Good Neighbor Home in Manchester, IA has a 3-star overall rating, with strong staffing at 5 stars and nurse staffing of 4.33 hours per resident per day, above the 4.1 federal benchmark. Its inspection and quality ratings are both 2 stars, and it had no fines in the last 24 months.
Last inspection: October 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3282.
Staffing detail
Registered nurses
0.96
Licensed practical nurses
0.55
Nurse aides
2.81
Weekend nursing
3.70
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 10%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
19.2%24.6%Worsening
Residents with a fall causing major injury
6.5%13.8%Worsening
Residents with pressure ulcers (bedsores)
0%1%Worsening
Residents with a urinary tract infection
6.5%7.1%Worsening
Residents who lost too much weight
7.1%6.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21%8.6%Improving
Residents whose ability to walk got worse
16.6%7.6%Improving
Long-stay residents on antianxiety or sleep medication
18.6%14.1%Improving
Short-stay residents newly given an antipsychotic
2.9%6.7%Worsening
Residents with a long-term catheter
6.1%6.7%Worsening
Residents with new or worsening incontinence
19.7%28%Worsening
Residents with depressive symptoms
1.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.7%—
Short-stay residents given the pneumonia vaccine
95.7%95.7%No change
What the inspectors found
The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 622 — 42 CFR §483.15 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $6,279 in total fines.
Federal fine
Aug 2, 2023
$6,279
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
93.6 residents on an average day (84% of 112 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.