Good Neighbor Home
105 McCarren Drive, Manchester, IA 52057 · Delaware County · (563) 927-3907
112 certified beds, about 94 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165503 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 19, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 6 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.33 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
27.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
202/24
108/24
006/25
310/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
2D
3E
0F
Potential for minimal harm
0A
0B
0C
October 10, 2025Complaint inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review, staff interview and facility policy review the facility failed to maintain the safety and security for 2 of 5 residents identified as a fall risk (Residents #1 and #3). Resident #1 had a prior history of falls from her recliner. After Resident #1's fall on 5/27/25, the facility put the Intervention in place to have her recliner unplugged. On 6/7/25, the staff observed Resident #1 during the room rounds. One staff member reported seeing Resident #1 in her recliner with her feet elevated. At approximately 3:19 PM, the staff found Resident #1 on the floor with her footrest in an upright position. The failure to follow Resident #1's Intervention to have her recliner unplugged allowed her to put her feet up in the recliner and then trip over her recliner attempting to get up by herself. [...]
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, clinical record review, video footage, staff interview, and family interview the facility failed to maintain an appropriate number of staff to meet the individual needs of residents who resided in a Chronic Confusion or Dementing Illness unit (CCDI). The facility reported 20 residents resided in the CCDI unit. The facility identified a census of 99 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, video footage, family interview, staff interview, and facility policy review the facility failed to maintain a resident's dignity by failing to remove a gait belt assistive device after usage for 1 of 3 residents reviewed (Resident #3). The facility identified a census of 99 residents.
June 19, 2025Standard inspection · 0 citations
August 15, 2024Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, Center for Disease Control and Prevention (CDC) COVID 19 Guidelines, and staff interview, the facility failed to ensure housekeeping staff wore appropriate personnel protective equipment (PPE) to prevent the spread of COVID 19 infection during a COVID 19 outbreak within the facility. The facility reported a census of 98 residents.
February 8, 2024Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wrote2. During an observation on 2/07/24 at 8:26 am Staff M removed the wrapper from two straws, then touched the drinking tip of each straw to place the straws into covered mugs and delivered the mugs to Resident #19 in the assistive dining room. At 8:27 AM staff M pulled her medical mask down below her nose, rubbed her nose with her right hand, replaced her mask above her nose, then poured chocolate milk into a glass and touched the drinking rim of the glass with her right hand, delivered the glass to Resident #196 who drank 100% of the chocolate milk. At 8:32 AM Staff M poured a glass of apple juice and chocolate milk then carried both glasses, one in each hand, with her hands over the top of the drinking rim and delivered the drinks to Resident #3. When asked questions Staff M shrugged her shoulders at the Surveyor stating she was agency and walked away. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, resident and staff interview, the facility failed to follow-up after a cognitively intact resident reported a medication omission for 1 of 1 residents reviewed for medication error (Resident #65). The facility identified a census of 94 residents.
Fire safety inspections
17 fire safety citations on file: 5 on June 19, 2025, 8 on August 15, 2024, 4 on February 8, 2024.
Every fire safety citation17 citations
- 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 Have an enclosure around a vertical opening shaft.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have an enclosure around a vertical opening shaft.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly located and lighted "Exit" signs.
- E Have proper openings in smoke barrier doors.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure proper usage of power strips and extension cords.
- F Have an enclosure around a vertical opening shaft.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.33 | 3.82 | 3.86 |
| Registered nurses | 0.96 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.70 | 3.37 | 3.42 |
| Nurse aides | 2.81 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 27.2% | 44.0% | 45.8% |
| Registered nurse turnover | 10.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.58 on weekdays and 3.70 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.95 in April to June 2025 to 4.33 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.33 | 0.96 | 4.58 | 3.70 | 1.0% | 0 of 90 | 94 |
| Oct to Dec 2025 | 4.17 | 0.97 | 4.41 | 3.57 | 2.4% | 0 of 92 | 96 |
| Jul to Sep 2025 | 4.05 | 0.90 | 4.32 | 3.38 | 3.1% | 0 of 92 | 95 |
| Apr to Jun 2025 | 3.95 | 0.93 | 4.21 | 3.32 | 1.9% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 7.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.6 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.8 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: GOOD NEIGHBOR SOCIETY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Greve, Teresa | Corporate director | Individual | 08/19/2024 | |
| Jebens, Carol | Corporate director | Individual | 07/25/2022 | |
| Kramer, Milt | Corporate director | Individual | 09/23/2024 | |
| Mahoney, Randy | Corporate director | Individual | 08/21/2023 | |
| Swinton, Joann | Corporate director | Individual | 07/25/2022 | |
| Bessey, Linda | Corporate officer | Individual | 09/23/2024 | |
| Button, Charles | Corporate officer | Individual | 09/23/2024 | |
| Hammell, Diane | Corporate officer | Individual | 09/23/2024 | |
| Rauch, Terry | Corporate officer | Individual | 06/01/2021 | |
| Andrews, Amber | Operational/managerial control | Individual | 08/29/2007 | |
| Carpenter, Matthew | Operational/managerial control | Individual | 08/21/2017 | |
| Engelken, Mackenzie | Operational/managerial control | Individual | 12/14/2020 | |
| Gerst, Timothy | Operational/managerial control | Individual | 09/01/2023 | |
| Gibbs, Kristy | Operational/managerial control | Individual | 12/02/2022 | |
| Morris, Kyle | Operational/managerial control | Individual | 03/31/2014 | |
| Ronek Menard, Rachel | Operational/managerial control | Individual | 05/20/2023 | |
| Schlicht, Valarie | Operational/managerial control | Individual | 01/03/2019 | |
| Tibbott, Jessie | Operational/managerial control | Individual | 06/13/2013 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Brehme Drug Inc | Adp of the SNF | Organization | 10/17/2022 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cascade Lumber Company | Adp of the SNF | Organization | 04/01/2023 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Hacker Nelson and Co PC | Adp of the SNF | Organization | 01/01/2021 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Carpenter, Matthew | Adp of the SNF | Individual | 09/24/2025 | |
| Gerst, Timothy | Adp of the SNF | Individual | 09/24/2025 | |
| Jaeger, Amber | Adp of the SNF | Individual | 05/11/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on October 10, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on October 10, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 10, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Edgewood Convalescent Home Edgewood, 11 mi · 5 of 5 stars · 3 citations
- Strawberry Point Lutheran Home Strawberry Point, 14.8 mi · 4 of 5 stars · 10 citations
- Mercyone Dyersville Senior Care Dyersville, 15.8 mi · 5 of 5 stars · 6 citations
- Monticello Nursing & Rehab Center Monticello, 21.9 mi · 3 of 5 stars · 21 citations
- Rehabilitation Centers of Independence West Campus Independence, 22.2 mi · 3 of 5 stars · 15 citations
- Buchanan County Health Center Independence, 22.3 mi · 5 of 5 stars · 12 citations
- Accura Healthcare of Cascade LLC Cascade, 24.8 mi · 2 of 5 stars · 5 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Good Neighbor Home's Medicare star rating?
- CMS rates Good Neighbor Home 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Good Neighbor Home get at its last inspection?
- 0 health deficiencies at the standard inspection on June 19, 2025. The Iowa average is 6.5.
- Has Good Neighbor Home been fined?
- CMS lists no fines in the last three years.
- Does Good Neighbor Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Good Neighbor Home?
- CMS lists 30 owners and managers. Legal business name: GOOD NEIGHBOR SOCIETY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.