Starfile

Starfile / Iowa

Good Samaritan Society - Forest City

606 South Seventh Street, Forest City, IA 50436 · CCN 165213

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★☆☆☆ 2
Staffing
★★★☆☆ 3

Facility

Ownership type
Non profit - Church related
Certified beds
43
Avg residents/day
33.7
Phone
6415852232

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIowa avgNational avgvs state
12025-08-0726.29.5-4.2 better
22024-09-0547.09.8-3.0 better
32023-10-1957.99.3-2.9 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2945.8%
RN staffing (reported)0.8044.4%
Total nurse staffing (adjusted)3.44

Fines & penalties

Total fines
$25,945
Number of fines
2
Number of penalties
3
Payment denials
1

Chain

Chain
GOOD SAMARITAN SOCIETY
Facilities in chain
89
Chain avg overall
3.00 / 5

Inspection citations (11)1 immediate jeopardy2 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-07 · Health · corrected 2025-07-15

    Potential for more than minimal harm

  2. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-07 · Health · corrected 2025-08-22

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-05 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-05 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-04-22

    Actual harm

  6. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-05 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  7. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-19 · Health · corrected 2023-11-08

    Potential for more than minimal harm

  8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-19 · Health · corrected 2023-11-08

    Potential for more than minimal harm

  9. KF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-10-19 · Health · corrected 2023-11-02

    Immediate jeopardy

  10. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-25 · Health · corrected 2023-05-09

    Potential for more than minimal harm

  11. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-25 · Health · corrected 2023-05-09

    Actual harm

Ownership

OwnerTypeRolePercentSince
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
CAIN, JAMESIndividualCORPORATE DIRECTOR2024-05-30
DYKHOUSE, DANAIndividualCORPORATE DIRECTOR2024-05-30
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTOR2024-05-30
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR2024-05-30
GULSVIG, NEILIndividualCORPORATE DIRECTOR2024-05-30
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTOR2024-05-30
LUNDEEN, MARKIndividualCORPORATE DIRECTOR2024-05-30
MOLBERT, LAURISIndividualCORPORATE DIRECTOR2024-05-30
NORTH, ANDREWIndividualCORPORATE DIRECTOR2024-05-30
SHULKIN, DAVIDIndividualCORPORATE DIRECTOR2024-05-30
TEIKEN, BRENTIndividualCORPORATE DIRECTOR2024-05-30
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTOR2024-05-30
FLUIT, JOELIndividualCORPORATE OFFICER2022-10-01
GASSEN, WILLIAMIndividualCORPORATE OFFICER2024-05-30
MIDDLETON, AIMEEIndividualCORPORATE OFFICER2022-01-27
OLSON, NICHOLASIndividualCORPORATE OFFICER2024-04-08
ROGERS, MICHAELIndividualCORPORATE OFFICER2022-06-13
SCHEMA, NATHANIndividualCORPORATE OFFICER2022-01-01
CARLSON, BYRONIndividualCONTRACTED MANAGING EMPLOYEE2023-05-01
BRINK, HOLLYIndividualW-2 MANAGING EMPLOYEE2022-11-20
MIDDLETON, AIMEEIndividualW-2 MANAGING EMPLOYEE2022-01-27
MORRISON, TONYIndividualW-2 MANAGING EMPLOYEE2019-01-01

Other facilities in Forest City

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.