Good Neighbor Home
105 McCarren Drive, Manchester, IA 52057
Manchester, Iowa · CMS verdict
CMS places Good Neighbor Home in the average range on the federal scale, and in line with the Iowa average of 3.1.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Good Neighbor Home in Manchester, Iowa holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 63 of 100 (grade D). Its CMS inspection record lists a moderate number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 63 is built
Each segment is a dimension's weighted points toward the score, summing to 63.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Good Neighbor Home's lighter CMS deficiency book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the Iowa average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Manchester, Iowa. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 85%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Iowa, Good Neighbor Home is one of 128 non profit - corporation nursing homes CMS rates. Its 3-star overall rating sits below the non profit - corporation-segment average of 3.3 stars, ahead of roughly 27% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Good Neighbor Home compares to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where Good Neighbor Home ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, Good Neighbor Home’s 3-star overall rating is higher than 37% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
74 Iowa homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 112 |
| Residents | 95 |
| Ownership | Non profit - Corporation |
| County | Delaware |
| Penalties | 1 |
| Deficiencies | 8 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Good Neighbor Home? ▾
Good Neighbor Home has an overall CMS quality rating of 3 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the Iowa average in the chart on this page.
How much does a nursing home cost per month in Iowa? ▾
The median cost for a semi-private nursing home room in Iowa is $9,277 per month ($111,325 annually). A private room averages $10,038 per month. Costs are from the CareScout 2025 survey.
What services does Good Neighbor Home offer? ▾
Good Neighbor Home is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Good Neighbor Home have any deficiencies or penalties? ▾
Good Neighbor Home has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Keep reading
Also see the Iowa elder-care overview and highest-rated states. Provider ID: 165503.
Read our methodology - how this data is sourced, computed, and verified.