Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Good Samaritan - Estherville

Estherville, IA · 62 certified beds · Last Life Safety survey January 15, 2026

CMS Certification Number 165192 · first certified December 1993

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within IA

18 citations — more than 80% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was January 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 18 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility18IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-08102024-1052026-01
Citations at each Life Safety survey
Survey dateCitations
August 30, 20233
October 31, 202410
January 15, 20265

Most-cited tags

Most-cited tags at this facility
K-09212K-03242K-07122K-03632K-03212K-03452K-07611E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22026-01-15
K-0324Provide properly protected cooking facilities.22024-10-31
K-0712Have simulated fire drills held at unexpected times.22026-01-15
K-0363Install corridor and hallway doors that block smoke.22026-01-15
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-01-15
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-10-31
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-10-31
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-10-31

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 15, 2026 — 5 citations

Citations issued on January 15, 2026
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 9, 2026)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (February 15, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 9, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 1, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 15, 2026)

October 31, 2024 — 10 citations

Citations issued on October 31, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 15, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 14, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 1, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 1, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 1, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 1, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (November 15, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 30, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 5, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 19, 2024)

August 30, 2023 — 3 citations

Citations issued on August 30, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 15, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 18, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 6, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.