01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-11 | 7 | 2025-12-11 | 0 |
| Cycle 2 | 2024-10-31 | 14 | 2024-10-31 | 3 |
| Cycle 3 | 2023-07-06 | 7 | 2023-07-06 | 3 |
CMS CCN 1650722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Good Shepherd Health Center
302 Second Street Ne · Mason City, IA 50401 · Cerro Gordo County
Certified beds170CMS provider file
Recent citation rows34current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
34 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-24 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-09 · complaint2026-02-24 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-03-09 · complaint2025-12-11 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-11 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Past Non-Compliance · 2025-06-022025-12-11 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-11 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-11 · HEALTHF0868Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2026-01-052025-03-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-04-03 · complaint2025-03-13 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-04-03 · complaint2025-03-13 · HEALTHF0713Severity G · isolated actual harm
Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
Correction field: Deficient, Provider has date of correction · 2025-04-03 · complaint2024-10-31 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0838Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-162024-10-31 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-11-042024-10-31 · FIREK0222Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-11-042024-10-31 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-09-06 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-27 · complaint2024-08-30 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-09-27 · complaint2024-08-30 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-17 · complaint2024-08-30 · HEALTHF0725Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-09-27 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-08-30 | Fine | $87,458 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DEMARIS, ANNEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/19/2008
- STOCKBEGER, IANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/01/2013
- ALDEN, KATHRYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- BOEDEKER, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- DOUGLAS, TOMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- EVERIST, BURTONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- FLYNN, ANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- GERRIETTS, DANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- HUNT, SAMUELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- MADDEN, THELMAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- PAULSON, KIRKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SCHUMAKER, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SHIPMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SMED, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- WHITE, JERROLDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- ZOOK, ANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- STOCKBEGER, IANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2013
- GOOD SHEPHERD GERIATRIC CENTER INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/19/2008
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.65per resident day
RN hours0.36per resident day
Weekend nurse hours3.46per resident day
Staff turnover68.7%CMS reported field
06 / LOCAL RECORDS
Open the Mason City ledger →