Federal inspection record · CMS data as of October 1, 2026
Good Samaritan - West Union
201 Hall Street, West Union, IA · (563) 422-3814
- Certified beds
- 52
- Residents per day
- 35
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1993
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Good Samaritan - West Union carries 23 inspection points. That is fewer than 63% of Iowa's 385 rated homes.
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
13 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
- B
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care1D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service1D
- 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.
Inspection history
2026-03-12
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-03-13
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-09
4 health deficiencies · 10 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 91.2% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts worse | 9.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.8 pts worse | 13.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 15.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 18.1% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.2 pts worse | 20.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts worse | 21.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better | 22.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 5.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34 pts worse | 50.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.8 pts better | 85.2% | 74.4% | 80.1% |
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Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sanford | 5% Or Greater Direct Ownership Interest · Organization | 100% | 89 facilities |
| Brown, George | Corporate Director · Individual | 0% | 72 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Fluit, Joel | Corporate Officer · Individual | 0% | 87 facilities |
| Gassen, William | Corporate Director · Individual | 0% | 89 facilities |
| Gassen, William | Corporate Officer · Individual | 0% | 89 facilities |
| Gulsvig, Neil | Corporate Director · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Lederman, Mordechai | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Lederman, Mordechai | Adp Of The SNF · Individual | 0% | 3 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Mccausland, Maureen | Corporate Director · Individual | 0% | 69 facilities |
| Michael, Chalee | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Michael, Chalee | Adp Of The SNF · Individual | 0% | 2 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Morrison, Tony | Operational/Managerial Control · Individual | 0% | 89 facilities |
| Morrison, Tony | Adp Of The SNF · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Schieffer, Kevin | Corporate Director · Individual | 0% | 69 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
| Wenzel, Thomas | Corporate Director · Individual | 0% | 69 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
Egress4F
- F
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.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
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.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems3F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
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-
Ossian Care Center
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-
Hillcrest Home
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