Good Samaritan - Holstein
Holstein, Iowa · CCN 165207
19 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
- 81
- Surveys
- 19
- 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
- 60
- Ownership
- Non profit - Other
- Chain
- GOOD SAMARITAN SOCIETY
- County
- Ida · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Apr 9, 2026
214 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 | 3.35 | 3.76 |
| Registered-nurse hours per resident day | 0.95 | — |
| Annual nurse turnover | 33.3% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $99,103 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J28.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1562.5% | E729.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6042×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Good Samaritan - Holstein, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Aug 17, 2024
Based 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. […]
- Immediate jeopardy, isolatedF609Aug 17, 2024
Based 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. […]
- No harm, potential for more than minimal, patternF804Apr 9, 2026
Based 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.Findings include:1. The Minimum Data Set (MDS) dated [DATE] revealed Resident #21 had a Brief Interview for Mental Status (BIMS) of 7 indicating severe cognitive impairment.On 4/6/26 at 3:10 PM Resident #21 stated the food was served cold at least once or twice a week. Resident #21 explained does not like cold food. 2. The MDS dated [DATE] revealed Resident #51 had a BIMS of 15 indicating no cognitive impairment.On 4/7/26 at 9:24 AM Resident #51 stated the food is frequently cool and would like it served warm. […]
- No harm, potential for more than minimal, patternF812Apr 9, 2026
Based 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.Findings include: An initial kitchen observation on 4/6/26 at 10:30 AM revealed the 2 door refrigerator had a 3.5 container of cottage cheese with an open date of 4/1/26 and a best by date of 3/26/26, a large plastic container of carrots in water dated 3/31/26, an 8 oz. […]
- No harm, potential for more than minimal, patternF741Aug 17, 2024
Based 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. […]
Read 25 findings in full →The most serious and the most recent: 25 of 81 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 9, 2026Standard5 findings
- Jun 2, 2025Complaint1 finding
- Mar 20, 2025Standard6 findings
- Aug 17, 2024Complaint3 findings · 2 harm
- Jun 17, 2024Complaint1 finding
- Dec 21, 2023Standard and complaint8 findings
- Dec 15, 2022Standard and complaint3 findings
- Feb 27, 2020Standard6 findings
Show the 11 earlier surveys
- Jan 31, 2019Standard8 findings · 1 harm
- Aug 18, 2016Standard4 findings
- Aug 31, 2015Complaint6 findings · 1 harm
- Jul 31, 2014Standard5 findings
- May 22, 2014Complaint1 finding · 1 harm
- Jun 13, 2013—3 findings
- Jan 31, 2013—1 finding · 1 harm
- Jun 7, 2012—6 findings
- Nov 22, 2011—1 finding · 1 harm
- Sep 22, 2011—2 findings
- Apr 14, 2011—11 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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