Good Shepherd Health Center

302 Second Street NE
Mason City, IA, 50401
6414241740
CCN: 165072
2
Overall
2
Health
3
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
FAMILY HEALTH CENTER, P C
1128b8
Excluded 2004-09-20
IOWA FOOT HEALTH CENTER, P.C.
1128a1
Excluded 1996-06-19
Ownership
NameRole%
ZOOK, ANNECORPORATE DIRECTORNOT APPLICABLE
ALDEN, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
BOEDEKER, JOHNCORPORATE DIRECTORNOT APPLICABLE
DOUGLAS, TOMCORPORATE DIRECTORNOT APPLICABLE
EVERIST, BURTONCORPORATE DIRECTORNOT APPLICABLE
FLYNN, ANNECORPORATE DIRECTORNOT APPLICABLE
GERRIETTS, DANCORPORATE DIRECTORNOT APPLICABLE
HUNT, SAMUELCORPORATE DIRECTORNOT APPLICABLE
MADDEN, THELMACORPORATE DIRECTORNOT APPLICABLE
PAULSON, KIRKCORPORATE DIRECTORNOT APPLICABLE
SCHUMAKER, TERRYCORPORATE DIRECTORNOT APPLICABLE
SHIPMAN, SCOTTCORPORATE DIRECTORNOT APPLICABLE
SMED, SCOTTCORPORATE DIRECTORNOT APPLICABLE
WHITE, JERROLDCORPORATE DIRECTORNOT APPLICABLE
STOCKBEGER, IANCORPORATE OFFICERNOT APPLICABLE
GOOD SHEPHERD GERIATRIC CENTER INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DEMARIS, ANNEW-2 MANAGING EMPLOYEENOT APPLICABLE
STOCKBEGER, IANW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-08-30Fine$87K
Health Deficiencies (26)
2025-12-11 · Health
E
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
F584 · 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.
D
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-03-13 · Health
G
F713 · Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-10-31 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F838 · 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.
D
F690 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
2024-09-06 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-30 · Health
E
F725 · 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.
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-11-20 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-06 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.69
3.68
RN Hrs/Resident/Day
0.36
0.54
LPN Hrs/Resident/Day
0.64
0.81
CNA Hrs/Resident/Day
2.69
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01