Federal inspection record · CMS data as of October 1, 2026
Good Samaritan - Holstein
505 West Second Street, Holstein, IA · (712) 368-4304
- Certified beds
- 60
- Residents per day
- 53
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Good Samaritan - Holstein carries 70.5 inspection points. That is fewer than 24% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care4E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary3E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service3E
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- 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.
Inspection history
2026-04-09
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-03-20
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-12-21
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 27 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$99,103 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-17 | Fine | $99,103 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts better | 0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 95.7% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts worse | 5.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.7 pts worse | 34.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication29.5 pts worse | 49.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.4 pts worse | 1.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better | 13.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 14.6% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better | 22.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.2% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.5 pts worse | 67.5% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.1 pts better | 3.9% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.9 pts better | 90.3% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.6 pts better | 12.1% | 20.7% | 23.4% |
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Who owns and runs it
55 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sanford | 5% Or Greater Direct Ownership Interest · Organization | 100% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 87 facilities |
| Anderson, Troy | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Anderson, Troy | Adp Of The SNF · Individual | 0% | 3 facilities |
| Brown, George | Corporate Director · Individual | 0% | 72 facilities |
| Brown, George | Adp Of The SNF · Individual | 0% | 72 facilities |
| Dtn Staffing Inc | Adp Of The SNF · Organization | 0% | 51 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Dykhouse, Dana | Adp Of The SNF · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Engbrecht, Wesley | Adp Of The SNF · Individual | 0% | 89 facilities |
| Fluit, Joel | Corporate Officer · Individual | 0% | 87 facilities |
| Fluit, Joel | Adp Of The SNF · Individual | 0% | 87 facilities |
| Gassen, William | Corporate Director · Individual | 0% | 89 facilities |
| Gassen, William | Corporate Officer · Individual | 0% | 89 facilities |
| Gassen, William | Adp Of The SNF · Individual | 0% | 89 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Gulsvig, Neil | Corporate Director · Individual | 0% | 89 facilities |
| Gulsvig, Neil | Adp Of The SNF · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Herseth Sandlin, Stephanie | Adp Of The SNF · Individual | 0% | 86 facilities |
| Luft, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Luft, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Lundeen, Mark | Adp Of The SNF · Individual | 0% | 89 facilities |
| Mccausland, Maureen | Corporate Director · Individual | 0% | 69 facilities |
| Mccausland, Maureen | Adp Of The SNF · Individual | 0% | 69 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Middleton, Aimee | Adp Of The SNF · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Molbert, Lauris | Adp Of The SNF · Individual | 0% | 89 facilities |
| Morrison, Tony | Operational/Managerial Control · Individual | 0% | 89 facilities |
| Morrison, Tony | Adp Of The SNF · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| North, Andrew | Adp Of The SNF · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Olson, Nicholas | Adp Of The SNF · Individual | 0% | 87 facilities |
| Sandgren, Deeandra | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Sandgren, Deeandra | Adp Of The SNF · Individual | 0% | 50 facilities |
| Sanford | Operational/Managerial Control · Organization | 0% | 89 facilities |
| Sanford | Adp Of The SNF · Organization | 0% | 89 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Schema, Nathan | Adp Of The SNF · Individual | 0% | 87 facilities |
| Schieffer, Kevin | Corporate Director · Individual | 0% | 69 facilities |
| Schieffer, Kevin | Adp Of The SNF · Individual | 0% | 69 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Shulkin, David | Adp Of The SNF · Individual | 0% | 85 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| Teiken, Brent | Adp Of The SNF · Individual | 0% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | Operational/Managerial Control · Organization | 0% | 87 facilities |
| The Evangelical Lutheran Good Samaritan Society | Adp Of The SNF · Organization | 0% | 87 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
| Ventling-Herrmann, Marnie | Adp Of The SNF · Individual | 0% | 90 facilities |
| Wenzel, Thomas | Corporate Director · Individual | 0% | 69 facilities |
| Wenzel, Thomas | Adp Of The SNF · Individual | 0% | 69 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Correctionville Specialty Care
Correctionville, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 17 min
- Fines
- $28,677
-
Willow Dale Wellness Village
Battle Creek, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Accura Healthcare of Aurelia, LLC
Aurelia, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0