Good Neighbor Home
105 McCarren Drive, Manchester, IA 52057 · Delaware County · 112 certified beds · avg 94 residents/day · certified since Nov 1, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 2, 2023 · F-0622 · triggered by a complaint
The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Why it matters: Improper discharge or transfer can suddenly uproot a resident from their home and care without warning or recourse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 2, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 30, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 2, 2023 · F-0550 · triggered by a complaint
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 2, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 10, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 10, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Oct 10, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 2, 2023 | ▲ J · Immediate jeopardy, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| Aug 2, 2023 | ▲ G · Actual harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 2 | J ▲ |
| 2024 | 3 | 0 | E |
| 2025 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.35 | 4.37 | 3.95 | top 11% in Iowa; top 9% in the U.S. |
| Registered Nurse hours | 1.19 | 0.85 | 0.69 | top 12% in Iowa; top 10% in the U.S. |
| Weekend total nurse staffing | 4.57 | 3.86 | 3.50 | top 14% in Iowa; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.51 | 0.48 | top 46% in Iowa; top 36% in the U.S. |
| Total nursing staff turnover (%) | 27.2 | 44.0 | 45.8 | top 10% in Iowa; top 10% in the U.S. |
| RN turnover (%) | 10.0 | 42.1 | 42.9 | top 6% in Iowa; top 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.33, RN 0.96, weekend 3.70. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrews, Amber | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/29/2007 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Bessey, Linda | Individual | Corporate Officer | NOT APPLICABLE | 09/23/2024 |
| Brehme Drug INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/17/2022 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Button, Charles | Individual | Corporate Officer | NOT APPLICABLE | 09/23/2024 |
| Carpenter, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/21/2017 |
| Carpenter, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 09/24/2025 |
| Cascade Lumber Company | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Engelken, Mackenzie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/14/2020 |
| Gerst, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Gerst, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 09/24/2025 |
| Gibbs, Kristy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2022 |
| Greve, Teresa | Individual | Corporate Director | NOT APPLICABLE | 08/19/2024 |
| Hacker Nelson and Co PC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Hammell, Diane | Individual | Corporate Officer | NOT APPLICABLE | 09/23/2024 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Edgewood Convalescent Home | 11.0 mi | Edgewood, IA | ★★★★★ | 4/5 | |
| Strawberry Point Lutheran Home | 14.8 mi | Strawberry Point, IA | ★★★★☆ | 4/5 | |
| Mercyone Dyersville Senior Care | 15.8 mi | Dyersville, IA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165503.