412 West Kennedy Street, Algona, IA 50511 · Kossuth County · (515) 295-2414
72 certified beds, about 64 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165190 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 4, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 27 health citations since December 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,070 in the last three years; the largest was $7,070, and the latest is dated October 22, 2025.
Nurses and nurse aides worked 3.06 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
41.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.
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.
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 27 health citations on file.
Inspectors wroteBased on clinical record, facility policy, resident and staff interview, the facility failed to provide a restorative exercise program for 1 of 3 resident reviewed (Resident #24). The facility reported a census of 61 residents.
Inspectors wroteBased on record review and staff interview, the facility failed to provide adequate supervision to prevent elopement with a fall for 1 of 3 residents reviewed (Resident #67). The facility reported a census of 60 residents.
Inspectors wroteBased on clinical record review, hospital clinical record review, staff interviews and policy review the facility failed to assure the resident with pressure ulcers received treatment and services, consistent with professional standards of practice to promote healing for 2 of 3 residents reviewed (Resident #1and #2) for pressure ulcers. The facility reported a census of 58 residents.
Inspectors wroteBased on clinical record review, staff interviews and facility policy the facility failed to appropriately implement interventions to protect 1 out of 1 residents (Resident #61) reviewed from personal degradation. The facility reported a census of 63 residents. The facility completed Social Media and HIPPA training on 10/22/24 prior to surveyors entering the facility on 11/18/24. The deficiency F600 sited at a D will be considered past non compliance.
Inspectors wroteBased on clinical record review, staff interviews, and facility record review, the facility failed to report an allegation of abuse within 2 hours to the Iowa Department of Inspections, Appeals and Licensing (DIAL) for 1 of 1 residents reviewed for abuse due to a staff member sending a video via social media with (Resident #61). The staff member was made aware of the allegations of possible abuse on 10/18/24, the Administrator was not made aware until 10/22/24. The staff member reported she did not know how to get a hold of the Administrator to report it. The facility reported a census of 63 residents.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to immediately report an allegation of abuse to the Department of Inspection and Appeals and Licensing (DIAL) for personal degradation, and failed to separate the staff member from the resident after the incident for 1 of 1 residents reviewed for an allegation of abuse (Resident #61). The facility reported a census of 63 residents.
Inspectors wroteBased on clinical record review, observations, staff interviews and facility policy review the facility failed to assure that a resident with a pressure ulcer received treatment and services, consistent with professional standards of practice, to prevent pressure ulcers from developing and to promote healing of a pressure ulcer for 1 of 1 resident reviewed (Resident #38). The facility reported a census of 50.
Inspectors wroteBased on clinical record review, observation, facility record review, staff and resident interviews, the facility failed to ensure resident's environment remained free from accidents and hazards for 2 out of 5 residents reviewed (Residents #8, and #54) for falls/incidents. The facility reported a census of 50 residents.
Inspectors wroteBased on observation, clinical record review, resident, family, and staff interviews, and review of the Resident Council Meeting minutes, the facility failed to answer call lights in a timely manner for 4 of 7 residents reviewed (Resident #34, #29, #2, and #41). The facility reported a census of 50 residents. Findings Include: 1. Resident #34 Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. During an interview on 11/28/23 Resident #34 reported that she sometimes has to wait 45 minutes or longer for assistance and once ended up wetting herself due to waiting so long. She reported she felt stupid and embarrassed when she wet herself but just couldn't hold it any longer. She reported it is all shifts that the call lights go a long time without being answered. [...]
Inspectors wroteBased on observations, staff interviews and facility policy review, the facility failed to ensure food was labeled with dates after opening, discarded after product recommended date, record temperatures of freezers/refrigerators to ensure safe food storage, record food temps prior to serving and complete test strips and temperatures on the dishwasher and with manual washing to ensure proper sanitation of dishes. The facility identified a census of 50 residents.
Inspectors wroteBased on clinical record review, staff interviews, Center for Disease Control and Prevention (CDC) guidelines and facility policy review, the facility failed to screen for eligibility, offer, provide education and document vaccine consent or refusal for the pneumococcal immunization for 3 of 5 residents reviewed (Resident #1, #38 and #41). The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review, the facility failed to screen for eligibility, offer, provide education and document vaccine consent or refusal for the Coronavirus booster vaccine to 5 of 5 residents reviewed (Resident #1, #15, #38, #41, and #51). The facility reported a census of 50 residents.
Inspectors wroteBased on resident and staff interviews and clinical record review, the facility failed to notify the physician or family for 1 of 1 residents reviewed (Resident #8), who suffered a fractured ankle during a transfer. The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review, staff and resident interview, the facility failed to perform a caregiver background check for 1 of 1 resident reviewed (Resident #8). The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record view and staff interview, the facility failed to transmit 1 of 3 Minimum Data Set (MDS) assessments for the facility within the required timeframe. The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review and staff interviews the facility failed to accurately document and submit accurate resident Minimum Data Set (MDS) Assessment for 1 of 3 residents reviewed (Resident #58). The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to develop a care plan to address risk factors and interventions for 3 out of 16 residents (Residents #38, #52, #8) reviewed for comprehensive care plans. The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review, the facility failed to update the care plan for 1 of 1 resident reviewed (Resident #52) who was receiving an anticoagulant. The facility reported a census of 50 residents.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to provide supervision with medication administration according to accepted standards of clinical practice for 1 of 7 residents reviewed (Residents #40). The facility reported a census of 50 residents.
Inspectors wroteBased on observations, clinical record review and staff interviews, the facility failed to follow physician's orders for 1 of 8 residents reviewed (Resident #49). The facility reported a census of 50.
Inspectors wroteBased on observation, staff interview and facility policy, the facility failed to provide complete and appropriate incontinence care in a manner to prevent urinary tract infections for 1 of 3 residents observed (Resident #32). The facility reported a census of 50 residents.
Inspectors wroteBased on observations, record review, staff interviews, resident interview and policy review, the facility failed to change oxygen tubing for 1 of 1 resident reviewed (Resident #52) for respiratory services. The facility reported a census of 50 residents. Findings Include: The Minimum Data Set (MDS) assessment for Resident #52 dated 8/26/23 identified a Brief Interview for Mental Status (BIMS) score of 14 out of 15, which indicated intact cognition. The MDS included diagnoses of anemia, heart failure (inability for the heart to pump enough blood), chronic kidney disease, hypoxemia (low level of oxygen in the blood), coronary artery disease, and chronic obstructive pulmonary disease. The MDS documented Resident #52 was on oxygen therapy while a resident at the facility. The Care Plan revised 8/23/23 identified Resident #52 had oxygen therapy related to congestive heart failure. [...]
Inspectors wroteBased on observation, clinical record review, resident, family and staff interviews, the facility failed to administer medications within the correct time frame for 1 of 7 residents reviewed (Resident #29). The facility reported a census of 50 residents.
Inspectors wroteBased on clinical record review, staff interview and facility policy review, the facility failed to provide an appropriate clinical rationale for a gradual dose reduction (GDR) declination for 1 out of 5 residents reviewed for unnecessary medications. (Resident #52) The facility reported a census of 50 residents.
Inspectors wroteBased on observations, clinical record review and staff interviews, the facility failed to utilize a Paid Nutritional Assistant (PNA) appropriately for 2 of 4 residents reviewed (Resident #6 and #19). The facility reported a census of 50 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE] documented Resident #6 has coughing or choking during meals or when swallowing medications. The MDS documented the resident receives a mechanically altered diet and is total assistance with meals. The Care Plan for Resident #6 documented the resident requires total dependence on staff with meals since 3/31/18. It documented the resident has a nutritional problem related to anoxic brain injury and decreased swallowing ability with need for mechanically altered texture food and fluids. [...]
Inspectors wroteBased on clinical record review, resident interview, staff interviews, and facility policy review, the facility failed to ensure resident records accurately portrayed the resident with thorough documentation for 1 of 1 resident reviewed (Resident #8). The facility reported a census of 50 residents.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility policy review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. The facility failed to follow hand hygiene and gloving practices consistent with accepted standards of practice for 2 of 2 residents reviewed (Residents #38, #32). The facility reported a census of 50 residents.
14 fire safety citations on file: 1 on December 4, 2025, 3 on November 21, 2024, 10 on December 4, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 22, 2025 | Fine | $7,070 |
| December 4, 2023 | Payment Denial | 12 days from December 22, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.06 | 3.82 | 3.86 |
| Registered nurses | 0.53 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.64 | 3.37 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.53 | ||
| Nursing staff turnover (share who left in a year) | 41.8% | 44.0% | 45.8% |
| Registered nurse turnover | 55.6% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.23 on weekdays and 2.64 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.11 in April to June 2025 to 3.06 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 | 3.06 | 0.53 | 3.23 | 2.64 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.13 | 0.50 | 3.27 | 2.79 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 3.19 | 0.52 | 3.34 | 2.83 | 0.1% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.11 | 0.54 | 3.28 | 2.70 | 0.7% | 0 of 91 | 61 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 27.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.7 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.9 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Good Samaritan - Algona's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.0% this home
No different from the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 56 eligible stays.
11.9% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 78 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 38 eligible stays.
39.7% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 58 residents counted.
1.6% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 63 residents counted.
2.8% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 63 residents counted.
100.0% this home
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| The Evangelical Lutheran Good Samaritan Society | 5% or greater indirect ownership interest | Organization | 100% | 01/01/2019 |
| Brown, George | Corporate director | Individual | 01/01/2025 | |
| Dykhouse, Dana | Corporate director | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Corporate director | Individual | 05/30/2024 | |
| Gassen, William | Corporate director | Individual | 05/30/2024 | |
| Gulsvig, Neil | Corporate director | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Corporate director | Individual | 05/30/2024 | |
| Lundeen, Mark | Corporate director | Individual | 05/30/2024 | |
| McCausland, Maureen | Corporate director | Individual | 01/01/2025 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| Schieffer, Kevin | Corporate director | Individual | 01/01/2025 | |
| Shulkin, David | Corporate director | Individual | 05/30/2024 | |
| Teiken, Brent | Corporate director | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 05/30/2024 | |
| Wenzel, Thomas | Corporate director | Individual | 01/01/2025 | |
| Fluit, Joel | Corporate officer | Individual | 10/01/2022 | |
| Gassen, William | Corporate officer | Individual | 05/30/2024 | |
| Middleton, Aimee | Corporate officer | Individual | 01/27/2022 | |
| Olson, Nicholas | Corporate officer | Individual | 04/08/2024 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| Bartolo, Joseph | Operational/managerial control | Individual | 11/20/2022 | |
| Lampe, Michael | Operational/managerial control | Individual | 05/01/2019 | |
| Morrison, Tony | Operational/managerial control | Individual | 01/01/2019 | |
| Sandgren, Deeandra | Operational/managerial control | Individual | 07/16/2023 | |
| Wenzel, Thomas | Trustee of the SNF | Individual | 01/01/2025 | |
| Dtn Staffing Inc | Adp of the SNF | Organization | 08/02/2024 | |
| Focusone Solutions | Adp of the SNF | Organization | 03/04/2024 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 04/13/2018 | |
| Omnicare LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Sanford | Adp of the SNF | Organization | 12/04/2025 | |
| The Evangelical Lutheran Good Samaritan Society | Adp of the SNF | Organization | 01/01/2019 | |
| Bartolo, Joseph | Adp of the SNF | Individual | 11/20/2022 | |
| Brown, George | Adp of the SNF | Individual | 01/01/2025 | |
| Dykhouse, Dana | Adp of the SNF | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Adp of the SNF | Individual | 05/30/2024 | |
| Fluit, Joel | Adp of the SNF | Individual | 10/01/2022 | |
| Gassen, William | Adp of the SNF | Individual | 05/30/2024 | |
| Gulsvig, Neil | Adp of the SNF | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Adp of the SNF | Individual | 05/30/2024 | |
| Lampe, Michael | Adp of the SNF | Individual | 05/01/2019 | |
| Lundeen, Mark | Adp of the SNF | Individual | 05/30/2024 | |
| McCausland, Maureen | Adp of the SNF | Individual | 01/01/2025 | |
| Middleton, Aimee | Adp of the SNF | Individual | 01/27/2022 | |
| Molbert, Lauris | Adp of the SNF | Individual | 05/30/2024 | |
| Morrison, Tony | Adp of the SNF | Individual | 01/01/2019 | |
| North, Andrew | Adp of the SNF | Individual | 05/30/2024 | |
| Olson, Nicholas | Adp of the SNF | Individual | 04/08/2024 | |
| Sandgren, Deeandra | Adp of the SNF | Individual | 07/16/2023 | |
| Schema, Nathan | Adp of the SNF | Individual | 01/01/2022 | |
| Schieffer, Kevin | Adp of the SNF | Individual | 01/01/2025 | |
| Shulkin, David | Adp of the SNF | Individual | 05/30/2024 | |
| Teiken, Brent | Adp of the SNF | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Adp of the SNF | Individual | 05/30/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.