Nursing homeActive
Good Samaritan - Forest City
606 South Seventh Street, Forest City, IA 50436641585223243 certified beds · 31 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
9
● 0● 7● 2
Penalties · 3 yrs
$25,945
2 fines · 1 action
Last survey
2025-08-07
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 2
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 |
|---|---|---|---|---|
| 2025-08-07 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-05 | Standard | 031 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 021 | 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.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 165213-20250807-F600
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 2025-08-22Record 165213-20250807-F690
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 2024-04-22Record 165213-20240905-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 2024-09-19Record 165213-20240905-F656
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 2024-09-19Record 165213-20240905-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-19Record 165213-20240905-F812
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity KHarm
Food & nutrition
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-11-02Record 165213-20231019-F805
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 2023-11-08Record 165213-20231019-F580
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 2023-11-08Record 165213-20231019-F684
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-05 | Civil money penalty | $8,824 | CMS · Penalties |
| 2023-10-19 | Civil money penalty | $17,121 | CMS · Penalties |
| 2023-10-19 | Denial of payment for new admissions Payment denial for 4 days, from 2023-11-17 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.88
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.49
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.19
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover31%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover33%
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 | 4.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 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 | 16.0% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.1% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.9% | 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 |
|---|---|---|---|---|
| The Evangelical Lutheran Good Samaritan Society Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brink, Holly Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Cain, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carlson, Byron Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| North, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rogers, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shulkin, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie 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 Winnebago.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Concord Care Center Garner | 11.7 mi | 2026-04-17 | 0110 |
| Westview Care Center Britt | 14.3 mi | 2026-06-25 | 000 |
| Lake Mills Care Center Lake Mills | 16.7 mi | 2026-04-15 | 141 |
| Oakwood Care Center Clear Lake | 14.9 mi | 2025-12-31 | 0120 |
| Timely Mission Nursing Home Buffalo Center | 18.0 mi | 2025-11-17 | 030 |
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 |