Elder Care Record

Iowa › Ida County › Holstein

Good Samaritan - Holstein

505 West Second Street, Holstein, IA 51025

CCN 165207 · Non-profit, other · 60 certified beds · chain Good Samaritan Society

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Good Samaritan - Holstein, in Holstein, Iowa, is certified for 60 beds under non-profit, other ownership and belongs to the Good Samaritan Society chain.

CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 2, staffing 4 and quality measures 5.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (5, 10, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, more than the state median of 27.5.

CMS lists 1 penalty in the period covered: fines totalling $99K.

Reported nurse staffing is 3.3 hours per resident per day (1.0 RN), close to the Iowa median of 3.7; nursing staff turnover is 33.3%.

24health deficiencies, 3 survey cycles2 at actual harm or worse
$99Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.7
87%occupancy (residents ÷ beds)52 residents a day

Compared with county, state and nation

MeasureThis facilityIda Co. medianIowa medianUS average
Overall star rating3433.0
Health citations, 3 cycles24241628.7
Citations per 100 beds40.040.027.526.8
Total nurse hours per resident day3.33.93.73.9
RN hours per resident day1.01.00.70.7
Nursing staff turnover33.3%33.3%41.9%45.8%
Fines listed$99,103$99,103$0—

County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 210
Cycle 39

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 20 Mar 2025.

Severity mix: J ×2 D ×15 E ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey30 Apr 2026
9 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Apr 2026
9 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey30 Apr 2026
9 Apr 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey30 Apr 2026
9 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey30 Apr 2026
2 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation15 Jun 2025
20 Mar 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey12 Apr 2025
20 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Apr 2025
20 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Apr 2025
20 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Apr 2025
20 Mar 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey12 Apr 2025
20 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey12 Apr 2025
17 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation27 Aug 2024
17 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint investigation27 Aug 2024
17 Aug 2024F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint investigation27 Aug 2024
17 Jun 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation27 Jun 2024
21 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey18 Jan 2024
21 Dec 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey18 Jan 2024
21 Dec 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard survey18 Jan 2024
21 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey18 Jan 2024
21 Dec 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey18 Jan 2024
21 Dec 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation18 Jan 2024
21 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey18 Jan 2024
21 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Jan 2024

Penalties

DateTypeAmountDetail
17 Aug 2024Fine$99,103

Staffing

Total nursing3.35 h
Nurse aides2.02 h
LPN0.38 h
RN0.95 h
Weekend total2.95 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 33.3%, RNs 0.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.9%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.4%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.5%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.6%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay48.6%18.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, other. Legal business name: The Evangelical Lutheran Good Samaritan Society. Chain: Good Samaritan Society (92 facilities).

OrganisationRole in the CMS recordInterestSince
Sanford5% or greater direct ownership interest100%01/01/2019
The Evangelical Lutheran Good Samaritan Society5% or greater indirect ownership interest100%01/01/2019
SanfordOperational/managerial controlNOT APPLICABLE01/01/2019
The Evangelical Lutheran Good Samaritan SocietyOperational/managerial controlNOT APPLICABLE01/01/2019
Dtn Staffing IncAdp of the snfNOT APPLICABLE08/02/2024
Grape Tree Medical Staffing LLCAdp of the snfNOT APPLICABLE04/13/2018
SanfordAdp of the snfNOT APPLICABLE11/11/2025
The Evangelical Lutheran Good Samaritan SocietyAdp of the snfNOT APPLICABLE01/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Ida County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Willow Dale Wellness VillageBattle Creek40444410.0—11 Dec 2025

All 2 facilities in Ida County

Questions and answers

How many deficiencies has Good Samaritan - Holstein been cited for?

24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.

Has Good Samaritan - Holstein been fined?

Yes. CMS lists fines totalling $99K in the period covered.

How does staffing at Good Samaritan - Holstein compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.

Who operates Good Samaritan - Holstein?

It is part of the Good Samaritan Society chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include Sanford, The Evangelical Lutheran Good Samaritan Society and Sanford. Individual owners and managers are not listed on this site.

When was Good Samaritan - Holstein last inspected?

The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.