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Public Record

Good Samaritan - Saint Ansgar

Nursing HomeSaint Ansgar, IACMS 165210
22 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
42

*CMS

Avg. residents per day
39.1

*CMS

Inspection record

On record from CMS

Citations on record
22

*CMS

Inspections on file
4

*CMS

Last inspection
2025-04-24

*CMS

Citations

22 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0753Generalpotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0223Generalpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0029Generalpotential for harm

    Develop a communication plan.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0325Generalpotential for harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0024Generalpotential for harm

    Establish policies and procedures for volunteers.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0018Generalpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Good Samaritan - Saint Ansgar?
Good Samaritan - Saint Ansgar is a Medicare- and Medicaid-certified nursing home in Saint Ansgar, IA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 165210.
What is the CMS rating for Good Samaritan - Saint Ansgar?
Good Samaritan - Saint Ansgar has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Good Samaritan - Saint Ansgar have?
Good Samaritan - Saint Ansgar is certified for 42 beds. It serves an average of 39.1 residents per day.
How many citations does Good Samaritan - Saint Ansgar have?
Good Samaritan - Saint Ansgar has 22 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Good Samaritan - Saint Ansgar last inspected?
Good Samaritan - Saint Ansgar was last inspected on April 24, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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