Nursing homeActive
Good Samaritan - Red Oak
201 Alix Avenue, Red Oak, IA 51566712623317053 certified beds · 39 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
34
● 1● 30● 3
Penalties · 3 yrs
$29,894
1 fine
Last survey
2026-04-23
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-23 | Standard | 0121 | CMS-2567 (Care Compare) | — |
| 2026-02-18 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-08-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-04-17 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2024-07-03 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2024-04-18 | Complaint | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-07Record 165191-20260423-F684
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F552
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F584
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F628
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F695
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F732
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F812
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 165191-20260423-F887
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 165191-20260218-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 165191-20260218-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-26Record 165191-20250812-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-29Record 165191-20250417-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 165191-20250417-F686
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F693
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 165191-20250417-F880
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-17Record 165191-20240703-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-17Record 165191-20240703-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-17Record 165191-20240703-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-07-16Record 165191-20240703-F732
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 165191-20240418-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 165191-20240418-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 165191-20240418-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 165191-20240418-F684
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 165191-20240418-F849
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-12 | Civil money penalty | $29,894 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.75
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.29
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.60
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover18%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover17%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.9% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.2% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Sanford Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Butz, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Early, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brown, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Butz, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Early, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccausland, Maureen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| North, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schieffer, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shulkin, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wenzel, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Good Samaritan Society — 92 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Montgomery.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Red Oak Rehab and Care Center Red Oak | 0.9 mi | 2026-06-17 | 0142 |
| Accura Healthcare of Stanton Stanton | 7.4 mi | 2025-10-07 | 0190 |
| Good Samaritan - Villisca Villisca | 14.3 mi | 2026-01-29 | 0171 |
| Accura Healthcare of Shenandoah Shenandoah | 20.0 mi | 2025-09-18 | 0202 |
| Garden View Care Center Shenandoah | 20.1 mi | 2026-06-02 | 1979 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |