Federal inspection record · CMS data as of October 1, 2026

Good Samaritan - George

324 First Avenue North, George, IA · (712) 475-3391

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
36
Residents per day
33
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1995

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Good Samaritan - George carries 42 inspection points. That is fewer than 41% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 42 pts · 3★

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

21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 6 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (2)

  1. J

    Respond appropriately to all alleged violations.

    August 29, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected June 27, 2024

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 21, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected May 3, 2023

Everything else, by area of care

Resident Assessment and Care Planning5E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 21, 2023 · Standard · F657 · Corrected October 14, 2023

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    September 21, 2023 · Standard · F644 · Corrected October 14, 2023

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 21, 2023 · Standard · F656 · Corrected October 14, 2023

  4. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 21, 2023 · Standard · F658 · Corrected October 14, 2023

  5. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    September 21, 2023 · Standard · F661 · Corrected October 14, 2023

Nutrition and Dietary3E
  1. E

    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.

    August 21, 2025 · Standard · F803 · Corrected September 16, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 21, 2025 · Standard · F812 · Corrected September 16, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 29, 2024 · Standard · F812 · Corrected September 25, 2024

Resident Rights3D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    August 21, 2025 · Standard · F628 · Corrected September 16, 2025

  2. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 21, 2023 · Standard · F623 · Corrected October 14, 2023

  3. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    September 21, 2023 · Standard · F625 · Corrected October 14, 2023

Administration2F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    August 21, 2025 · Standard · F851 · Corrected September 16, 2025

  2. E

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    August 29, 2024 · Standard · F851 · Corrected September 25, 2024

Quality of Life and Care2D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 21, 2025 · Standard · F695 · Corrected September 16, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 21, 2023 · Standard · F686 · Corrected October 14, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 29, 2024 · Complaint · F600 · Corrected September 25, 2024

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 29, 2024 · Complaint · F609 · Corrected September 25, 2024

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    August 29, 2024 · Standard · F880 · Corrected September 25, 2024

  2. E

    Provide and implement an infection prevention and control program.

    September 21, 2023 · Standard · F880 · Corrected October 14, 2023

Inspection history

  1. 2025-08-21

    5 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-08-29

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2023-09-21

    10 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 10 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.

This home

3 h 10 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% of nursing staff and 11% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,827 in federal fines on record over the past three years.

DatePenaltyAmount
2024-08-29Fine$8,827

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts worse1.91.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse2.41.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better96.5%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.1 pts worse89.7%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3 pts better0.9%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms2.2 pts better2.0%4.2%13.5%
Percentage of long-stay residents who lose too much weight3.4 pts better1.0%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts worse27.6%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.8 pts worse28.6%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.7 pts worse0.9%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.7 pts better9.5%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2 pts better14.6%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection2.4 pts better0.0%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.1 pts better18.9%25.0%18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts better1.3%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts better95.8%84.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication6.6 pts worse8.7%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.9 pts worse56.5%74.4%80.1%

·

Who owns and runs it

54 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sanford5% Or Greater Direct Ownership Interest · Organization100%89 facilities
The Evangelical Lutheran Good Samaritan Society5% Or Greater Indirect Ownership Interest · Organization100%87 facilities
Brown, GeorgeCorporate Director · Individual0%72 facilities
Brown, GeorgeAdp Of The SNF · Individual0%72 facilities
Chaudhary, IkramOperational/Managerial Control · Individual0%1 facilities
Chaudhary, IkramAdp Of The SNF · Individual0%1 facilities
Dejong, ChesterOperational/Managerial Control · Individual0%1 facilities
Dejong, ChesterAdp Of The SNF · Individual0%1 facilities
Dtn Staffing IncAdp Of The SNF · Organization0%51 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Dykhouse, DanaAdp Of The SNF · Individual0%85 facilities
Engbrecht, WesleyCorporate Director · Individual0%89 facilities
Engbrecht, WesleyAdp Of The SNF · Individual0%89 facilities
Fluit, JoelCorporate Officer · Individual0%87 facilities
Fluit, JoelAdp Of The SNF · Individual0%87 facilities
Focusone SolutionsAdp Of The SNF · Organization0%50 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gassen, WilliamAdp Of The SNF · Individual0%89 facilities
Grape Tree Medical Staffing LLCAdp Of The SNF · Organization0%64 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Gulsvig, NeilAdp Of The SNF · Individual0%89 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Herseth Sandlin, StephanieAdp Of The SNF · Individual0%86 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Lundeen, MarkAdp Of The SNF · Individual0%89 facilities
Mccausland, MaureenCorporate Director · Individual0%69 facilities
Mccausland, MaureenAdp Of The SNF · Individual0%69 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Middleton, AimeeAdp Of The SNF · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Molbert, LaurisAdp Of The SNF · Individual0%89 facilities
Morrison, TonyOperational/Managerial Control · Individual0%89 facilities
Morrison, TonyAdp Of The SNF · Individual0%89 facilities
North, AndrewCorporate Director · Individual0%89 facilities
North, AndrewAdp Of The SNF · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Olson, NicholasAdp Of The SNF · Individual0%87 facilities
Sandgren, DeeandraOperational/Managerial Control · Individual0%50 facilities
Sandgren, DeeandraAdp Of The SNF · Individual0%50 facilities
SanfordAdp Of The SNF · Organization0%89 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Schema, NathanAdp Of The SNF · Individual0%87 facilities
Schieffer, KevinCorporate Director · Individual0%69 facilities
Schieffer, KevinAdp Of The SNF · Individual0%69 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Shulkin, DavidAdp Of The SNF · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
Teiken, BrentAdp Of The SNF · Individual0%89 facilities
The Evangelical Lutheran Good Samaritan SocietyAdp Of The SNF · Organization0%87 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities
Ventling-Herrmann, MarnieAdp Of The SNF · Individual0%90 facilities
Wenzel, ThomasCorporate Director · Individual0%69 facilities
Wenzel, ThomasAdp Of The SNF · Individual0%69 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Provide properly protected cooking facilities.

    August 21, 2025 · K324 · Corrected September 18, 2025

  2. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 21, 2025 · K355 · Corrected September 8, 2025

  3. F

    Install corridor and hallway doors that block smoke.

    August 21, 2025 · K363 · Corrected September 3, 2025

  4. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 21, 2025 · K372 · Corrected September 2, 2025

  5. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    August 29, 2024 · K354 · Corrected September 25, 2024

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    August 21, 2025 · K712 · Corrected September 20, 2025

  2. F

    Provide a written emergency evacuation plan.

    August 29, 2024 · K711 · Corrected September 25, 2024

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 29, 2024 · K761 · Corrected October 8, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 21, 2025 · K918 · Corrected August 29, 2025

  2. F

    Ensure proper usage of power strips and extension cords.

    August 21, 2025 · K920 · Corrected August 21, 2025

Emergency Preparedness1F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 29, 2024 · E4 · Corrected September 25, 2024

·

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