Entity Details - DIAL HFD

Compliance Details

Files

Entity

Entity:
Good Samaritan Society - Red Oak

Entity Type:
Free Standing NF/SNF

Address:
201 Alix Avenue, Red Oak

Phone:
(712) 623-3170

Visit Date:
05/04/2022

Entity Admin:
Ricky Rohrig, Sr.

Coordinator:
Patricia (Lynn) Gray

Compliance Officer:
jennifer.larson@dia.iowa.gov

Certification Actions:
Directed Plan of Correction Imposed, Civil Money Penalty Imposed

Licensure Actions:
Fining & Citation

Loss of NA Training Effective:

Loss of NA Training Expires:

Fine Summary

The maximum State fine amount allowed by Iowa law is $10,000. This fine could be doubled or trebled for repeat offenses for a maximum fine of $30,000 [Iowa Code 135C.36-44A].

Total Imposed State Fine:
$0.00

Federal Fines Imposed:

For details on federal fines, please visit the Quality, Certification, and Oversight reports website

State Waiver:
0%

State Fine Paid:
$0.00

State Fine Owed:
$0.00

Rule Codes	Suspended	State/Federal	One Time Fine	Total Fine	Actions
58.10(8)	Suspended	State	$7,500.00	$7,500.00	Select Rule Codes
F880		Federal		Federal Fine Information	Select Rule Codes
F688		Federal		Federal Fine Information	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport_936_2022-05-31_014847.pdf	ScannedReport_936_2022-05-31_014847.pdf	Visit Report
ScannedFC_936_2022-05-19_074429.pdf	ScannedFC_936_2022-05-19_074429.pdf	Citation Report