Good Samaritan - Forest City

Winnebago · IA · Non profit - Church related · GOOD SAMARITAN SOCIETY chain · 43 certified beds · CCN 165213 · THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Good Samaritan - Forest City operates 43 certified beds in Forest City, Iowa. Its Medicare and Medicaid certification dates to 1994-04-01. It averages 31.1 residents a day.

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

CMS lists 9 health-inspection deficiencies for Good Samaritan - Forest City, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-08-07.

Survey dateTagDeficiencySeverity
2025-08-07F0600, F0690Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-09-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-09-05F0656, F0684, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2023-10-19F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K
2023-10-19F0580, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D

Why was Good Samaritan - Forest City fined 2 times?

DateTypeAmount
2024-09-05Fine$8,824
2023-10-19Fine$17,121

Has Good Samaritan - Forest City had payment denied by Medicare?

Payment denial startLength in days
2023-11-174

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

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.491003.81506
Total nursing staff turnover (%)31.044.0
Average number of residents per day31.152.4

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

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

RoleOwnerAssociation date
CONTRACTED MANAGING EMPLOYEECARLSON, BYRONsince 05/01/2023
W-2 MANAGING EMPLOYEEBRINK, HOLLY, MIDDLETON, AIMEE, MORRISON, TONYsince 01/01/2019
CORPORATE DIRECTORCAIN, JAMES, DYKHOUSE, DANA, ENGBRECHT, WESLEY, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUNDEEN, MARK, MOLBERT, LAURIS, NORTH, ANDREW, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIEsince 05/30/2024
CORPORATE OFFICERFLUIT, JOEL, GASSEN, WILLIAM, MIDDLETON, AIMEE, OLSON, NICHOLAS, ROGERS, MICHAEL, SCHEMA, NATHANsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYsince 01/01/2019

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