Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan - Manson during CMS and state inspections, most recent first.
Two residents in the facility experienced significant medication errors. One resident with dementia did not receive the correct increased dose of Memantine due to a communication failure with the pharmacy. Another resident receiving hospice care did not receive scheduled doses of Lorazepam and Morphine, as a nurse held the medications, believing the resident showed no signs of pain or restlessness. These errors were documented, and the facility's medication administration policy was not followed.
A facility failed to accurately complete the RAI for a resident with Alzheimer's, leading to a deficiency. The resident experienced significant weight loss, but the MDS inaccurately reported no significant weight loss. The RD's infrequent visits and delayed documentation, along with the MDS Coordinator's misunderstanding of the look-back period, contributed to this oversight.
A resident with moderate cognitive deficit and risk for malnutrition experienced significant weight loss, losing 11.93% of her body weight over several months. Despite being on Hospice services and having a care plan to monitor weight loss, the facility failed to implement additional nutritional interventions. Staff were aware of the decline but did not take further action, and there was no documentation of the resident's consumption of recommended nutritional supplements. The facility's policy to report significant weight changes to the physician was not followed.
The facility failed to provide timely and accurate nutrition assessments for three residents, leading to deficiencies in their nutritional care. One resident experienced significant weight loss without timely intervention, another had a notable weight gain without proper assessment, and a third resident did not receive a timely dietician assessment upon admission. The dietician's resignation and lack of communication with nursing staff contributed to these deficiencies.
Medication Errors Affect Two Residents
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, affecting two residents. Resident #1, who had a diagnosis of non-Alzheimer's dementia and some cognitive impairment, was prescribed an increased dose of Memantine to treat memory issues. However, due to a failure in communication, the pharmacy did not receive the updated order, and the resident continued to receive the previous dose for six days. This error was discovered when the Director of Nursing (DON) noted that multiple staff members had documented administering the increased dose without the correct medication being available. Resident #2, who had severe cognitive impairment and was receiving hospice services, was affected by a medication error involving Lorazepam and Morphine. The hospice physician had ordered these medications to be administered routinely for restlessness and pain. However, a nurse held the medications during her shift, believing the resident showed no signs of pain or restlessness, despite the orders. This resulted in the resident not receiving the scheduled doses, leading to signs of discomfort and labored breathing the following morning. The facility's policy on medication administration requires performing three checks to ensure accuracy, which was not adhered to in these cases. The errors were documented in medication error reports, and the DON acknowledged the lapses in communication and adherence to protocol. The incidents highlight the need for strict compliance with medication administration procedures to prevent such errors from occurring.
Inaccurate Resident Assessment Due to Documentation Oversight
Penalty
Summary
The facility failed to accurately complete the Resident Assessment Information (RAI) for a resident, leading to a deficiency in the assessment process. The resident, who had a moderate cognitive deficit and was diagnosed with chronic kidney disease, atrial fibrillation, and Alzheimer's disease, was reported to have a significant weight loss over a period of time. Despite this, the Minimum Data Set (MDS) inaccurately reflected the resident's nutritional status, indicating no significant weight loss, which was contrary to the recorded data showing a weight loss of over 11% in six months. The deficiency was further compounded by the Registered Dietician's (RD) infrequent visits and delayed documentation, which contributed to the oversight in the resident's assessment. The MDS Coordinator, responsible for completing Section K of the MDS, misunderstood the look-back period for assessing weight loss, leading to an inaccurate report. This oversight in the assessment process highlights a failure in accurately monitoring and documenting the resident's nutritional status, which is critical for their care plan and overall health management.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to intervene appropriately when a resident experienced significant weight loss. The resident, who had a moderate cognitive deficit and was independent with eating, was at risk for malnutrition and had a terminal prognosis related to severe protein-calorie malnutrition. Despite being on Hospice services, the resident experienced a steady decline in weight, losing 11.93% of her body weight over a period of several months. The care plan directed staff to monitor for weight loss and offer high-protein, high-calorie fortified foods, but no additional nutritional supplement interventions were attempted after the resident's weight continued to decline. Staff, including a CNA and RN, were aware of the resident's weight loss but did not take further action beyond moving the resident to a table for more meal assistance. The Registered Dietician acknowledged the weight loss but did not make changes to the nutritional recommendations, and there was no documentation of the resident's consumption of the recommended Food First shakes. The facility's policy required immediate reporting of significant weight changes to the physician, but the doctor was not contacted about the ongoing decline until months later. The Director of Nursing admitted that the care plan should have been updated with other interventions since December.
Failure to Provide Timely Nutrition Assessments
Penalty
Summary
The facility failed to ensure timely and accurate nutrition assessments for three residents, leading to deficiencies in their nutritional care. Resident #29 experienced a steady weight loss, and the dietician did not provide quarterly assessments or timely interventions. The resident, who had chronic kidney disease, atrial fibrillation, and Alzheimer's disease, was at risk for malnutrition and was admitted to hospice services due to severe protein-calorie malnutrition. Despite recommendations for supplemental nutrition, there was a lack of consistent follow-up and communication between the dietician and nursing staff, resulting in a significant weight decline. Resident #31, who had moderate cognitive ability and was independent with eating, experienced a significant weight gain without timely dietician assessment. The dietician's assessment was delayed, and the resident gained 13.5 pounds over two months. The lack of timely intervention and communication with nursing staff contributed to the resident's nutritional imbalance. Resident #24, with severe cognitive deficits and on a mechanically altered diet, did not receive a timely dietician assessment upon admission. The resident was at risk for malnutrition due to low weight and required staff assistance with eating. The dietician's resignation and inability to complete assessments in a timely manner further exacerbated the facility's failure to provide adequate nutritional care for these residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Manson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Accura Healthcare Of Pomeroy, Llc | 7.5 mi | ★★★★★ | 10 | 0 |
| Sunny Knoll Care Centre | 10.4 mi | — | 0 | 0 |
| Fonda Specialty Care | 16.1 mi | ★★★★★ | 4 | 0 |
| Fort Dodge Health And Rehabilitation | 17.4 mi | ★★★★★ | 26 | 1 |
| Friendship Haven, Inc | 17.5 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.