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

Good Samaritan - Villisca

202 North Central Avenue, Villisca, IA · (712) 826-9592

CMS overall rating

4 of 5

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Certified beds
46
Residents per day
36
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1993

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

    +1 star

    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 - Villisca carries 36 inspection points. That is fewer than 47% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 36 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

18 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 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 4 8 pts
F 0 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 (1)

  1. G

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

    September 24, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 12, 2024

Everything else, by area of care

Quality of Life and Care4D
  1. D

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

    October 16, 2025 · Complaint · F686 · Corrected October 24, 2025

  2. D

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

    September 3, 2025 · Complaint · F689 · Corrected September 17, 2025

  3. D

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

    December 5, 2024 · Standard · F689 · Corrected January 5, 2025

  4. D

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

    September 14, 2023 · Standard · F695 · Corrected October 12, 2023

Nutrition and Dietary3E
  1. E

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

    January 29, 2026 · Standard · F812 · Corrected February 10, 2026

  2. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    January 29, 2026 · Standard · F805 · Corrected February 10, 2026

  3. E

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

    September 14, 2023 · Standard · F812 · Corrected October 12, 2023

Resident Assessment and Care Planning3D
  1. D

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

    January 29, 2026 · Standard · F658 · Corrected February 10, 2026

  2. D

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

    October 16, 2025 · Complaint · F658 · Corrected October 24, 2025

  3. D

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

    September 3, 2025 · Complaint · F658 · Corrected September 17, 2025

Resident Rights3D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 5, 2024 · Complaint · F550 · Corrected January 5, 2025

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    December 5, 2024 · Standard · F582 · Corrected January 5, 2025

  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.

    December 5, 2024 · Standard · F625 · Corrected January 5, 2025

Pharmacy Service2E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 29, 2026 · Standard · F755 · Corrected February 10, 2026

  2. 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.

    September 14, 2023 · Standard · F758 · Corrected October 12, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    December 5, 2024 · Standard · F604 · Corrected January 5, 2025

Nursing and Physician Services1E
  1. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    September 14, 2023 · Standard · F947 · Corrected October 12, 2023

Inspection history

  1. 2026-01-29

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-12-05

    7 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  3. 2023-09-14

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 12 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

3 h 12 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 29% 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 days0.4 pts worse1.81.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse2.01.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better98.6%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better100.0%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better1.4%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts better0.0%4.2%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts better4.2%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts worse32.5%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.3 pts better9.5%19.8%15.4%
Percentage of long-stay residents who were physically restrained2 pts worse2.2%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.1 pts better8.1%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better9.8%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.6%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 incontinence7 pts better18.0%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.5 pts better2.6%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts worse77.5%84.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%

·

Who owns and runs it

28 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
Brown, GeorgeCorporate Director · Individual0%72 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Early, MichaelOperational/Managerial Control · Individual0%2 facilities
Early, MichaelAdp Of The SNF · Individual0%2 facilities
Engbrecht, WesleyCorporate Director · 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
Freeman, StevenOperational/Managerial Control · Individual0%2 facilities
Freeman, StevenAdp Of The SNF · Individual0%2 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Mccausland, MaureenCorporate Director · Individual0%69 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Morrison, TonyOperational/Managerial Control · Individual0%89 facilities
Morrison, TonyAdp Of The SNF · Individual0%89 facilities
North, AndrewCorporate Director · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Schieffer, KevinCorporate Director · Individual0%69 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities
Wenzel, ThomasCorporate Director · Individual0%69 facilities

·

Fire safety

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

Gas, Vacuum, and Electrical Systems6F
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    January 29, 2026 · K914 · Corrected January 29, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    December 5, 2024 · K914 · Corrected December 9, 2024

  3. F

    Ensure that testing and maintenance of electrical equipment is performed.

    December 5, 2024 · K921 · Corrected December 18, 2024

  4. D

    Ensure proper usage of power strips and extension cords.

    December 5, 2024 · K920 · Corrected December 9, 2024

  5. D

    Have proper medical gas storage and administration areas.

    December 5, 2024 · K923 · Corrected December 9, 2024

  6. D

    Meet requirements for the use and maintenance of medical gas equipment.

    September 14, 2023 · K922 · Corrected October 3, 2023

Smoke4F
  1. F

    Properly provide smoke detection systems in areas open to corridors.

    December 5, 2024 · K347 · Corrected January 13, 2025

  2. F

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

    September 14, 2023 · K354 · Corrected September 28, 2023

  3. F

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

    September 14, 2023 · K374 · Not yet marked corrected

  4. D

    Install corridor and hallway doors that block smoke.

    September 14, 2023 · K363 · Corrected October 3, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    January 29, 2026 · K712 · Corrected January 29, 2026

  2. F

    Provide a written emergency evacuation plan.

    September 14, 2023 · K711 · Corrected October 3, 2023

  3. F

    Have simulated fire drills held at unexpected times.

    September 14, 2023 · K712 · Corrected October 3, 2023

Emergency Preparedness2F
  1. F

    Conduct testing and exercise requirements.

    January 29, 2026 · E39 · Corrected March 4, 2026

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    December 5, 2024 · E4 · Corrected December 18, 2024

Egress1F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    January 29, 2026 · K291 · Corrected February 20, 2026

·

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