Good Samaritan - Waukon

CCN 165240 · THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY · Non profit - Corporation · GOOD SAMARITAN SOCIETY chain · 60 certified beds · Allamakee · IA


Good Samaritan - Waukon is a 60-bed nursing home in Waukon, Iowa. CMS has certified it for Medicare and Medicaid since 1994-12-01. It averages 51.8 residents a day.

What harm was found in the violations cited at Good Samaritan - Waukon?

CMS lists 16 health-inspection deficiencies for Good Samaritan - Waukon, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-30.

Survey dateTagDeficiencySeverity
2026-04-30F0802, F0812Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-30F0644, F0655, F0656, F0657, F0684, F0688Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2025-09-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-04-16F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE
2025-04-16F0640, F0695, F0757Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-01-30F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-07-11F0880Provide and implement an infection prevention and control program.D
2024-07-11F0637Assess the resident when there is a significant change in conditionB

Why was Good Samaritan - Waukon fined?

DateTypeAmount
2025-09-11Fine$8,281

How is Good Samaritan - Waukon staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.172113.81506
Total nursing staff turnover (%)43.544.0
Average number of residents per day51.852.4

Who owns Good Samaritan - Waukon, and what chain is it in?

Good Samaritan - Waukon is registered with CMS as Non profit - Corporation, operates under the legal business name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY and belongs to the GOOD SAMARITAN SOCIETY chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSANFORDsince 01/01/2019
CORPORATE DIRECTORBROWN, GEORGE, DYKHOUSE, DANA, ENGBRECHT, WESLEY, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUNDEEN, MARK, MCCAUSLAND, MAUREEN, MOLBERT, LAURIS, NORTH, ANDREW, SCHIEFFER, KEVIN, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIE, WENZEL, THOMASsince 01/01/2025
CORPORATE OFFICERFLUIT, JOEL, GASSEN, WILLIAM, MIDDLETON, AIMEE, OLSON, NICHOLAS, SCHEMA, NATHANsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, LEDERMAN, MORDECHAI, MORRISON, TONY, WILKINS, JESSICAsince 01/01/2019
ADP OF THE SNFLEDERMAN, MORDECHAI, MORRISON, TONY, WILKINS, JESSICAsince 01/01/2019

Were you or a family member harmed at Good Samaritan - Waukon?