Unclaimed
Good Samaritan Society - Forest City in Forest City, IA
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Ratings Deep Dive
5Deficiencies found in last inspections
3Penalties in last 3 years
2Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| F600 | Aug 7, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| F690 | 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 |
| F656 | 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 |
| — | Sep 5, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. | D |
| F812 | Sep 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
0.8RN Hours / Resident / Day
3.3Total Nurse Hours / Resident / Day
44.4%RN Turnover Rate
2.0Long-Stay QM Rating
3.0Short-Stay QM Rating
33.7Avg 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
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Ownership Info CMS
OPERATIONAL/MANAGERIAL CONTROLTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
CORPORATE DIRECTORCAIN, JAMES
CORPORATE DIRECTORDYKHOUSE, DANA
CORPORATE DIRECTORENGBRECHT, WESLEY
CORPORATE DIRECTORGASSEN, WILLIAM
CORPORATE DIRECTORGULSVIG, NEIL
CORPORATE DIRECTORHERSETH SANDLIN, STEPHANIE
CORPORATE DIRECTORLUNDEEN, MARK
CORPORATE DIRECTORMOLBERT, LAURIS
CORPORATE DIRECTORNORTH, 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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