Good Samaritan Davenport

Non profit - Church related  ·  700 Waverly Road, Davenport, IA 52804  ·  See home’s Medicare page

Affiliated With Good Samaritan Society
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
3.47
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.8
28.4%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 44.1%
119
Certified beds
Qualifying beds in the certified provider or supplier facility.
96
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Sanford (100%) since Jan, 2019
Indirect owners
The Evangelical Lutheran Good Samaritan Society (100%) since Jan, 2019
Managerial control
Ann Jackson Sieprawski since Nov, 2023
Tony Morrison since Jan, 2019
Deeandra Sandgren since Jul, 2023
John Vu since Sep, 2025
Managing employee(s)
No information available
Corporate Director
George Brown since Jan, 2025
Dana Dykhouse since May, 2024
Wesley Engbrecht since May, 2024
William Gassen since May, 2024
Neil Gulsvig since May, 2024
Stephanie Herseth Sandlin since May, 2024
Mark Lundeen since May, 2024
Maureen Mccausland since Jan, 2025
Lauris Molbert since May, 2024
Andrew North since May, 2024
Kevin Schieffer since Jan, 2025
David Shulkin since May, 2024
Brent Teiken since May, 2024
Marnie Ventling Herrmann since May, 2024
Thomas Wenzel since Jan, 2025
Corporate Officer
Joel Fluit since Oct, 2022
William Gassen since May, 2024
Aimee Middleton since Jan, 2022
Nicholas Olson since Apr, 2024
Nathan Schema since Jan, 2022
Adp Of The Snf
Dtn Staffing INC since Aug, 2024
Focusone Solutions since Mar, 2024
Grape Tree Medical Staffing LLC since Apr, 2018
Sanford since Dec, 2025
The Evangelical Lutheran Good Samaritan Society since Jan, 2019
George Brown since Jan, 2025
Dana Dykhouse since May, 2024
Wesley Engbrecht since May, 2024
Joel Fluit since Oct, 2022
William Gassen since May, 2024
Neil Gulsvig since May, 2024
Stephanie Herseth Sandlin since May, 2024
Ann Jackson Sieprawski since Nov, 2023
Mark Lundeen since May, 2024
Maureen Mccausland since Jan, 2025
Aimee Middleton since Jan, 2022
Lauris Molbert since May, 2024
Tony Morrison since Jan, 2019
Andrew North since May, 2024
Nicholas Olson since Apr, 2024
Deeandra Sandgren since Jul, 2023
Nathan Schema since Jan, 2022
Kevin Schieffer since Jan, 2025
David Shulkin since May, 2024
Brent Teiken since May, 2024
Marnie Ventling Herrmann since May, 2024
John Vu since Sep, 2025
Thomas Wenzel since Jan, 2025

Inspection Reports

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
17

total deficiencies

2

infection-related deficiencies

This home violated federal standards protecting residents from the spread of infections.

Jan 29, 2026
Standard report
5 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

to E
E

Nutrition and Dietary Deficiency — F0804
Failure to: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Quality of Life and Care Deficiency — F0677
Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0689
Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0693
Failure to: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Jan 15, 2025
Standard report
1 deficiency
E

Resident Assessment and Care Planning Deficiency — F0644
Failure to: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Oct 17, 2024
Complaint report
2 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

to E
E

Nursing and Physician Services Deficiency — F0725
Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Apr 25, 2024
Complaint report
2 deficiencies
D

to E
E

Quality of Life and Care Deficiency — F0677
Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Quality of Life and Care Deficiency — F0679
Failure to: Provide activities to meet all resident's needs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Mar 14, 2024
Complaint report
1 deficiency
D

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609
Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Mar 14, 2024
Standard report
5 deficiencies
B

to D
D

Resident Rights Deficiency — F0623
Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0690
Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Administration Deficiency — F0868
Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity
No actual harm, with potential for minimal harm
Scope
Many people affected
Seriousness
C

Resident Rights Deficiency — F0582
Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Sep 14, 2023
Complaint report
1 deficiency
E

Resident Rights Deficiency — F0554
Failure to: Allow residents to self-administer drugs if determined clinically appropriate.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Penalties

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
This home has no record of fines or payment suspensions for the past three years.