Good Samaritan - Forest City
Nursing Home · Forest City, IA
CMS certification number165213
Contact & location
606 South Seventh StreetForest City, IA 50436
Winnebago County
- Phone
- (641) 585-2232
- ZIP code
- 50436 – all care providers
Facility details
- Certified beds
- 43
- Residents per day
- 31.1 (72% occupied)
- Ownership
- Non profit - Church related
- Legal name
- The Evangelical Lutheran Good Samaritan Society
- Chain
- Good Samaritan Society (92 facilities, avg 3.0★)
- Medicare certified since
- April 1, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.49 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.88 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.50 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.12 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.19 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 31.0 (state 44.0 · U.S. 45.8)%
- RN turnover
- 33.3 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 7, 2025
- Health deficiencies (last cycle)
- 2.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 9 health · 13 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-15 |
| 2025-08-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2024-09-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-22 |
| 2024-09-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-19 |
| 2024-09-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-19 |
| 2024-09-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-19 |
| 2023-10-19 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-02 |
| 2023-10-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-08 |
| 2023-10-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $25,945 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-05 | Fine | $8,824 |
| 2023-10-19 | Payment Denial | 4 days payment denial |
| 2023-10-19 | Fine | $17,121 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Carlson, Byron (individual) | Contracted Managing Employee · NOT APPLICABLE | |
| Cain, James (individual) | Corporate Director · NOT APPLICABLE | |
| Dykhouse, Dana (individual) | Corporate Director · NOT APPLICABLE | |
| Engbrecht, Wesley (individual) | Corporate Director · NOT APPLICABLE | |
| Gassen, William (individual) | Corporate Director · NOT APPLICABLE | |
| Gulsvig, Neil (individual) | Corporate Director · NOT APPLICABLE | |
| Herseth Sandlin, Stephanie (individual) | Corporate Director · NOT APPLICABLE | |
| Lundeen, Mark (individual) | Corporate Director · NOT APPLICABLE | |
| Molbert, Lauris (individual) | Corporate Director · NOT APPLICABLE | |
| North, Andrew (individual) | Corporate Director · NOT APPLICABLE | |
| Shulkin, David (individual) | Corporate Director · NOT APPLICABLE | |
| Teiken, Brent (individual) | Corporate Director · NOT APPLICABLE | |
| Ventling-Herrmann, Marnie (individual) | Corporate Director · NOT APPLICABLE | |
| Fluit, Joel (individual) | Corporate Officer · NOT APPLICABLE | |
| Gassen, William (individual) | Corporate Officer · NOT APPLICABLE | |
| Middleton, Aimee (individual) | Corporate Officer · NOT APPLICABLE | |
| Olson, Nicholas (individual) | Corporate Officer · NOT APPLICABLE | |
| Rogers, Michael (individual) | Corporate Officer · NOT APPLICABLE | |
| Schema, Nathan (individual) | Corporate Officer · NOT APPLICABLE | |
| The Evangelical Lutheran Good Samaritan Society (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Brink, Holly (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Middleton, Aimee (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Morrison, Tony (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Good Samaritan - Forest City?
Good Samaritan - Forest City has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Good Samaritan - Forest City have?
It has 43 certified beds and cares for about 31 residents per day.
Has Good Samaritan - Forest City been fined?
Yes. CMS lists 3 penalties totaling $25,945 in the last three years.
Who owns Good Samaritan - Forest City?
It is part of Good Samaritan Society and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Good Samaritan - Forest City?
(641) 585-2232. The facility is located at 606 South Seventh Street, Forest City, IA 50436.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.