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Good Samaritan - Holstein

505 West Second Street, Holstein, IA 51025 · Ida County · (712) 368-4304

60 certified beds, about 52 residents a day · Non profit - Other · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165207 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).

Of 24 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $99,103 in the last three years; the largest was $99,103, and the latest is dated August 17, 2024.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.

33.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 24 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
7E
0F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 5 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, resident interview, staff interview and policy review the facility failed to provide food at an appetizing temperature to 2 of 20 residents reviewed (Resident #21 and #51). The facility reported a census of 51 residents.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, staff interview, and policy review the facility failed to prepare food in accordance with professional standards by not completing appropriate hand hygiene during meal service to prevent cross contamination, to store food in accordance with professional standards by not dating open food items or disposing of expired food items. The facility reported a census of 51 residents.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, Electronic Health Records (EHR) review, resident interview, resident family interview, staff interviews and policy review the facility failed to provide dignity and respect to a resident when 2 briefs were applied for incontinency to 1 of 3 residents reviewed (Resident #21 ). The facility reported a census of 51 residents. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] revealed Resident #21 had a Brief Interview for Mental Status (BIMS) of 12 indicating moderate cognitive impairment. The MDS documented Resident #21 required partial / moderate assistance with toilet hygiene. Review of Resident #21's EHR titled, Care Plan documented no interventions for utilization of 2 briefs for Resident #21. Review of Resident #21's EHR titled, Progress Note documented no discussions with Resident #21 or Resident #21's Daughter about the use of 2 briefs. [...]
  4. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observations, document review, Electronic Health Record (EHR) review, family interviews, staff interviews and policy review. The facility failed to protect a resident from the use of a physical restraint that the resident could not consistently remove on their own for 1 of 2 residents reviewed (Resident # 9). The facility reported a census of 51 residents. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] documented Resident #9 had a Brief Interview for Mental Status (BIMS) of 9 indicating moderate cognitive impairment . The MDS reported Resident #9 utilized a trunk restraint in the wheelchair. The MDS also documented Resident #9 had diagnoses of anxiety disorder, bipolar disorder, impulse disorder and unspecified intellectual disability. [...]
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, Electronic Health Records (EHR) review, policy review and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube, that was on Enhanced Barrier Precautions (EBP) for 1 of 1 reviewed (Resident #9) and with missed opportunities for hand hygiene when personal cares were completed for 1 of 3 reviewed (Resident #21). The facility reported a census of 51 residents.
June 2, 2025Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on clinical record review, staff interview and facility policy the facility failed to update the resident ' s care plan to accurately reflect the resident for 3 of 3 residents reviewed (Resident #1, #2, and #4) The facility reported a census of 49 residents.
March 20, 2025Standard inspection · 6 citations
  1. D
    Honor 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on clinical record review, resident and staff interview, the facility failed to implement or follow through with advanced directives per resident directive upon admission for 1 of 21 residents reviewed (Resident #206). The facility reported a census of 49.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to develop a care plan to address risk factors and interventions for 3 out of 21 residents (Resident #10, #16, #31) reviewed for comprehensive care plans. The facility reported a census of 49 residents.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on direct observation, clinical record review, and staff interview, the facility failed to provide adequate oral cares for 2 of 2 residents reviewed (Resident #22, #24). The facility reported a census of 49.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on clinical record review, staff interviews, observations, and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 3 residents reviewed for falls (Resident #46). The facility also failed to ensure a wander guard (a monitoring bracelet with activated alarm when exiting) was working for resident safety on a daily basis for 1 of 1 resident reviewed for risk for elopement (Resident #49). The facility reported a census of 49 residents.
  5. D
    Implement 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on clinical record review, staff interview and facility policy review, the facility failed to complete a gradual dose reduction (GDR) for 1 out of 5 residents reviewed for unnecessary medications, (Resident #21). The facility also failed to include nonpharmacological interventions and targeted behaviors for which staff were to monitor and/or redirect for 1 out 5 residents (Resident #31). The facility reported a census of 49 residents.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on direct observation, staff observation, and facility document review, the facility failed to serve food to residents in a safe and hygienic manner. The facility reported a census of 49.
August 17, 2024Complaint inspection · 3 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents were free from abuse for 1 of 1 resident reviewed. Staff F, Certified Nurse Aide (CNA), and Staff E, CNA, used punitive restrictions and restraints to control Resident #1 preventing her from moving about. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of July 29, 2024, on August 17, 2024 at 11:20 AM. The Facility Staff removed the IJ on August 17, 2024 through the following actions: a. Head to toe assessment on Resident #1 to include assessment for emotional distress. b. Abuse and Neglect education for all staff implemented through an online course. Team members instructed to review course prior to the next scheduled shift. Daily educational huddles completed daily for two weeks. [...]
  2. J
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on record, policy and video review, and interviews, the facility failed to report suspected abuse immediately, and failed to separate an alleged abuser from the residents immediately. A staff member witnessed a Certified Nurse Aide (CNA) with her hand covering the mouth of an agitated resident. She failed to report the suspicious activity for over 2 hours. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of July 29, 2024, on August 17, 2024 at 11:20 AM. The Facility Staff removed the IJ on August 17, 2024 through the following actions: a. Head to toe assessment on Resident #1 to include assessment for emotional distress. b. Abuse and Neglect education for all staff implemented through an online course. Team members instructed to review course prior to the next scheduled shift. Daily educational huddles completed daily for two weeks. c. [...]
  3. E
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interviews, video, record and policy review, the facility failed to ensure staff displayed competent dementia care and safe interventions for 1 of 1 resident reviewed. Staff F, Certified Nurse Aide (CNA), and Staff E, CNA, used punitive restrictions and restraints to control Resident #1 preventing her from moving about. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of July 29, 2024, on August 17, 2024 at 11:20 AM. The Facility Staff removed the IJ on August 17, through the following actions: a. Head to toe assessment on Resident #1 to include assessment for emotional distress. b. Abuse and Neglect education for all staff implemented through an online course. Team members instructed to review course prior to the next scheduled shift. Daily educational huddles completed daily for two weeks. c. [...]
June 17, 2024Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 27, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure accurate accounting of Scheduled II medications for 2 of 6 residents (#3 and #4). The facility also failed to ensure that medications were securely locked in the cart and storage room. The facility reported a census of 57 residents.
December 21, 2023Standard inspection, Complaint inspection · 8 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observations, interviews, record, and policy review the facility failed to keep residents safe from preventable accidents and hazards for 5 of 6 residents reviewed (Residents #49, #31, #50, #22, and #9). Resident #49 required two persons with the use of a mechanical lift for transfers. On two occasions, as one staff member assisted Resident #49, he fell from the lift as they transferred him. Resident #31 had a fall from her wheelchair when staff put her in the wrong wheel chair and failed to secure a safety belt. An observation revealed Resident #50 smoking a cigarette with her oxygen tank nearby. An observation revealed the staff transferring Resident #22 without the use of a gait belt, and Resident #9 sustained a skin tear to her hand when an unleashed dog jumped up into her lap unexpectedly.
  2. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on interviews with staff and administration, and policy review the facility failed to provide training or orientation to temporary nursing staff for 2 of 2 staff reviewed (Staff M and N). The facility reported a census of 57 residents.
  3. E
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on facility record review and staff interviews, the facility failed to ensure the facility's Dietary Service Manager had the required qualifications in the absence of a full-time dietitian. The facility reported a census of 57 residents.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to notify the physician when a resident did not get her scheduled medication for 1 of 4 residents reviewed (Resident #50). Resident #50 had an order for Lexapro daily, when she ran out of her pills, the staff failed to replenish the supply. In addition, the facility failed to notify the phsyician regarding a significant change in weight for 1 of 2 residents reviewed (Resident #55). Resident #55 had a significant loss in weight in 6 months (greater than 10%) of 11.2%.
  5. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents consented to the use of a restraint and failed to obtain a physician's order for restraint use, for 1 of 1 resident reviewed (Resident #31). Resident #31 had a diagnosis of traumatic brain injury with limited mobility. Staff used a seatbelt in her wheelchair to prevent her from sliding out and failed to get a consent from the family.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation and record review the facility failed to ensure that the Minimum Data Set (MDS) included resident specific information for 1 of 21 resident reviewed (Resident #31). Resident #31 had diagnosis of traumatic brain injury with limited mobility. Staff were using a seat belt in her wheel chair to prevent her from sliding out. The MDS lacked information regarding the use of restraints for Resident #31.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident received her scheduled medication for 1 of 4 residents reviewed (Resident #50). Resident #50 had an order for Lexapro daily, when she ran out of medication, the staff failed to follow through and replenish the supply.
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to accurately document, monitor the use, and the storage of narcotic medications for 1 of 5 residents reviewed (Resident #1). The nursing staff failed to sign off on the accuracy of the narcotic counts between all shifts. The Individual Resident Narcotic Record (IRNR) for Resident #1 did not match with the amount in the bottle. Another IRNR sheet for Resident #1 reflected a total of 5.25 milliliters (ml) of morphine missing.

Fire safety inspections

17 fire safety citations on file: 8 on April 9, 2026, 3 on March 20, 2025, 6 on December 21, 2023.

Every fire safety citation17 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · April 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 9, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 9, 2026 · deficient, provider has
  4. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 9, 2026 · Corrected (the home has a date of correction)
  5. F
    Install corridor and hallway doors that block smoke.
    K 363 · April 9, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 9, 2026 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 9, 2026 · Corrected (the home has a date of correction)
  8. F
    Ensure proper usage of power strips and extension cords.
    K 920 · April 9, 2026 · Corrected (the home has a date of correction)
  9. F
    Install an approved automatic sprinkler system.
    K 351 · March 20, 2025 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 20, 2025 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 20, 2025 · Corrected (the home has a date of correction)
  12. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 21, 2023 · Corrected (the home has a date of correction)
  13. F
    Provide properly protected cooking facilities.
    K 324 · December 21, 2023 · Corrected (the home has a date of correction)
  14. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 21, 2023 · Corrected (the home has a date of correction)
  15. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 21, 2023 · Corrected (the home has a date of correction)
  16. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 21, 2023 · Corrected (the home has a date of correction)
  17. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 21, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 17, 2024Fine $99,103

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.353.823.86
Registered nurses0.950.740.69
All nursing staff on weekends2.953.373.42
Nurse aides2.02
Licensed practical nurses0.38
Nursing staff turnover (share who left in a year)33.3%44.0%45.8%
Registered nurse turnover0.0%42.1%42.9%
Administrators who left0

CMS expects 3.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.51 on weekdays and 2.95 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.953.512.95 0.0%0 of 9052
Oct to Dec 20253.511.013.693.04 0.0%0 of 9250
Jul to Sep 20253.511.013.683.10 0.0%0 of 9249
Apr to Jun 20253.640.993.783.28 0.0%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.917.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.51.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.12.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.43.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.516.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
48.519.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.920.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.313.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.32.11.8

Owners and operators

Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Sanford5% or greater direct ownership interestOrganization100%01/01/2019
The Evangelical Lutheran Good Samaritan Society5% or greater indirect ownership interestOrganization100%01/01/2019
Brown, GeorgeCorporate directorIndividual01/01/2025
Dykhouse, DanaCorporate directorIndividual05/30/2024
Engbrecht, WesleyCorporate directorIndividual05/30/2024
Gassen, WilliamCorporate directorIndividual05/30/2024
Gulsvig, NeilCorporate directorIndividual05/30/2024
Herseth Sandlin, StephanieCorporate directorIndividual05/30/2024
Lundeen, MarkCorporate directorIndividual05/30/2024
McCausland, MaureenCorporate directorIndividual01/01/2025
Molbert, LaurisCorporate directorIndividual05/30/2024
North, AndrewCorporate directorIndividual05/30/2024
Schieffer, KevinCorporate directorIndividual01/01/2025
Shulkin, DavidCorporate directorIndividual05/30/2024
Teiken, BrentCorporate directorIndividual05/30/2024
Ventling-Herrmann, MarnieCorporate directorIndividual05/30/2024
Wenzel, ThomasCorporate directorIndividual01/01/2025
Fluit, JoelCorporate officerIndividual10/01/2022
Gassen, WilliamCorporate officerIndividual05/30/2024
Middleton, AimeeCorporate officerIndividual01/27/2022
Olson, NicholasCorporate officerIndividual04/08/2024
Schema, NathanCorporate officerIndividual01/01/2022
SanfordOperational/managerial controlOrganization01/01/2019
The Evangelical Lutheran Good Samaritan SocietyOperational/managerial controlOrganization01/01/2019
Anderson, TroyOperational/managerial controlIndividual12/14/2020
Luft, MichaelOperational/managerial controlIndividual07/01/2020
Morrison, TonyOperational/managerial controlIndividual01/01/2019
Sandgren, DeeandraOperational/managerial controlIndividual07/16/2023
Dtn Staffing IncAdp of the SNFOrganization08/02/2024
Grape Tree Medical Staffing LLCAdp of the SNFOrganization04/13/2018
SanfordAdp of the SNFOrganization11/11/2025
The Evangelical Lutheran Good Samaritan SocietyAdp of the SNFOrganization01/01/2019
Anderson, TroyAdp of the SNFIndividual12/14/2020
Brown, GeorgeAdp of the SNFIndividual01/01/2025
Dykhouse, DanaAdp of the SNFIndividual05/30/2024
Engbrecht, WesleyAdp of the SNFIndividual05/30/2024
Fluit, JoelAdp of the SNFIndividual10/01/2022
Gassen, WilliamAdp of the SNFIndividual05/30/2024
Gulsvig, NeilAdp of the SNFIndividual05/30/2024
Herseth Sandlin, StephanieAdp of the SNFIndividual05/30/2024
Luft, MichaelAdp of the SNFIndividual07/01/2020
Lundeen, MarkAdp of the SNFIndividual05/30/2024
McCausland, MaureenAdp of the SNFIndividual01/01/2025
Middleton, AimeeAdp of the SNFIndividual01/27/2022
Molbert, LaurisAdp of the SNFIndividual05/30/2024
Morrison, TonyAdp of the SNFIndividual01/01/2019
North, AndrewAdp of the SNFIndividual05/30/2024
Olson, NicholasAdp of the SNFIndividual04/08/2024
Sandgren, DeeandraAdp of the SNFIndividual07/16/2023
Schema, NathanAdp of the SNFIndividual01/01/2022
Schieffer, KevinAdp of the SNFIndividual01/01/2025
Shulkin, DavidAdp of the SNFIndividual05/30/2024
Teiken, BrentAdp of the SNFIndividual05/30/2024
Ventling-Herrmann, MarnieAdp of the SNFIndividual05/30/2024
Wenzel, ThomasAdp of the SNFIndividual01/01/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on April 9, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 2, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 20, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 9, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Iowa average of 3.37.

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Common questions

What is Good Samaritan - Holstein's Medicare star rating?
CMS rates Good Samaritan - Holstein 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Good Samaritan - Holstein get at its last inspection?
5 health deficiencies at the standard inspection on April 9, 2026. The Iowa average is 6.5.
Has Good Samaritan - Holstein been fined?
Yes. CMS lists 1 fine totaling $99,103 in the last three years.
Does Good Samaritan - Holstein accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Good Samaritan - Holstein?
CMS lists 55 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.

Sources

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