Nursing homes › Iowa › Good Samaritan - Waukon
21 East Main Street, Waukon, IA 52172 · 5635683447 · 60 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 below its group average (3.0/5).
Total nurse staffing: 3.17 (Iowa median: 3.69). RN hours: 0.89. Weekend total: 2.70. Nursing staff turnover: 44%.
All-time on record: 16 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-30 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2026-05-23 |
| 2026-04-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-23 |
| 2026-04-30 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-05-23 |
| 2026-04-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-05-23 |
| 2026-04-30 | 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 2026-05-23 |
| 2026-04-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-05-23 |
| 2026-04-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-05-23 |
| 2026-04-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2026-05-23 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-08-21 |
| 2025-04-16 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Health | corrected 2025-05-01 |
| 2025-04-16 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-05-01 |
| 2025-04-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-05-01 |
| 2025-04-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-05-01 |
| 2025-01-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-02-12 |
| 2024-07-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Assess the resident when there is a significant change in condition | B | Health | corrected 2024-08-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-11 | Fine | $8,281 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SANFORD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2019 |
| BROWN, GEORGE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| 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 |
| MCCAUSLAND, MAUREEN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| SCHIEFFER, KEVIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| 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 |
| WENZEL, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| 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 |
| 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 |
| LEDERMAN, MORDECHAI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2020 |
| MORRISON, TONY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| WILKINS, JESSICA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/10/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165240. Corrections: data@carerecords.org.