Nursing HomeInspections

Good Samaritan - Waukon

Nursing home in Waukon, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (563) 568-3447Send a messageMap ↗

Public-record details

Address
21 East Main Street, Waukon, IA 52172
Phone
(563) 568-3447
Listed under
Nonprofit
Medicare CCN
165240
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
60
Average residents per day
52
Ownership
Nonprofit, corporation
Legal business name
The Evangelical Lutheran Good Samaritan Society
Chain
Good Samaritan Society (92 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165240. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 30, 2026. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 11, 2024 to Apr 30, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 30, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 30, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 30, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 30, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 30, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 30, 2026Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 30, 2026Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 30, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 16, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 16, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,281 in the last three years.

Sep 11, 2025Fine: $8,281

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.17 hours
Registered nurse (RN) time per resident per day
0.89 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.70 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
18%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Waukon

Northgate Care Center960 4th Street NW · Waukon, IA 52172 · (563) 568-3493 · For-profit20 health citations in 3 inspection cycles · last standard inspection Mar 4, 2026 · $87,160 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

All 2 in Waukon →