Good Samaritan - Indianola

CCN 165186 · THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY · Non profit - Corporation · GOOD SAMARITAN SOCIETY chain · 105 certified beds · Warren · IA


Good Samaritan - Indianola is a 105-bed nursing home in Indianola, Iowa. CMS has certified it for Medicare and Medicaid since 1993-11-01. It averages 84.1 residents a day.

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

CMS lists 42 health-inspection deficiencies for Good Samaritan - Indianola, 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 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F
2026-05-14F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-05-14F0558, F0584, F0627, F0628, F0641, F0644, F0656, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.D
2026-01-14F0725, F0865Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2025-07-29F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-07-29F0550, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide and implement an infection prevention and control program.D
2025-04-24F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-04-24F0578, F0584, F0657, F0677, F0725, F0880Honor 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. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program.D
2025-01-30F0725, F0727Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.F
2025-01-30F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-01-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-18F0684, F0760Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors.G
2024-06-18F0623, F0725, F0842Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-06-18F0585, F0641, F0644, F0677, F0686, F0757, F0880Honor 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. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2024-01-10F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2024-01-10F0684, F0755Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D

Why was Good Samaritan - Indianola fined 2 times?

DateTypeAmount
2025-04-24Fine$12,438
2024-01-10Fine$7,878

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

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.191533.81506
Total nursing staff turnover (%)60.544.0
Average number of residents per day84.152.4

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

Good Samaritan - Indianola 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 01/27/2022
OPERATIONAL/MANAGERIAL CONTROLBLACKBURN, NATASHA, GIJIMA, DESIRE, MORRISON, TONYsince 01/01/2019
ADP OF THE SNFBLACKBURN, NATASHA, GIJIMA, DESIRE, MORRISON, TONYsince 01/01/2019

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