Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan - Lemars during CMS and state inspections, most recent first.
The facility did not meet staffing requirements in three metrics due to incorrect PBJ data submission, with excessively low weekend staffing reported despite similar scheduling for nurses and CNAs throughout the week. The DON and Administrator attributed the inaccurate reporting to a system glitch and confirmed the absence of a PBJ reporting policy.
A resident with dementia and a history of behavioral symptoms, including yelling and uncooperativeness, was not accurately assessed in the MDS, as documented behaviors and medication interventions were omitted from the assessment despite clear evidence in the medical record and care plan.
A resident with severe cognitive impairment and multiple high-risk medications did not have a care plan that included monitoring for side effects of diabetic, antipsychotic, and diuretic medications. The care plan was not updated to address these risks, despite facility policy and expectations from the DON.
The facility failed to update Care Plans to include high-risk medications and their side effects for two residents with diabetes and hypertension. Despite consistent administration of medications like Insulin Glargine-Lixisenatide and Lasix, the Care Plans lacked necessary information, as confirmed by the DON.
The facility failed to provide adequate nursing staff to ensure residents' safety by not responding to call lights in a timely manner. Two residents with no cognitive impairment experienced significant delays, with one waiting over 36 minutes for assistance. Staff acknowledged the delays, and the DON admitted challenges in meeting the 15-minute response standard during busy times.
Failure to Accurately Report Staffing Data and Maintain PBJ Policy
Penalty
Summary
The facility failed to meet staffing requirements in three metrics as identified through the CMS Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Quarter 1, 2025, which showed excessively low weekend staffing data. Despite nurses and CNAs being scheduled similarly for both weekdays and weekends, the reported data indicated discrepancies. The Director of Nursing (DON) and the Administrator both reviewed the PBJ data and acknowledged that incorrect information was reported, attributing the issue to a glitch at the main campus. Additionally, the Administrator stated that there was no existing policy regarding PBJ reporting at the facility. The facility reported a census of 57 residents during this period.
Inaccurate MDS Assessment of Resident Behaviors
Penalty
Summary
The facility failed to accurately complete the Minimum Data Set (MDS) assessment for one resident. The MDS assessment did not reflect the resident's behavioral symptoms during the 7-day look-back period, despite multiple documented incidents in the medical record and progress notes. The resident, who had diagnoses including non-Alzheimer's dementia and was on antipsychotic medication, exhibited behaviors such as yelling, calling out, being uncooperative with care, and attempting to hit staff. These behaviors were documented in progress notes and care plans, and the resident received medications such as Ativan and Haldol in response to these behaviors. Despite these documented behaviors, the MDS assessment indicated that the resident exhibited no behaviors during the look-back period. The MDS Coordinator later acknowledged that the assessment should have included the resident's behaviors. The RAI Manual specifies that accurate identification and coding of behavioral symptoms are essential, requiring review of records, staff interviews, and observation, none of which were adequately reflected in the MDS coding for this resident.
Care Plan Lacked Monitoring for High-Risk Medication Side Effects
Penalty
Summary
The facility failed to revise and update the care plan for one resident to address high risk medications and their potential side effects. Clinical record review showed that the resident had diagnoses of depression and anxiety disorder, with a BIMS score indicating severe cognitive impairment. The resident was prescribed multiple high-risk medications, including two types of insulin, an antipsychotic, and two diuretics. However, the care plan, last revised in February, did not include specific side effects to monitor for these medications. Review of the facility's care plan policy indicated that each resident should have an individualized, comprehensive plan of care addressing all medical and nursing needs. Despite this, the care plan for the resident lacked documentation of side effects related to diabetic, antipsychotic, and diuretic medications. The DON confirmed in an interview that she expected care plans to include this information, but it was not present in the reviewed care plan.
Failure to Update Care Plans for High-Risk Medications
Penalty
Summary
The facility failed to revise and update Care Plans to include and address high-risk medications and their side effects for two residents. Resident #17, who has diagnoses of diabetes mellitus and hypertension, was prescribed Insulin Glargine-Lixisenatide starting from 7/12/23. Despite the medication being administered consistently, the Care Plan lacked information regarding the usage and side effects of insulin injections. This oversight was identified through a review of the Minimum Data Set (MDS) assessment and the Medication Administration Record (MAR), which showed that the resident had no cognitive impairment and was taking diabetic medication and insulin injections daily during the look-back period. The Medication Review Report also confirmed the ongoing prescription of Insulin Glargine-Lixisenatide, yet the Care Plan remained unupdated and undated regarding this medication's side effects and usage instructions. An interview with the Director of Nursing (DON) confirmed that insulin and diuretic medications should be included in the Care Plan but were not in this case. Resident #30, who has diagnoses of diabetes mellitus, edema, and hypertension, was also affected by a similar oversight. The resident was prescribed Lasix, Lantus Insulin, and later Tresiba, with the medications being administered consistently as documented in the MAR and MDS assessments. Despite these medications being high-risk, the Care Plan did not include information on their usage and side effects. The facility's policy on Comprehensive Care Plans, reviewed on 12/4/23, emphasizes the importance of updating Care Plans to maintain the resident's highest practicable level of function, yet this was not adhered to in these cases. The DON confirmed that the Care Plans should have included information on insulin and diuretic medications but failed to do so for these residents.
Failure to Respond to Call Lights in a Timely Manner
Penalty
Summary
The facility failed to provide adequate nursing staff to ensure residents' safety by not responding to call lights in a timely manner. Resident #8, who had no cognitive impairment, reported that it often took longer than 15 minutes for staff to answer his call light. On one occasion, he waited 36 minutes and 35 seconds for assistance, leading him to transfer himself into bed. The Device Activity Report confirmed multiple instances where the call light for Resident #8 was not answered within the facility's expected 15-minute timeframe. Resident #8 expressed frustration with the delays, particularly in the mornings when the facility was busy. Similarly, Resident #59, who also had no cognitive impairment, experienced a delay of 28 minutes and 35 seconds when he needed to use the bathroom. Staff A, a Certified Nursing Assistant, acknowledged that call lights should be answered within 3-5 minutes but admitted that it could take longer depending on the situation. The Director of Nursing (DON) confirmed that the standard was to answer call lights within 15 minutes but admitted that it was challenging to meet this expectation during busy times. The facility's policy on call lights emphasized prompt response, but the observations and interviews indicated a failure to adhere to this policy consistently.
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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 Le Mars
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Accura Healthcare Of Le Mars | 1.3 mi | — | 0 | 0 |
| Happy Siesta Health Care Center | 9.2 mi | — | 0 | 0 |
| Prairie Ridge Care Center | 15.6 mi | — | 0 | 0 |
| Kingsley Specialty Care | 17.1 mi | — | 0 | 0 |
| Heartland Care Center | 17.5 mi | — | 1 | 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 August 2026) and official state health department websites.