Delaware County

Good Neighbor Home

Medicare rating
3 out of 5
1
finding of immediate jeopardy, the most serious kind
7%
less nursing care than its residents are expected to need, against a research benchmark

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Iowa homes, so a star here does not mean what it means in another state.

105 McCarren Drive, Manchester, IA 52057 · (563) 927-3907
112 beds · about 94 residents on a typical day · nonprofit corporation

Staffing

All nursing staff, per resident, per day
4 hours 20 minutes

Residents here are expected to need about 4 hours 39 minutes, given how sick they are. This home reports 7% less. The average Iowa home reports 3 hours 49 minutes.

Registered nurses only
58 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 4 minutes of their time. This home reports 9% less.

Nursing staff who left in the past year
27%

27% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Iowa home reports 44%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 8 findings on record going back to 2023, 5 of them after someone filed a complaint.

The 3 serious findings here

Actual harm October 10, 2025 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on October 30, 2025.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm August 2, 2023 From a complaint

Rights not honored

The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.

The home fixed this on August 2, 2023.

Medicare’s wording

Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Immediate jeopardy August 2, 2023 From a complaint

Moved out without good reason

The home moved a resident out without a good enough reason, or without sending the required information.

The home fixed this on August 2, 2023.

Medicare’s wording

Federal tag F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Everything on record

Immediate jeopardy 1 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 2 A resident was hurt
Potential for harm 5 Could have caused harm. No one was hurt. The most common kind.

310 of the 387 nursing homes in Iowa have fewer findings of harm or immediate jeopardy on record than this one.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 165503.

What these numbers do not say

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.