Nursing HomeMedicaid

Good Neighbor Home

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

105 Mccarren Drive, Manchester, IA 52057|112 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 16 Google reviews

(563) 927-3907 Directions Website

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What this means for your family

While the facility has a strong history of compassionate, faith-based care, recent reviews suggest a decline in responsiveness and quality. Families should conduct an in-person tour and specifically ask about current staffing ratios and the admissions process to ensure they receive the support promised.

Google Reviews

16 reviews on Google

“Good Neighbor Home receives high praise for its compassionate, faith-based care and dedicated staff who build meaningful relationships with residents. However, recent reviews indicate a potential decline in quality, with reports of minimal care and failures in administrative follow-through regarding admissions.”

Quality Themes

Tap a score for details

Strengths

Compassionate, dedicated nursing and CNA staff
Strong focus on faith-based, personalized care
Effective hospice and end-of-life support
Engaging staff-resident interactions

Concerns

Inconsistent quality of care and lack of resident-centered attention (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 16 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1Given the strong staffing rating, how do you ensure that the high level of dedicated care remains consistent for every resident throughout the day?
2With the recent focus on improving communication, what is the best way for our family to stay updated on our loved one's daily progress and care plan?
3I noticed the facility has a strong faith-based mission; how is this integrated into the daily activities and spiritual support provided to residents?
4Regarding the recent health inspection findings, what specific steps has the leadership team taken to address those areas and improve the overall care environment?
5How does your team balance the need for personalized, resident-centered attention with the demands of managing a 112-resident facility?
6In the event of a medical emergency, what is the protocol for coordinating with local hospitals and ensuring our family is notified immediately?

Personalized based on this facility's data

Key Review Excerpts

“I hear the CNA's/Nurses interacting with others down the hall with a smile in their voices. It takes a special person to do the job they do and The Good Neighbor Home employs the best.”

Long-term resident's family · 2018★★★★★

“Her final week was in Hospice Care there, and we feel so blessed to have had that extra special touch that comes with being surrounded by people that knew her and had cared for her.”

Long-term resident's family · 2018★★★★★

“Only the extreme minimum of care. Not to interested in what the individual wants. It's more about what kind of effort the worker might feel like putting out for the day.”

Resident's family member · 2023★★☆☆☆

Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.97hrs

Registered nurses for medical care

Total Nursing

4.17hrs

All nurses + aides combined

Staff Turnover

20%

Lower is better (< 30% = good)

RN Turnover

10%

Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.6%

Better than Avg

Here

0.6%

12.1%

4.1%

Delaware

15.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.2%

Better than Avg

Here

99.2%

93.4%

93.9%

Delaware

86.8%

🦠

Residents who got a urinary tract infection

↓ Lower is better

This Facility9.1%

Worse than Avg

Here

9.1%

1.6%

2.5%

Delaware

1.3%

🩺

Residents with a long-term catheter

↓ Lower is better

This Facility7.7%

Worse than Avg

Here

7.7%

0.9%

1.6%

Delaware

0.9%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility21.6%

Worse than Avg

Here

21.6%

15.5%

19.4%

Delaware

15.7%

⚠️

Residents who fell and were seriously hurt

↓ Lower is better

This Facility9.0%

Worse than Avg

Here

9.0%

3.2%

3.7%

Delaware

4.0%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.3%

Better than Avg

Here

95.3%

81.8%

84.1%

Delaware

67.1%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility94.7%

Better than Avg

Here

94.7%

79.8%

73.3%

Delaware

73.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility5.0%

Worse than Avg

Here

5.0%

1.6%

2.0%

Delaware

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies

1penalties

Well below state avg (6.2)

5 complaint-triggered

$6,279 in fines

Families have filed complaint reports that led to findings of inadequate nursing staffing, resident rights violations, and safety hazards. The facility shows recurring problems with fire safety systems, electrical equipment, and emergency preparedness across multiple surveys. While most deficiencies have correction dates, one fire safety issue remains uncorrected, and resident rights problems have persisted from 2023 into 2025, suggesting ongoing challenges with core care quality.

Oct 10, 2025Complaint3 findings

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jun 19, 2025Routine5 findings

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add 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.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Aug 15, 2024Routine9 findings

0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0379Potential for harm · PatternCorrected

Smoke Deficiencies

Have proper openings in smoke barrier doors.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Feb 8, 2024Routine6 findings

0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Aug 2, 2023Complaint2 findings

0622Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Fine

Aug 2, 2023

$6,279

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

11deficiencies

Nov 13, 2025ComplaintNo deficiencies

Clean