606 South Seventh Street, Forest City, IA 50436 · Winnebago County · (641) 585-2232
43 certified beds, about 31 residents a day · Non profit - Church related · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165213 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 7, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 9 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $25,945 in the last three years; the largest was $17,121, and the latest is dated September 5, 2024.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.
31.0% 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 9 health citations on file.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident was free from abuse for 1 resident reviewed (Resident #2). The facility reported a census of 34 residents. The citation is considered past non-compliance.
Inspectors wroteBased on observation, staff interview, clinical record review, Centers for Disease Control and Prevention (CDC) recommendations and policy review the facility failed to provide appropriate catheter care for 1 of 1 resident reviewed (Resident #17). The facility reported a census of 34 residents.
Inspectors wroteBased on clinical record reviews, hospital record review, staff interviews and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 3 residents reviewed (Resident #87). The facility failed to provide the appropriate level of assistance during a transfer which resulted in Resident #87 being lowered to the floor and hospitalized with a fracture requiring surgical intervention. The facility reported a census of 35 residents. Citation considered past noncompliance as the facility completed the following interventions prior to the surveyor entering the facility on 9/3/24: 1. Staff A, CNA provided written disciplinary action for not following the plan of care transfer-4/22/24 2. [...]
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 13 residents (Residents #87, #8, #30) reviewed for comprehensive care plans. The facility reported a census of 35 residents.
Inspectors wroteBased on clinical record review, staff interviews, and policy review the facility failed to provide assessment and interventions necessary for the care and services, to maintain the residents' highest practical physical well- being for 1 of 13 residents reviewed (Resident #21). The facility failed to complete and document nursing assessments related to diuretic usage and increased edema (fluid retention). The facility reported a census of 35 residents.
Inspectors wroteBased on observations, staff interview, and policy review the facility failed to obtain food temperatures with a resident's meal substitutions and ensure the kitchen ice machine wiped down on a regular basis to reduce the risk of bacteria growth and foodborne illness. The facility reported a census of 35 residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide the correct texture of diets to at least 6 residents (Resident #4, #9, #24, #27, #35 and #91) for an extended amount of time. The facility had all residents evaluated by a Speech Therapist (ST) for the IDDSI (International Dysphagia Diet Standardization Initiative 2019) framework of diets in April and May of 2023. Residents diets were changed and ordered per the ST's recommendations. These 6 residents were evaluated and were to receive either a Diet Texture 5 Minced & Moist or a Diet Texture 6 Soft & Bite Sized and were to have their food altered according to their designated diets. [...]
Inspectors wroteBased on observations, interviews and record review, the facility failed to notify the family and/or the physician of incidents that occurred for 2 out of 16 residents reviewed (Residents #17 and Resident #27). The facility did not notify the family or physician when a cold sore developed on Resident #17's lip. The facility did not notify the family or physician when Resident #27 had a coughing/choking episode at supper until a month later. The facility reported a census of 38 residents.
Inspectors wroteBased on observations, interviews and record review, the facility failed to assess and provide interventions for 2 out of 16 residents reviewed (Residents #17 and Resident #27). The facility did not assess or provide interventions when a cold sore developed on Resident #17's lip. The facility did not do follow up assessments and interventions for Resident #27 with the exception of an assessment by the following shift's nurse,Staff I, Registered Nurse (RN), after Resident #27 had a coughing/choking episode at supper until a month later. Staff G, Licensed Practical Nurse (LPN), initially assessed this resident and reported it on to Staff I. No further assessments were documented. The facility reported a census of 38 residents.
13 fire safety citations on file: 4 on August 7, 2025, 3 on September 5, 2024, 6 on October 19, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| September 5, 2024 | Fine | $8,824 |
| October 19, 2023 | Fine | $17,121 |
| October 19, 2023 | Payment Denial | 4 days from November 17, 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) | 3.49 | 3.82 | 3.86 |
| Registered nurses | 0.88 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.37 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 31.0% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 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 3.61 on weekdays and 3.19 on weekends, 12% 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 3.38 in April to June 2025 to 3.49 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 | 3.49 | 0.88 | 3.61 | 3.19 | 0.0% | 0 of 90 | 31 |
| Oct to Dec 2025 | 3.34 | 0.75 | 3.49 | 2.95 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.29 | 0.80 | 3.43 | 2.93 | 0.3% | 1 of 92 | 34 |
| Apr to Jun 2025 | 3.38 | 0.79 | 3.54 | 3.00 | 3.1% | 0 of 91 | 32 |
| 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 | 16.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 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 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Good Samaritan - Forest City's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (31.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
31.4% 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. 31 eligible stays.
11.5% 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. 44 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 23 eligible stays.
31.0% 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. 29 residents counted.
0.0% 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. 33 residents counted.
3.1% 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. 33 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 2 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 |
|---|---|---|---|---|
| Carlson, Byron | Contracted managing employee | Individual | 05/01/2023 | |
| Brink, Holly | W-2 managing employee | Individual | 11/20/2022 | |
| Middleton, Aimee | W-2 managing employee | Individual | 01/27/2022 | |
| Morrison, Tony | W-2 managing employee | Individual | 01/01/2019 | |
| Cain, James | Corporate director | Individual | 05/30/2024 | |
| 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 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| 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 | |
| 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 | |
| Rogers, Michael | Corporate officer | Individual | 06/13/2022 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 01/01/2019 |
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.