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Nursing HomeMedicaid Investigative

Good Samaritan Society - Red Oak

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

201 Alix Avenue, Red Oak, IA 5156653 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 5 Google reviews

5
4
3
2
1
Good Samaritan Society - Red Oak Nursing Home in Red Oak, IA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (10 vs median 5)

Bottom 25% in IA · Below recommended RN staffing · Low staff turnover (stable workforce) · Worst in GOOD SAMARITAN SOCIETY chain · $45,990 in fines

Source: Medicare data

What this means for your family

While some families report positive interactions with direct care staff, the facility has faced recent criticism regarding administrative communication and responsiveness. When touring, we recommend testing the facility's responsiveness by calling the front desk and observing how quickly staff address visitors at the entrance.

Google Reviews

Google Reviews

5 reviews on Google
Good Samaritan Society - Red Oak receives polarized feedback, with recent reviews highlighting significant concerns regarding administrative responsiveness and the quality of care provided to long-term residents. While some family members express gratitude for the staff's treatment of their loved ones, others report distressing experiences involving poor communication and a lack of reciprocal care for former employees.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Clean facility environment
  • Attentive direct care staff

Concerns

  • Poor administrative responsiveness and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02015(1)1.02018(1)1.02023(1)2.52025(2)

Distribution · 5 analyzed

5
1
4
1
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on improving administrative processes, what is the best way for families to receive timely updates and communicate with the management team?
  • 2With the facility having a 4/5 staffing rating, how do you ensure that the direct care staff have the time and support needed to maintain the clean, comfortable environment mentioned by residents?
  • 3Since there have been recent state-level findings, what specific steps is the leadership team taking to address these areas and improve the overall quality of care?
  • 4How do you keep families informed and involved when there is an urgent medical change or a health emergency involving a resident?
  • 5What does a typical day look like for residents here, and how do you encourage social engagement given the current size of the community?
  • 6How does the administrative team handle family concerns or feedback to ensure that issues are resolved quickly and effectively?

Personalized based on this facility's data


Key Review Excerpts

My older brother lives there. I am very grateful for the care he gets. The staff is very good to him .

Long-term resident's family · 2025★★★★

I guess atleast he died before I had to wait outside your front doors for 10 minutes after getting attitude from whoever answered the phone on the 10th ring.

Family member · 2023☆☆☆☆

Knowing what they put my grandmother through after all she’s done for the center breaks my heart. She worked many many years there, when it was her turn for care they couldn’t reciprocate it.

Former employee's family · 2025☆☆☆☆
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
98%
Registered nurses for medical care
Total Nursing
3.24hrs
79%
All nurses + aides combined
Staff Turnover
27%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.7%
Mixed vs Avgs
Here
7.7%
US
12.1%
IA
4.1%
Montgomery
23.6%

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

⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility9.0%
Worse than Avg
Here
9.0%
US
3.2%
IA
3.7%
Montgomery
2.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
14.4%
IA
17.6%
Montgomery
16.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IA
95.3%
Montgomery
95.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
93.4%
IA
93.9%
Montgomery
92.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
15.3%
IA
17.5%
Montgomery
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility59.3%
Worse than Avg
Here
59.3%
US
79.8%
IA
73.3%
Montgomery
82.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.2%
Worse than Avg
Here
79.2%
US
81.8%
IA
84.1%
Montgomery
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
IA
2.0%
Montgomery
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Well above state avg (6.2)
12 complaint-triggered
$45,990 in fines

Good Samaritan Society - Red Oak has a concerning pattern of complaint-triggered deficiencies, with families filing reports about issues including treatment and care quality, accident prevention, pressure ulcer care, and failure to report suspected abuse. The facility shows recurring problems across care planning, infection control, food safety, and emergency preparedness that persist across multiple surveys. While all deficiencies show correction dates, the frequency of complaints and repeated violations in core care areas warrant careful consideration during your visit.

Apr 23, 2026Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 18, 2026Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Aug 12, 2025Complaint
1
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Apr 17, 2025Routine
8
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Apr 17, 2025Complaint
3
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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jul 3, 2024Routine
8
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Aug 12, 2025

$29,894

Ownership & Operations

Who Operates This Facility

Owner / Operator

Good Samaritan Society - Red Oak

Organization Type

nonprofit

Chain Affiliation

Chain Name

Good Samaritan Society

Chain Size

92 facilities nationwide

Chain avg rating: 3.0/5 · Rank 78 of 88 (Worst)

Ownership & Management

Owners

Sanford

Owner · Organization

100%

The Evangelical Lutheran Good Samaritan Society

Owner (parent company) · Organization

100%

Key personnel

Brown, GeorgeOfficer / DirectorDykhouse, DanaOfficer / DirectorEngbrecht, WesleyOfficer / DirectorGassen, WilliamOfficer / DirectorGulsvig, NeilOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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