Saint Ansgar, IA

Good Samaritan Society - Saint Ansgar

5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle

701 East Fourth Street, Saint Ansgar, IA

(641) 713-4912

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

42

Certified beds

Average residents

40

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Good Samaritan Society

Operator or chain grouping

Approved since

1994-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.24

Licensed practical nurse staffing

Aide hours / resident day

1.92

Nurse aide staffing

Weekend hours

2.48

Weekend nurse staffing

RN turnover

11%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.1%	4.9% 1.8 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.7%	20.6% 5.9 pts better	19.6% 4.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	9.7%	19.8% 10.1 pts better	16.7% 7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	2.9%	0.2% 2.7 pts worse	0.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	19.1%	18.5% 0.6 pts worse	16.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	27.8%	18.3% 9.5 pts worse	14.9% 12.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.7%	2.5% 1.8 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	26.0% 1.8 pts better	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	0.0%	4.3% 4.3 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.4%	84.3% 4.1 pts better	81.7% 6.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	10.0%	13.1% 3.1 pts better	12.0% 2 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.9%	21.3% 1.4 pts better	23.9% 4 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2024-07-21 · Fire 2024-07-21

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2024-01-10 · Fire 2024-01-10

4 health deficiencies

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

11 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-04-24

F · Potential for more than minimal harm 2025-04-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-04-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-04-24

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-04-28

F · Potential for more than minimal harm 2024-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-21

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-01-10

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-01-24

F · Potential for more than minimal harm 2024-01-10

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2024-01-24

F · Potential for more than minimal harm 2024-01-10

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-01-24

F · Potential for more than minimal harm 2024-01-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-01-24

F · Potential for more than minimal harm 2024-01-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-24

F · Potential for more than minimal harm 2024-01-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-01-24

E · Potential for more than minimal harm 2024-01-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-24

E · Potential for more than minimal harm 2024-01-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-01-24

D · Potential for more than minimal harm 2024-01-10

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-01-24

D · Potential for more than minimal harm 2024-01-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-24

D · Potential for more than minimal harm 2024-01-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-01-10

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-02-08

D · Potential for more than minimal harm 2024-01-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-02-08

D · Potential for more than minimal harm 2024-01-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-08

D · Potential for more than minimal harm 2024-01-10

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-02-08

Penalties and ownership

What sits behind the stars

Ownership

The Evangelical Lutheran Good Samaritan Society

5% Or Greater Indirect Ownership Interest · Organization

100% 88 facilities 2019-01-01

Brown, George

Corporate Director · Individual

0% 64 facilities 2025-01-01

Bundy, Kelsey

Operational/Managerial Control · Individual

0% 1 facilities 2021-04-25

Dykhouse, Dana

Corporate Director · Individual

0% 85 facilities 2024-05-30

Engbrecht, Wesley

Corporate Director · Individual

0% 89 facilities 2024-05-30

Fluit, Joel

Corporate Officer · Individual

0% 88 facilities 2022-10-01

Gassen, William

Corporate Director · Individual

0% 89 facilities 2024-05-30

Gassen, William

Corporate Officer · Individual

0% 89 facilities 2024-05-30

Gulsvig, Neil

Corporate Director · Individual

0% 89 facilities 2024-05-30

Herseth Sandlin, Stephanie

Corporate Director · Individual

0% 86 facilities 2024-05-30

Lundeen, Mark

Corporate Director · Individual

0% 89 facilities 2024-05-30

Mccausland, Maureen

Corporate Director · Individual

0% 61 facilities 2025-01-01

Middleton, Aimee

Corporate Officer · Individual

0% 88 facilities 2022-01-27

Molbert, Lauris

Corporate Director · Individual

0% 89 facilities 2024-05-30

Morrison, Tony

Operational/Managerial Control · Individual

0% 89 facilities 2019-01-01

North, Andrew

Corporate Director · Individual

0% 89 facilities 2024-05-30

Olson, Nicholas

Corporate Officer · Individual

0% 87 facilities 2024-04-08

Ross, Kelly

Operational/Managerial Control · Individual

0% 2 facilities 2017-05-01

Sanford

5% Or Greater Direct Ownership Interest · Organization

0% 89 facilities 2019-01-01

Schema, Nathan

Corporate Officer · Individual

0% 88 facilities 2019-06-24

Schieffer, Kevin

Corporate Director · Individual

0% 61 facilities 2025-01-10

Shulkin, David

Corporate Director · Individual

0% 85 facilities 2024-05-30

Teiken, Brent

Corporate Director · Individual

0% 89 facilities 2024-05-30

Ventling-Herrmann, Marnie

Corporate Director · Individual

0% 89 facilities 2024-05-30

Wenzel, Thomas

Corporate Director · Individual

0% 61 facilities 2025-01-01

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1-star overall rating with 1-star inspections with $21,986 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 4 / 5
Fines: $21,986

#2

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1-star overall rating with 1-star inspections with $96,561 in total fines with 13 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 3 / 5
Fines: $96,561

#3