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Good Samaritan Society - Forest City

606 South Seventh Street, Forest City, IA 50436
6415852232
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Overall CMS Rating

4.0/5

vs State Average: 3.1 stars

4.0/5

Health Inspections

vs State Average: 2.9/5

3.0/5

Staffing Level

vs State Average: 3.5/5

2.0/5

Quality Measures

vs State Average: 3.4/5

3 penalties in last 3 years
Penalties
vs State Average: 0.9 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Aug 7, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D
Aug 7, 2025 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D
Sep 5, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D
Sep 5, 2024 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Sep 5, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Score
3.0
State Average
3.5
National Average
2.9
0.8 RN Hours / Resident / Day
3.3 Total Nurse Hours / Resident / Day
44.4% RN Turnover Rate
Score
2.0
State Average
3.4
National Average
3.6
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
33.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
CORPORATE DIRECTOR CAIN, JAMES
CORPORATE DIRECTOR DYKHOUSE, DANA
CORPORATE DIRECTOR ENGBRECHT, WESLEY
CORPORATE DIRECTOR GASSEN, WILLIAM
CORPORATE DIRECTOR GULSVIG, NEIL
CORPORATE DIRECTOR HERSETH SANDLIN, STEPHANIE
CORPORATE DIRECTOR LUNDEEN, MARK
CORPORATE DIRECTOR MOLBERT, LAURIS
CORPORATE DIRECTOR NORTH, ANDREW
Recent Penalties
Date Type Fine
Sep 5, 2024 Fine $8,824
Oct 19, 2023 Fine $17,121
Oct 19, 2023 Payment Denial $0

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