PlainNursing
CMS Nursing Home Compare · March 2026

Good Neighbor Home

Good Neighbor Home is a non profit - corporation facility in Manchester, IA with 112 certified beds and a 3-star overall CMS rating. The inspection file holds 8 deficiency records. Total penalties: $6K.

105 McCarren Drive, Manchester, IA 52057

Phone: 5639273907

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

Good Neighbor Home holds a 3-star CMS overall rating — right around the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall rating (nat'l avg 3.0)
4.05
Nursing hrs/resident-day (nat'l 3.89)
8
Inspection findings on file · 3 serious
$6K
Federal penalties (1)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

2/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165503
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
112
Residents
95
In Hospital
No
County
Delaware
Last Inspection
Jun 19, 2025

Staffing Data

RN Hours
0.90 (nat'l avg: 0.68)
LPN Hours
0.49
CNA Hours
2.66
Total Nursing Hours
4.05 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
23.8%
RN Turnover
17.4%

What the CMS Record Reveals About Good Neighbor Home

Good Neighbor Home operates 112 certified beds in Manchester, IA with approximately 95 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 8 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $6K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.05 total nursing hours per resident day (national average 3.89), with RN coverage at 0.90 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Good Neighbor Home falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 23.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

E — Pattern - Minimal harm Oct 10, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 30, 2025

G — Isolated - Actual harm Oct 10, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Oct 10, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Aug 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 15, 2024

E — Pattern - Minimal harm Feb 8, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 8, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

J — Isolated - Jeopardy Aug 2, 2023 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Aug 2, 2023

G — Isolated - Actual harm Aug 2, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 2, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 7.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 9.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.1% Yes

Penalty History 1 penalties totaling $6K

Date Type Amount
Aug 2, 2023 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Good Neighbor Home?
Good Neighbor Home has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at Good Neighbor Home?
Good Neighbor Home reports 4.05 total nursing hours per resident day (national average: 3.89). RN hours are 0.90 per resident day (national average: 0.68). Nursing staff turnover is 23.8%.
How many beds does Good Neighbor Home have?
Good Neighbor Home has 112 certified beds with approximately 95 residents. The facility is located at 105 McCarren Drive, Manchester, IA 52057.
Does Good Neighbor Home have any deficiencies on record?
Yes, Good Neighbor Home has 8 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Good Neighbor Home received any fines or penalties?
Yes, Good Neighbor Home has received 1 penalties totaling $6K.
Who owns Good Neighbor Home?
Good Neighbor Home is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Good Neighbor Home last inspected?
The most recent health inspection for Good Neighbor Home was on Jun 19, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Good Neighbor Home?
Good Neighbor Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.