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

Good Samaritan - West Union

West Union, IA · 52 certified beds · Last Life Safety survey March 12, 2026

CMS Certification Number 165187 · first certified October 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.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within IA

19 citations — more than 82% 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 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was March 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

3 of the 19 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)

1 physical-environment citation 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 19 Life Safety citations above. The Physical Environment Index

  • 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 facility19IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
102024-0542025-0352026-03
Citations at each Life Safety survey
Survey dateCitations
May 9, 202410
March 13, 20254
March 12, 20265

Most-cited tags

Most-cited tags at this facility
K-02222E-00392K-02232K-03632K-09181K-07121E-00041K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
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.22026-03-12
E-0039Conduct testing and exercise requirements.22026-03-12
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22026-03-12
K-0363Install corridor and hallway doors that block smoke.22026-03-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-05-09
K-0712Have simulated fire drills held at unexpected times.12024-05-09
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-05-09
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-03-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies4
Emergency Preparedness Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

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

March 12, 2026 — 5 citations

Citations issued on March 12, 2026
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 23, 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 (March 11, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (March 12, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 27, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 11, 2026)

March 13, 2025 — 4 citations

Citations issued on March 13, 2025
TagWhat the surveyor checksStatus
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 (March 18, 2025)
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 (March 18, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 18, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 17, 2025)

May 9, 2024 — 10 citations

Citations issued on May 9, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 17, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 23, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (May 17, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 24, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 17, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 21, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 17, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 21, 2024)
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 (May 23, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 16, 2024)

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