Nursing homes › Iowa › Good Samaritan - Forest City
606 South Seventh Street, Forest City, IA 50436 · 6415852232 · 43 certified beds
Per CMS filings, this facility is affiliated with Good Samaritan Society, a group operating 91 facilities in 9 states. Group record: average rating 3.0/5, 7 abuse citation icons, 5 facilities on the Special Focus list, $2,237,184 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 3.49 (Iowa median: 3.69). RN hours: 0.88. Weekend total: 3.19. Nursing staff turnover: 31%.
All-time on record: 9 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-07-15 |
| 2025-08-07 | 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 | Health | corrected 2025-08-22 |
| 2024-09-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-04-22 |
| 2024-09-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-09-19 |
| 2024-09-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-19 |
| 2024-09-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-09-19 |
| 2023-10-19 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Health | corrected 2023-11-02 |
| 2023-10-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-11-08 |
| 2023-10-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-11-08 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-05 | Fine | $8,824 |
| 2023-10-19 | Fine | $17,121 |
| 2023-10-19 | Payment Denial | 4 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CAIN, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| DYKHOUSE, DANA | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| SHULKIN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| FLUIT, JOEL | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | Corporate Officer | Individual | NOT APPLICABLE | since 04/08/2024 |
| ROGERS, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/13/2022 |
| SCHEMA, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165213. Corrections: data@carerecords.org.