All citations for Good Samaritan - Waukon

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Good Samaritan - Waukon

Last standard health inspection on record

April 30, 2026

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 11, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 21, 2025).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 20, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 6, 2026).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  4. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  6. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of April 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  7. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2024).

  8. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  9. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  11. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  13. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2026).

  14. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of April 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 12, 2025).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2024).

  20. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

  21. No harm, with potential for minimal harm

    Assess the resident when there is a significant change in condition

    Pattern (more than a few residents). CMS level B.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of July 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.