Good Samaritan - Estherville
Estherville, Iowa · CCN 165192
27 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 132
- Surveys
- 27
- Harm or worse
- 7
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 62
- Ownership
- Non profit - Corporation
- Chain
- GOOD SAMARITAN SOCIETY
- County
- Emmet · rural
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Jan 15, 2026
298 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.57 | 3.76 |
| Registered-nurse hours per resident day | 0.94 | — |
| Annual nurse turnover | 49.1% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1246.2% | E1350.0% | F13.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8042×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5851×
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
In the surveyor’s words
From the most serious findings on record at Good Samaritan - Estherville, in the surveyor’s own words.
- Immediate jeopardy, patternF689Jun 1, 2022
Based on clinical record review, family interview, staff interviews, and facility record review, the facility failed to ensure residents at risk for elopement were unable to exit the facility unattended for 2 of 2 residents reviewed for elopement (Residents #6 and #12). The facility failure resulted in an Immediate Jeopardy to the health, safety, and security of the residents. The facility reported a total census of 45 residents. Findings include: 1. The The Minimum Data Set (MDS) assessment dated [DATE] for Resident # 6 documented diagnoses of non-Alzheimer's dementia, traumatic [NAME] injury, [CONDITION(S)], weakness, disorientation and [CONDITION(S)]. […]
- No harm, potential for more than minimal, widespreadF851Oct 31, 2024
Based on the Center for Medicare and Medicare Services (CMS) PBJ (Payroll Based Journal) Staffing Data Report for April 1 - June 30, 2024 report, facility schedules, and staff interview, the facility failed to submit complete and accurate staffing information to CMS. The facility reported a census of 51 residents. Findings include: The CMS PBJ Staffing Data Report for April 1 - June 30, 2024 indicated the facility triggered for investigation of staffing. The Facility Schedule for May 4th, 2024 showed Staff E Agency Certified Nursing Assistant (CNA) worked 6 p.m. to 6:15 a.m. (May 5th). A facility PBJ report lacked hours for Staff E on May 5th. On 10/30/24 at 9:34 a.m. […]
- No harm, potential for more than minimal, patternF812Jan 15, 2026
Based on observations, staff interviews and policy review, the facility failed to store food items according to professional standards and discard food items after product recommended date. The facility identified a census of 46 residents.Findings include: An initial kitchen tour conducted on 1/12/26 at 10:30 AM, of the kitchen revealed the following items were stored in the kitchen's refrigerator ready for service:a. Bag of shredded lettuce- turning brown- dated 1/2/26b. Container of breaded chicken- dated 1/4/26c. Container of fruit cocktail- dated 1/3/26d. Container of tomato sauce-dated 1/2/26e. Container of egg salad- open with used by date of 12/29/25f. Low Fat Cottage Cheese- 5 lbs- use by 11/11/25g. Mildly Thick Orange Juice - open with no lid and not dated. […]
- No harm, potential for more than minimal, patternF804Oct 31, 2024
Based on observation, resident interview, staff interview, and policy review the facility failed to provide food at an appetizing temperature to 2 of 8 residents reviewed (Residents #27, and #43). The facility reported a census of 51 residents. Findings include: 1. Review of Resident #27 ' s Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 10/28/24 at 12:02 PM with Resident #27 revealed that she eats in her room and that the food is often cold when it is delivered. 2. Review of Resident #43 ' s MDS dated [DATE] revealed a BIMS score of 14 indicating intact cognition. Interview on 10/28/24 at 1:17 PM with Resident #43 revealed that food is often cold when it should be hot. […]
- No harm, potential for more than minimal, patternF812Oct 31, 2024
Based on observation, staff interview, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility reported a census of 51 residents. Findings include: During continuous observation on 10/30/24 from 12:25 PM until 12:41 PM Staff A was observed to make extra servings of pureed brownie without completing hand hygiene. Staff A was then observed touching door jams, then preparing room trays, handling spatulas, touching plates for service, and handling bowls for lunch service. At 12:41 PM Staff A then completed hand hygiene. Interview on 10/30/24 at 1:53 PM with the Certified Dietary Manager (CDM) revealed her expectations are for hand hygiene to be completed at the appropriate times. […]
Read 27 findings in full →The most serious and the most recent: 27 of 132 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 15, 2026Standard5 findings
- Nov 10, 2025Complaint1 finding
- Oct 31, 2024Standard and complaint5 findings
- Nov 30, 2023Complaint4 findings
- Aug 30, 2023Standard and complaint11 findings
- Oct 26, 2022Complaint1 finding
- Jun 1, 2022Standard and complaint18 findings · 1 harm
- Mar 16, 2021Standard8 findings
Show the 19 earlier surveys
- Apr 25, 2019Standard16 findings
- Dec 19, 2017Standard4 findings
- Nov 3, 2016Standard9 findings
- Aug 10, 2016Complaint2 findings · 1 harm
- Feb 26, 2016Complaint6 findings · 2 harm
- Dec 10, 2015Standard5 findings
- Oct 30, 2015Complaint3 findings
- Sep 25, 2015Complaint1 finding
- Sep 24, 2015Complaint1 finding
- May 14, 2015Complaint1 finding
- Apr 3, 2015Complaint1 finding
- Oct 23, 2014Standard and complaint5 findings
- Jan 3, 2014Complaint3 findings · 1 harm
- Aug 8, 2013—4 findings
- Jan 10, 2013—4 findings · 1 harm
- Jul 13, 2012—5 findings
- Aug 25, 2011—1 finding
- Jun 13, 2011—3 findings · 1 harm
- Apr 29, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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