Facility profile · CCN 165240
Good Samaritan Society - Waukon
10 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,281.
Record summary
Federal record · Q1 202610
Total citations
10
Last 3 years
1
Actual harm+
1
Federal penalties
$8,281
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
10 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 16, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Apr 16, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Apr 16, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 16, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jan 30, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jul 11, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 11, 2024 | F637 | Assess the resident when there is a significant change in condition | B | Standard |
| May 11, 2023 | F732 | Post nurse staffing information every day. | C | Standard |
| May 11, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,281 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 11, 2025 | Fine | $8,281 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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