Federal inspection record · CMS data as of October 1, 2026
Good Neighbor Home
105 McCarren Drive, Manchester, IA · (563) 927-3907
- Certified beds
- 112
- Residents per day
- 97
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 2003
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Good Neighbor Home carries 27 inspection points. That is fewer than 58% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
5 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2026-07-30
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-06-19
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-15
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
4 h 22 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 5% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 2.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.2 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 98.6% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury8.5 pts worse | 12.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts better | 0.3% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 3.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better | 18.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.6 pts worse | 26.4% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.3 pts better | 9.9% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts better | 9.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.1 pts worse | 6.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection7.3 pts worse | 9.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better | 22.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.7% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 96.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 13.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.9 pts worse | 6.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.3 pts better | 95.7% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.4 pts worse | 32.1% | 20.7% | 23.4% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Andrews, Amber | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Bessey, Linda | Corporate Officer · Individual | 0% | 1 facilities |
| Brehme Drug Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Button, Charles | Corporate Officer · Individual | 0% | 1 facilities |
| Carpenter, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carpenter, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cascade Lumber Company | Adp Of The SNF · Organization | 0% | 2 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Engelken, Mackenzie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gerst, Timothy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gerst, Timothy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gibbs, Kristy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Greve, Teresa | Corporate Director · Individual | 0% | 1 facilities |
| Hacker Nelson And Co Pc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Hammell, Diane | Corporate Officer · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Jaeger, Amber | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jebens, Carol | Corporate Director · Individual | 0% | 1 facilities |
| Kramer, Milt | Corporate Director · Individual | 0% | 1 facilities |
| Mahoney, Randy | Corporate Director · Individual | 0% | 1 facilities |
| Morris, Kyle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rauch, Terry | Corporate Officer · Individual | 0% | 1 facilities |
| Ronek Menard, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlicht, Valarie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Swinton, Joann | Corporate Director · Individual | 0% | 1 facilities |
| Tibbott, Jessie | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have an enclosure around a vertical opening shaft.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have an enclosure around a vertical opening shaft.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have an enclosure around a vertical opening shaft.
- E
Have proper openings in smoke barrier doors.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress5F
- F
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.
- F
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.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Edgewood Convalescent Home
Edgewood, IA · Edgewood Convalescent Home
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Strawberry Point Lutheran Home
Strawberry Point, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 43 min
- Fines
- $0
-
MercyOne Dyersville Senior Care
Dyersville, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0