (Residents #1, #3, #4. #5) The facility reported census was 87. Findings include: 1. According to the Minimum Data Set (MDS) with an assessment reference date of 3/17/24, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 2, indicating a severely impaired cognitive status. Resident #1 required total dependence to maximal assistance with mobility, transfers, dressing, toilet use and personal hygiene needs. Diagnoses included Non-Alzheimer ' s dementia, cerebrovascular accident (stroke), hemiplegia, peripheral vascular disease and atrial fibrillation. Resident #1 was always incontinent of bladder and frequently incontinent of bowel. According to bathing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-25 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review and staff interview the facility failed to provide an activities program based on a resident's individual interests for 1 of 2 residents reviewed. (Resident #1) The facility reported census was 87. Findings include: According to the Minimum Data Set (MDS) with an assessment reference date of 3/17/24, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 2, indicating a severely impaired cognitive status. Resident #1 required total dependence to maximal assistance with mobility, transfers, dressing, toilet use and personal hygiene needs. Diagnosis included Non-Alzheimer ' s dementia, cerebrovascular accident (stroke), hemiplegia, peripheral vascular disease and atrial fibrillation. Resident #1 was always incontinent of bladder and frequently incontinent of bowel. According to Resident #1's Plan of Care with focus on maintaining activity interest and interventions which include TV, comedy, non-aggressive shows, jazz,, contemporary, quit or calm music and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · D2024-03-14 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility policy and staff interviews the facility failed to report alleged resident abuse within the required two hours time frame for 1 of 1 residents reviewed (Resident #46). The facility reported a census of 82 residents. Findings include: The Minimum Data Set (MDS) assessment tool, dated 1/31/24, listed diagnosis for Resident #46 to include dementia, neurogenic bladder (loss of bladder control due to nerve issue), and depression. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 00, indicating a severe cognitive impairment. A clinical record review revealed a 1/6/24 Health Status note documenting on 1/5/24 at 2200 (10:00 PM) the resident found sitting on the edge of the bed without clothing and confused. The resident stated someone touched and raped her. During an interview on 3/13/24 at 8:31 AM, the Administrator stated the facility reported the alleged abuse on 1/12/24. The Administrator stated the 1/6/24 Health Status note documenting the alleged abuse was found on 1/12/24. The Administrator stated the facility…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-03-14 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility policy and staff interviews the facility failed to notify the Ombudsman of resident transfers to the hospital for 3 of 4 residents reviewed (Resident #46, Resident #52, and Resident #60). The faculty reported a census of 82 residents. Findings include: 1. Clinical record review revealed a hospitalization for Resident #46. A Transfer to Hospital note dated, 11/10/23 at 11:10 PM, revealed the resident transferred to the hospital after a fall. An Admission/readmission note, dated 11/16/23 at 2:27 PM revealed the resident returned to the facility from the hospital. A review of the clinical record lacked documentation of Ombudsman notification for the transfer to and from the hospitalization. 2. A clinical record review revealed a hospitalization for Resident #52. A Transfer to Hospital note dated, 2/15/24 at 1:35 PM, revealed the resident transferred to the hospital after being found unresponsive. An Admission/readmission note, dated 2/19/24 at 6:52 PM, revealed the resident returned to the facility from the hospital. A review of the clinical…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, facility policy review and staff interviews the facility failed to position an indwelling catheter bag and tubing in a manner to keep them off the floor for 3 of 3 residents reviewed (Resident #20, #3, and #46). Findings Include: 1. The Minimum Data Set (MDS) assessment tool, dated 2/7/24, listed diagnosis for Resident #20 to include cerebral palsy, benign prostatic hyperplasia (enlarged prostate), and intellectual disabilities. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 13 out of 15, indicating intact cognition. The Care Plan, dated 1/31/24, included a focus area for an indwelling catheter. A review of the clinical record revealed a Physician Order, dated 10/23/23, for monthly catheter change using an indwelling catheter 16 fr (French - related to size) with 10 ml (milliliters) of sterile water and replacing the catheter bag. A continuous observation on 3/11/24 for Resident #20 revealed the following: At 10:53 AM, Resident #20 sat in his wheelchair with the catheter cover bag and tubing resting on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-14 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, policy review, and staff interview the facility failed to serve meals under sanitary conditions. The facility reported a census of 82 residents. Findings include: During an observation of the noon meal on 3/11/24 from 11:30 AM to 12:30 PM Staff A, Certified Nursing Assistant (CNA) and Staff B, Licensed Practical Nurse (LPN) served 7 glasses to 4 residents in the Home 2 dining area handling the cups with fingers on the drinking rim surface of the glasses. On 3/13/24 at 12:40 PM, the Culinary Supervisor reported she expected staff to keep their hands off the eating surfaces of dishes. She stated they are expected to use the handles on the cups or the side of the glass. The dietary team is taught the expectations of meal service. The facility policy titled Dining Service Standards- Food and Nutrition Services revised 7/21/23, directed staff to follow procedures for prevention of foodborne illness when serving meals (e.g. never touch ready-to-eat foods with bare hands; never touch the eating surface of utensils and dishware). The facility policy titled General…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-14 · tag F0554 — pattern
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, policy review, resident and staff interviews the facility failed to complete self medication assessments, and obtain a physician order to self medicate for 4 of 6 residents in the sample (Resident #11, Resident #10, Resident #5, and Resident #7.) The facility reported a census of 90 residents. Findings include: 1. The Minimum Data Set (MDS) assessment tool, dated 6/7/23, listed diagnoses for Resident #11 that included: Diabetes mellitus; anxiety disorder, and depression disorder. The MDS assessed the resident required extensive assistance of one staff for personal hygiene tasks. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 14 out of 15, indicating intact cognition. A review of the clinical record revealed a physician order, dated 3/29/23, for Tums 500 mg chewable 1 tab by mouth daily for heartburn. During an observation on 9/14/23 at 7:36 AM, Staff A, Registered Nurse, administered Resident #11 morning medications. After the resident took the medications, Staff A placed a Tums 500 mg chewable tab in a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-03-14 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, and policy review the facility failed to have the minimum required members of the Quality Assessment and Assurance (QAA) committee present to identify issues for which Quality Assessment and Assurance activities are necessary. The facility reported a census of 82. Findings include: Review of the facility QAA sign in sheets dated 4/17/23 and 9/18/23 revealed the Director of Nursing (DON) failed to attend the quarterly meetings. In an interview on 3/14/24 at 12:30 PM, the Administrator explained that the core members of the QAA Committee included the Medical Director, RN Supervisors, DON, Infection Preventionist, Social Worker, and Dietary. She failed to know the facility lacked DON attendance at two quarterly meetings. Review of the policy titled Quality Assurance and Performance Improvement- QAPI revised 10/09/23 instructed the QAPI Committee to meet quarterly at a minimum. The Committee must consist of the DON, Infection Preventionist, Medical Director, and at least three other members to include the Administrator or other…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-03-14 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and policy review the facility failed to provide the required Center for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice form (CMS 10055) at the completion of the skilled services for 1 of 3 residents reviewed (Resident #68). The facility reported a census of 82. Findings include: The Minimum Data Set assessment dated [DATE] for Resident #68 documented diagnoses that included: spastic hemiplegia affecting left nondominant side (inability to move the left side of the body), cancer, and Cerebral Palsy (a group of diseases affecting movement of the body). The Brief Interview for Mental Status (BIMS) score was 15/15 indicating no cognitive impairment. Review of Resident #68's record revealed the resident received skilled services in the facility from 9/15/2023 through 10/05/2023. At the completion of skilled services, Resident #68 remained in the facility. The record lacked the notification by the facility of form CMS 10055…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.0≈ chain avg
Health inspection 3 of 52.8+0.2 vs chain
Staffing 4 of 54.0≈ chain avg
Quality measures 4 of 52.8+1.2 vs chain
The other 91 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Edgebrook Care CenterEdgerton, MN 1 of 5Good Samaritan - IndianolaIndianola, IA 1 of 5Good Samaritan - Red OakRed Oak, IA 1 of 5Good Samaritan Society - AtkinsonAtkinson, NE 1 of 5Good Samaritan Society - BlackduckBlackduck, MN 1 of 5Good Samaritan Society - Grand Island VillageGrand Island, NE 1 of 5Good Samaritan Society - LakotaLakota, ND 1 of 5Good Samaritan Society - Mary Jane BrownLuverne, MN 1 of 5Good Samaritan Society - St Luke's VillageKearney, NE 1 of 5Good Samaritan Society - WindomWindom, MN 1 of 5Good Samaritan Society De SmetDe Smet, SD 1 of 5Good Samaritan Society MillerMiller, SD 1 of 5Salem Lutheran HomeElk Horn, IA 1 of 5Souris Valley Care CenterVelva, ND 1 of 5St Vincent's - A Prospera CommunityBismarck, ND 1 of 5Sunset Drive - a Prospera CommunityMandan, ND 2 of 5Good Samaritan - AtwoodAtwood, KS 2 of 5Good Samaritan - Decatur CountyOberlin, KS 2 of 5Good Samaritan - EsthervilleEstherville, IA 2 of 5Good Samaritan - MansonManson, IA 2 of 5Good Samaritan - OttumwaOttumwa, IA 2 of 5Good Samaritan - WaukonWaukon, IA 2 of 5Good Samaritan Society - BottineauBottineau, ND 2 of 5Good Samaritan Society - Hastings VillageHastings, NE 2 of 5Good Samaritan Society - OakesOakes, ND 2 of 5Good Samaritan Society - Park RiverPark River, ND 2 of 5Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN 2 of 5Good Samaritan Society - St John'sKearney, NE 2 of 5Good Samaritan Society - St Martin VillageRapid City, SD 2 of 5Good Samaritan Society - SuperiorSuperior, NE 2 of 5Good Samaritan Society - Waconia And Westview AcreWaconia, MN 2 of 5Good Samaritan Society CantonCanton, SD 2 of 5Good Samaritan Society Luther ManorSioux Falls, SD 2 of 5Good Samaritan Society New UnderwoodNew Underwood, SD 2 of 5Good Samaritan Society Sioux Falls CenterSioux Falls, SD 2 of 5Good Samaritan Society Sioux Falls VillageSioux Falls, SD 2 of 5Good Samaritan-LiberalLiberal, KS 2 of 5The Good Samaritan Society-Kissimmee VillageKissimmee, FL 3 of 5Good Samaritan - AlgonaAlgona, IA 3 of 5Good Samaritan - HolsteinHolstein, IA

Showing 40 of 91; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 01/01/2019
BROWN, GEORGEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
DYKHOUSE, DANAIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 05/30/2024
GULSVIG, NEILIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
LUNDEEN, MARKIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
MCCAUSLAND, MAUREENIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
MOLBERT, LAURISIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
NORTH, ANDREWIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
SCHIEFFER, KEVINIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
SHULKIN, DAVIDIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
TEIKEN, BRENTIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
WENZEL, THOMASIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
FLUIT, JOELIndividualCORPORATE OFFICER; ADP OF THE SNFsince 10/01/2022
MIDDLETON, AIMEEIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/27/2022
OLSON, NICHOLASIndividualCORPORATE OFFICER; ADP OF THE SNFsince 04/08/2024
SCHEMA, NATHANIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/01/2022
JACKSON-SIEPRAWSKI, ANNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/19/2023
MORRISON, TONYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
SANDGREN, DEEANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/16/2023
VU, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/02/2025
DTN STAFFING INCOrganizationADP OF THE SNFsince 08/02/2024
FOCUSONE SOLUTIONSOrganizationADP OF THE SNFsince 03/04/2024
GRAPE TREE MEDICAL STAFFING LLCOrganizationADP OF THE SNFsince 04/13/2018

CMS files one row per role, so the 54 rows in the source record cover these 28 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$11.4M
Net patient revenuemost recent cost report
-15.6%
Operating marginrevenue minus expenses
$2.1M
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 50%Medicare 7%Other / private 43%

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$396per resident / day
operating cost
$12,050per month
≈ monthly operating cost
$343per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165169. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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