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

Good Samaritan - Lemars

1140 Lincoln Street NE, Le Mars, IA · (712) 546-4101

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
64
Residents per day
61
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1994

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.

  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

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Good Samaritan - Lemars carries 7 inspection points. That is fewer than 89% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 7 pts · 4★

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

6 health citations on record since 2024. 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 0 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 5 4 pts
E 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning3D
  1. D

    Ensure each resident receives an accurate assessment.

    April 17, 2025 · Standard · F641 · Corrected April 29, 2025

  2. D

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

    April 17, 2025 · Standard · F656 · Corrected April 29, 2025

  3. D

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

    April 11, 2024 · Standard · F657 · Corrected May 3, 2024

Administration1F
  1. F

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

    April 17, 2025 · Standard · F851 · Corrected April 29, 2025

Pharmacy Service1D
  1. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    April 17, 2025 · Standard · F758 · Corrected April 29, 2025

Nursing and Physician Services1D
  1. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    April 11, 2024 · Standard · F725 · Corrected May 3, 2024

Inspection history

  1. 2026-05-14

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2025-04-17

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2024-04-11

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 11 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 11 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 27% 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

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 daysAbout the same1.41.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse2.61.91.7
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 vaccine0.8 pts better96.6%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same3.9%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms2.4 pts better1.8%4.2%13.5%
Percentage of long-stay residents who lose too much weight2 pts better2.4%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts better14.8%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.8 pts better14.0%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better11.9%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse17.2%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better1.1%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.6 pts worse4.0%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts worse25.7%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts better3.9%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14 pts worse70.0%84.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts better8.6%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine49.4 pts worse25.0%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse23.5%20.7%23.4%

·

Who owns and runs it

57 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
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, JoelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · 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
Meis, StevenOperational/Managerial Control · Individual0%1 facilities
Meis, StevenAdp Of The SNF · Individual0%1 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
SanfordOperational/Managerial Control · Organization0%89 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 SocietyOperational/Managerial Control · Organization0%87 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
Whitcanack, TylerOperational/Managerial Control · Individual0%1 facilities
Whitcanack, TylerAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke4F
  1. F

    Install corridor and hallway doors that block smoke.

    May 14, 2026 · K363 · Corrected May 18, 2026

  2. F

    Install corridor and hallway doors that block smoke.

    April 17, 2025 · K363 · Corrected April 21, 2025

  3. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 17, 2025 · K374 · Corrected April 18, 2025

  4. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 11, 2024 · K374 · Corrected April 30, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    May 14, 2026 · K921 · Corrected May 12, 2026

  2. D

    Meet requirements for the use of electrical equipment.

    April 11, 2024 · K919 · Corrected April 18, 2024

Miscellaneous1F
  1. F

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

    May 14, 2026 · K761 · Corrected May 12, 2026

Construction1F
  1. F

    Use approved construction type or materials.

    April 17, 2025 · K161 · Corrected April 18, 2025

·

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