Good Samaritan - Holstein

CCN 165207 · THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY · Non profit - Other · GOOD SAMARITAN SOCIETY chain · 60 certified beds · Ida · IA


Good Samaritan - Holstein is a 60-bed nursing home in Holstein, Iowa. CMS has certified it for Medicare and Medicaid since 1994-04-01. It averages 52.3 residents a day.

What harm was found in the violations cited at Good Samaritan - Holstein?

CMS lists 24 health-inspection deficiencies for Good Samaritan - Holstein, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-09.

Survey dateTagDeficiencySeverity
2026-04-09F0804, F0812Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-09F0550, F0604, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide and implement an infection prevention and control program.D
2025-06-02F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-03-20F0578, F0656, F0677, F0689, F0758, F0880Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program.D
2024-08-17F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J
2024-08-17F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E
2024-06-17F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-12-21F0689, F0726, F0801Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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.E
2023-12-21F0580, F0604, F0641, F0658, F0755Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D

Why was Good Samaritan - Holstein fined?

DateTypeAmount
2024-08-17Fine$99,103

How is Good Samaritan - Holstein staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.347583.81506
Total nursing staff turnover (%)33.344.0
Average number of residents per day52.352.4

Who owns Good Samaritan - Holstein, and what chain is it in?

Good Samaritan - Holstein is registered with CMS as Non profit - Other, operates under the legal business name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY and belongs to the GOOD SAMARITAN SOCIETY chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSANFORDsince 01/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYsince 01/01/2019
CORPORATE DIRECTORBROWN, GEORGE, DYKHOUSE, DANA, ENGBRECHT, WESLEY, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUNDEEN, MARK, MCCAUSLAND, MAUREEN, MOLBERT, LAURIS, NORTH, ANDREW, SCHIEFFER, KEVIN, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIE, WENZEL, THOMASsince 01/01/2025
CORPORATE OFFICERFLUIT, JOEL, GASSEN, WILLIAM, MIDDLETON, AIMEE, OLSON, NICHOLAS, SCHEMA, NATHANsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLSANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, ANDERSON, TROY, LUFT, MICHAEL, MORRISON, TONY, SANDGREN, DEEANDRAsince 01/01/2019
ADP OF THE SNFDTN STAFFING INC, GRAPE TREE MEDICAL STAFFING LLC, SANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, ANDERSON, TROY, BROWN, GEORGE, DYKHOUSE, DANA, ENGBRECHT, WESLEY, FLUIT, JOEL, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUFT, MICHAEL, LUNDEEN, MARK, MCCAUSLAND, MAUREEN, MIDDLETON, AIMEE, MOLBERT, LAURIS, MORRISON, TONY, NORTH, ANDREW, OLSON, NICHOLAS, SANDGREN, DEEANDRA, SCHEMA, NATHAN, SCHIEFFER, KEVIN, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIE, WENZEL, THOMASsince 01/01/2019

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