Nursing homes › Iowa › Good Samaritan - Holstein
505 West Second Street, Holstein, IA 51025 · 7123684304 · 60 certified beds
Per CMS filings, this facility is affiliated with Good Samaritan Society, a group operating 91 facilities in 9 states. Group record: average rating 3.0/5, 7 abuse citation icons, 5 facilities on the Special Focus list, $2,237,184 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 3.35 (Iowa median: 3.69). RN hours: 0.95. Weekend total: 2.95. Nursing staff turnover: 33%.
All-time on record: 24 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-04-30 |
| 2026-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-30 |
| 2026-04-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-04-30 |
| 2026-04-09 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2026-04-30 |
| 2026-04-09 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-30 |
| 2025-06-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-06-15 |
| 2025-03-20 | 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 | Health | corrected 2025-04-12 |
| 2025-03-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-12 |
| 2025-03-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-12 |
| 2025-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-04-12 |
| 2025-03-20 | 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. | D | Health | corrected 2025-04-12 |
| 2025-03-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-12 |
| 2024-08-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-08-27 |
| 2024-08-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | corrected 2024-08-27 |
| 2024-08-17 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | complaint | corrected 2024-08-27 |
| 2024-06-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-06-27 |
| 2023-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-01-18 |
| 2023-12-21 | 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. | E | Health | corrected 2024-01-18 |
| 2023-12-21 | 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 | Health | corrected 2024-01-18 |
| 2023-12-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-01-18 |
| 2023-12-21 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-01-18 |
| 2023-12-21 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-01-18 |
| 2023-12-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-01-18 |
| 2023-12-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-01-18 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-17 | Fine | $99,103 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SANFORD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 01/01/2019 |
| BROWN, GEORGE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| DYKHOUSE, DANA | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| SCHIEFFER, KEVIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| SHULKIN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| WENZEL, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLUIT, JOEL | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | Corporate Officer | Individual | NOT APPLICABLE | since 04/08/2024 |
| SCHEMA, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| SANFORD | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| ANDERSON, TROY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/14/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165207. Corrections: data@carerecords.org.