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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D25 | E10 | F8 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 23, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint, Health Standard | 13 | Actual harm | — | Open → |
| Feb 18, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 12, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Apr 17, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 17, 2025 | Health | Health Complaint, Health Standard | 9 | Actual harm | — | Open → |
| Jul 3, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 3, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 18, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 23, 2026 | Civil money penalty (fine) | $38,220 | — | 165191|Fine|142996 |
| Aug 12, 2025 | Civil money penalty (fine) | $29,894 | — | 165191|Fine|135112 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D25 | E10 | F8 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 23, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 7, 2026 | Complaint |
| Apr 23, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 30, 2026 | |
| Apr 23, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 87 facilities.
92 facilities in 9 states. CMS chain ID 726.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sanford | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| The Evangelical Lutheran Good Samaritan Society | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sanford | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| The Evangelical Lutheran Good Samaritan Society | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| The Evangelical Lutheran Good Samaritan Society | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| William Butz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Good Samaritan - Loveland Village 2101 S Garfield Ave, Loveland, CO 80537 CCN 065139Abuse icon | 104 | Apr 2, 2026 | 271 IJ4 harm | $46k | |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Salem Lutheran Home 2027 College Avenue, Elk Horn, IA 51531 CCN 165155 | 64 | Aug 13, 2026 | 521 harm | $15k | |
| Good Samaritan - Davenport 700 Waverly Road, Davenport, IA 52804 CCN 165169 | 119 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Red Oak Rehab and Care Center 1600 Summit Street, Red Oak, IA 51566 CCN 165185 | 1.5 km | 58 | Aug 20, 2026 | 431 IJ2 harm | $18k | |
| Accura Healthcare of Stanton 213 Halland Avenue, Stanton, IA 51573 CCN 165332 | 11.9 km | 46 | Oct 7, 2025 | 42 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165191 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165191 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| K-0222 |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Apr 24, 2026 |
| Apr 23, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Apr 23, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2026 |
| Apr 23, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 24, 2026 |
| Apr 23, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Apr 23, 2026 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Apr 23, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 21, 2026 |
| Apr 23, 2026 | F-0887 | Educate 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 21, 2026 |
| Feb 18, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2026 | Complaint |
| Feb 18, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2026 | Complaint |
| Aug 12, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 26, 2025 | Complaint |
| Apr 17, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 29, 2025 | Complaint |
| Apr 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Apr 17, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Apr 17, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2025 |
| Apr 17, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2025 |
| Apr 17, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2025 | Complaint |
| Apr 17, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2025 | Complaint |
| Apr 17, 2025 | F-0693 | Ensure 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2025 |
| Apr 17, 2025 | F-0803 | Ensure 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 5, 2025 |
| Apr 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 5, 2025 |
| Apr 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 5, 2025 |
| Jul 3, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 24, 2024 |
| Jul 3, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2024 |
| Jul 3, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2024 |
| Jul 3, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Jul 3, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 17, 2024 |
| Jul 3, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 17, 2024 |
| Jul 3, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 17, 2024 |
| Jul 3, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jul 16, 2024 |
| Apr 18, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2024 | Complaint |
| Apr 18, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2024 | Complaint |
| Apr 18, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2024 | Complaint |
| Apr 18, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2024 | Complaint |
| Apr 18, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 7, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.27 (case-mix index 1.24).
| Oct 1, 2023 |
| Michael Early | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2023 |
| Tony Morrison | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| George Brown | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Dana Dykhouse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Wesley Engbrecht | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| William Gassen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Neil Gulsvig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Stephanie Herseth Sandlin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Mark Lundeen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Maureen Mccausland | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Lauris Molbert | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Andrew North | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Kevin Schieffer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| David Shulkin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Brent Teiken | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Marnie Ventling-Herrmann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Thomas Wenzel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Joel Fluit | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2022 |
| William Gassen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 30, 2024 |
| Aimee Middleton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 27, 2022 |
| Nicholas Olson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 8, 2024 |
| Nathan Schema | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| William Butz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Michael Early | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 19, 2023 |
| Tony Morrison | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2019 |
| 64 |
| Dec 4, 2025 |
22 |
| — |
| Creekstone Health and Wellness 1500 Southgate Drive, Kissimmee, FL 34746 CCN 105559 | 161 | Dec 11, 2025 | 271 harm | $12k |
| Harry and Jeanette Weinberg Care Center 45-090 Namoku St, Kaneohe, HI 96744 CCN 125033 | 44 | Jan 30, 2025 | 20 | — |
| Good Samaritan - Davenport 700 Waverly Road, Davenport, IA 52804 CCN 165169 | 119 | Jan 29, 2026 | 35 | — |
| Good Samaritan - Indianola 708 South Jefferson, Indianola, IA 50125 CCN 165186 | 105 | May 14, 2026 | 691 IJ3 harm | $20k |
| Good Samaritan - West Union 201 Hall Street, West Union, IA 52175 CCN 165187 | 52 | May 20, 2026 | 32 | — |
| Good Samaritan - Villisca 202 North Central Avenue, Villisca, IA 50864 CCN 165189 | 46 | Jan 29, 2026 | 341 harm | — |
| Jan 29, 2026 |
35 |
| — |
| Good Samaritan - Indianola 708 South Jefferson, Indianola, IA 50125 CCN 165186 | 105 | May 14, 2026 | 691 IJ3 harm | $20k |
| Good Samaritan - West Union 201 Hall Street, West Union, IA 52175 CCN 165187 | 52 | May 20, 2026 | 32 | — |
| Good Samaritan - Villisca 202 North Central Avenue, Villisca, IA 50864 CCN 165189 | 46 | Jan 29, 2026 | 341 harm | — |
| Good Samaritan - Algona 412 West Kennedy Street, Algona, IA 50511 CCN 165190 | 72 | Dec 4, 2025 | 413 harm | $7,070 |
| Good Samaritan - Estherville 1646 Fifth Avenue North, Estherville, IA 51334 CCN 165192 | 62 | Jan 15, 2026 | 44 | — |
| Good Samaritan - Lemars 1140 Lincoln Street NE, Le Mars, IA 51031 CCN 165205 | 64 | May 14, 2026 | 14 | — |