Good Shepherd Health Center
Good Shepherd Health Center in Mason City, IA — inspection on February 24, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
note indicated the family knew.
When offered to send Resident #1 for x-rays, the family declined, and
untitled facility investigation file recorded on 2/15/26 at 10:42 AM, indicated Resident #1 had a large
the top edges faded a yellow color.
The bruise extended from their upper thigh to the groin and around to the buttocks with some speckled bruising to the posterior right thigh.
There is very faint faded yellow bruising to the top of the left thigh area.
When staff assisted Resident #1 to stand, they said ow.
The staff did a pivot transfer with 2 staff to their wheelchair. Resident #1 didn't have complaints of pain once in wheelchair.
The file documented an interview with Staff A, Certified Nursing Assistant (CNA), on 2/19/26.
Staff A stated on 2/13/26, Resident #1 had purple/green swelling on the side of her hip and also under her buttocks.
Staff A described them as noticeable but not too big or too small.
The facility's interview with Staff B, CNA, stated, when they worked on 2/14/26, they told the nurse about the bruises at 8:45 AM. Resident #1 didn't have any signs of pain. On 2/15/26, Staff B went into the room with another staff member, Resident #1 yelled every time they attempted to move her to transfer.
They called the nurse to verify what they saw and Resident #1's emotional state.
The interview with Staff C, CNA, documented, they worked on 2/13/26.
Staff C reported it took 2 of them and a gait belt to transfer her to the restroom.
While in the bathroom, Staff C explained they noticed a bruise.
The interview with Staff D, Licensed Practical Nurse (LPN), stated on 2/15/26, Staff B, mentioned Resident #1 had a bruise and they went to look at it on 2/15/26.
Staff D admitted they didn't look at the bruise on 2/14/26, as it slipped their mind.On 2/17/26 at 4:30 PM, observe a bruise, in multiple stages, on Resident #1's right hip area, extending from the thigh/hip area down behind the right knee.On 2/17/26 at 2:30 PM, Resident #1's family member said they saw the bruising on 2/15/26 from the top of Resident #1 right hip/thigh area, across her buttocks and down behind the right knee. On 2/24/26 at 12:30 PM, the Assistant Director of Nursing (ADON), acknowledged Staff D failed to assess the bruise on Resident #1 right thigh/hip area on 2/14/26 when was the staff first alerted them.
The ADON reported they expected the licensed staff to follow through with any change in resident conditions, bruising, falls, or anything out of the norm and do an assessment.On 2/24/26 at 1:30 PM, the Director of Nursing (DON) stated they expected the nursing staff to follow the procedure/policies for unusual occurrence and do an assessment as warranted.The Skin Program reviewed 2/13/26, instructed staff to use risk management for identification of skin issues. A member of the administrative skin team would complete a follow-up observation and initiate measures to prevent further skin issues.
Weekly skin/wound progress notes will be completed until the area is resolved.
165072 02/24/2026
Good Shepherd Health Center 302 Second Street NE Mason City, IA 50401
malnutrition diagnosis.