13 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Indianola, IA
1-star overall rating with 1-star inspections with abuse icon flag with $20,316 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
708 South Jefferson, Indianola, IA
(515) 961-2596
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
84
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Good Samaritan Society
Operator or chain grouping
Approved since
1993-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
89 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.50
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
0.96
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
2.83
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
6,229
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9878
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.95
Baseline 18.45% · Performance 19.60% · Measure score 3.95 · Achievement 3.95 · Improvement 0
Healthcare-associated infections
3.51
Baseline 6.48% · Performance 6.79% · Measure score 3.51 · Achievement 3.51 · Improvement 0
Total nurse turnover
2.97
Baseline 67.86% · Performance 52.94% · Measure score 2.97 · Achievement 2.63 · Improvement 2.97
Adjusted total nurse staffing
3.01
Baseline 4.02 hours · Performance 3.93 hours · Measure score 3.01 · Achievement 3.01 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.51% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 82 · Observed rate 2.44% · Lower 95% interval 5.71% |
| Discharge to community | 58.07% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 53.13% · Lower 95% interval 47.16% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 91.67% |
95.27%
3.6 pts worse
|
Numerator 55 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 39.58% |
53.69%
14.1 pts worse
|
Numerator 19 · Denominator 48 |
| Discharge mobility score | 41.67% |
50.94%
9.3 pts worse
|
Numerator 20 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 8.33% |
2.29%
6 pts worse
|
Numerator 5 · Denominator 60 · Adjusted rate 9.21% |
| Healthcare-associated infections requiring hospitalization | 6.79% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 6.12% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 106 |
| Staff flu vaccination coverage | 66.67% |
42%
24.7 pts better
|
Numerator 96 · Denominator 144 |
| Discharge function score | 47.92% |
56.45%
8.5 pts worse
|
Numerator 23 · Denominator 48 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90.48% |
96.28%
5.8 pts worse
|
Numerator 19 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 5.13% |
25.2%
20.1 pts worse
|
Numerator 2 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
94.0%
0.3 pts better
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 85.9% · Q3 100.0% · Q4 100.0% · 4Q avg 94.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.8% |
95.2%
0.4 pts worse
|
95.5%
0.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.7%
0.3 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.2% · Q3 5.6% · Q4 3.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.3% |
4.0%
9.3 pts worse
|
11.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 15.9% · Q3 15.9% · Q4 9.7% · 4Q avg 13.3% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
4.9%
1.3 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 9.4% · Q3 1.6% · Q4 4.4% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
20.6%
1.3 pts worse
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 23.9% · Q3 20.3% · Q4 22.1% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.1% |
19.8%
2.3 pts worse
|
16.7%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 23.1% · Q3 18.8% · Q4 24.5% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.0% |
18.5%
8.5 pts worse
|
16.3%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 37.5% · Q3 25.4% · Q4 15.6% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% |
18.3%
10.6 pts worse
|
14.9%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 35.9% · Q3 25.8% · Q4 23.4% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.7%
1 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.9% · Q3 3.0% · Q4 1.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.5%
0.6 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 4.3% · Q4 5.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.3% |
26.0%
2.7 pts better
|
19.8%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 25.7% · Q3 20.2% · Q4 27.1% · 4Q avg 23.3% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.3%
0.7 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 8.3% · Q3 4.6% · Q4 2.7% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.6% |
84.3%
4.7 pts worse
|
81.7%
2.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 65.7% · Q3 91.9% · Q4 98.2% · 4Q avg 79.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
13.1%
0.6 pts better
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 11.4% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.9%
0.6 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 3.3% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.4% |
73.3%
11.9 pts worse
|
79.7%
18.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
21.3%
0.1 pts worse
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 18.2% · Expected 20.2% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-05-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-28
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-05-09
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-27
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-06-18
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-18
Fire Safety
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.
Corrected 2024-06-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-06-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-18
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-07-28
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-08-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-07-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-07-28
Inspection history
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Not marked corrected
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Not marked corrected
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-08-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-16
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-08-16
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-15
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-05-15
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-05-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-05-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-19
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-02-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-18
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-18
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-07-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-18
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-18
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-07-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-24
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-14
Penalties and ownership
Fine · fine $12,438
Fine
Fine · fine $7,878
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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