Good Samaritan - Saint Ansgar

In the surveyor’s words

From the most serious findings on record at Good Samaritan - Saint Ansgar, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jun 18, 2026

  Based on review of schedules and interview, the facility failed to provide 8 hours of consecutive Registered Nurse (RN) coverage daily. The facility reported a census of 37 residents. Findings include:A review of schedules revealed that consecutive Registered Nurse (RN) coverage was not provided on the following dates: 5/30/26, 5/31/26, 6/6/26, and 6/13/26. On 6/18/26 at 9:55 AM, the Administrator stated she did not realize the RN coverage had to be eight consecutive hours; therefore, the facility had an RN dividing up her day to provide eight hours of RN coverage a day. She stated the facility was doing it wrong, but now she knows. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2022

  Based on observations, interviews, and facility policy review, the facility failed to ensure containers of food were stored off the floor in the walk-in cooler and walk-in freezer to prevent potential contamination that could result in food borne illness. This had the potential to affect all residents who received meals from the kitchen. Findings included: Review of a facility policy titled, Food-Supply Storage - Food and Nutrition Services, dated 06/21/2002, revealed, All food/supply items are stored six inches off the floor. […]

• No harm, potential for more than minimal, patternF606Apr 8, 2021

  Based on employee file review, background check review, policy review, and staff and corporation interviews. The facility failed to access the Single Contact Repository (SING) to perform the required back background check the State of Iowa directs for health care facilities in the Iowa Code. The facility hired and employed staff to work with residents without running the required SING background check from staff hire dates and throughout the time it brought to their attention by the survey team of the noncompliance for 4 of 5 employee files reviewed (Staff F,G, I, H). The facility reported a census of 32 Residents. […]

• No harm, potential for more than minimal, patternF695Apr 8, 2021

  Based on observations, record review, policy review, staff interviews, and the facility's oxygen supplier interviews, the facility failed to change oxygen tubing for residents that require supplemental oxygen. The facility did not follow professional standards with routine oxygen tubing changes and lacked documentation of when oxygen tubing was changed. The facility also does not follow the facilities oxygen supplier recommendations for tubing changes recommendations for 4 of 5 Residents reviewed (Resident #2, #13, #26, #178). The facility reported a census of 32. Findings include: Interview on 04/01/21 at 11:42 a.m., with Staff D, Registered Nurse (RN) reported five residents required oxygen at the facility. […]

• No harm, potential for more than minimal, patternF812Apr 8, 2021

  Based on observations and staff interviews the facility failed to ensure proper use of gloves, tongs, and scoops during meal preparation and service to prevent contamination. One staff was observed touching non-food items with gloved hands and utensils and then handling and serving food with the same gloved hands and utensils. The facility reported a census of 32. Findings include: On 03/29/21 at 12:00 p.m., Staff F, Cook, took temperatures of the food placed in the steam table then served up the food on dinnerware to residents. During temperature taking and service, Staff F placed the thermometer and the scoops on the countertops, then back into the food, and then served the food. […]