Good Neighbor Home

105 McCarren Drive, Manchester, IA 52057 (opens Google Maps) · Delaware County · (563) 927-3907· 112 certified beds · avg 94 residents/day · certified since Nov 1, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5

Health inspection rating (on-site)

inspected Jun 19, 2025

Serious findings on record

most recent Oct 10, 2025

Fines, last 3 years

5.35

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 2, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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.

Corrected: Aug 2, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

Oct 10, 2025G · Actual harm, isolated
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 F-0689
Oct 10, 2025E · Potential for more than minimal harm, pattern
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 F-0725
Oct 10, 2025D · Potential for more than minimal harm, isolated
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 F-0550

View all 8 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Oct 10, 2025	▲ G · Actual harm, isolated	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 · F-0689
Oct 10, 2025	E · Potential for more than minimal harm, pattern	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 · F-0725
Oct 10, 2025	D · Potential for more than minimal harm, isolated	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 · F-0550
Aug 15, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
Feb 8, 2024	E · Potential for more than minimal harm, pattern	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. · F-0812
Feb 8, 2024	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Aug 2, 2023	▲ J · Immediate jeopardy, isolated	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 · F-0622
Aug 2, 2023	▲ G · Actual harm, isolated	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 · F-0550

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

5.35

4.37

3.95

Registered Nurse hours

1.19

0.85

0.69

Weekend total nurse staffing

4.57

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Good Neighbor Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

Showing 20 of 30 parties CMS has on file for this facility; 10 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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

Compare this facility with the 3 closest →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 165503.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Good Neighbor Home

105 McCarren Drive, Manchester, IA 52057 · (563) 927-3907

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Aug 2, 2023 (F-0622, Immediate jeopardy, isolated): 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.
▲ Oct 10, 2025 (F-0689, Actual harm, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Aug 2, 2023 (F-0550, Actual harm, isolated): 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.

Questions for the administrator:

☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165503 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)