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

Good Samaritan - Red Oak

Red Oak, IA · 53 certified beds · Last Life Safety survey April 23, 2026

CMS Certification Number 165191 · first certified January 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.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IA

13 citations — more than 53% 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

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

The latest survey found 7 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was April 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

1 inspection-and-testing tag has 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

2 of the 13 citations on file are 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)

4 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 13 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • 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 facility13IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0722025-0472026-04
Citations at each Life Safety survey
Survey dateCitations
July 3, 20244
April 17, 20252
April 23, 20267

Most-cited tags

Most-cited tags at this facility
K-07122K-03721K-07611K-09211E-00391K-03241K-09231E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22026-04-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-04-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-04-23
K-0921Ensure that testing and maintenance of electrical equipment is performed.12026-04-23
E-0039Conduct testing and exercise requirements.12026-04-23
K-0324Provide properly protected cooking facilities.12026-04-23
K-0923Have proper medical gas storage and administration areas.12024-07-03
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-07-03

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1

Every citation on file

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

April 23, 2026 — 7 citations

Citations issued on April 23, 2026
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 30, 2026)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 24, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 23, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 27, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 24, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 30, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 30, 2026)

April 17, 2025 — 2 citations

Citations issued on April 17, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 21, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 21, 2025)

July 3, 2024 — 4 citations

Citations issued on July 3, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 24, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 23, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 23, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 23, 2024)

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