The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Good Samaritan - Holstein
Holstein, IA · Medicare-certified · 60 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall
Good Samaritan - Holstein has a 3-star overall rating, with stronger staffing and quality scores but a weak 2-star health inspection rating. It also has a recent federal penalty, $99,103 in fines over the last 24 months, and reported nurse staffing of 3.35 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3476 hrs/resident/day
Quality measures
Last inspection: April 9, 2026Penalties, last 24 months: $99,103recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3476.
Staffing detail
- Registered nurses
- 0.95
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.02
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
45.2%51.3%Worsening
Residents with a fall causing major injury
8.5%2.1%Improving
Residents with pressure ulcers (bedsores)
0%2.4%Worsening
Residents with a urinary tract infection
4.3%4.2%No change
Residents who lost too much weight
4.8%4.7%No change
Residents who were physically restrained
2.1%2.1%No change
Residents needing more help with daily activities
29.7%20%Improving
Residents whose ability to walk got worse
18.3%11.6%Improving
Long-stay residents on antianxiety or sleep medication
38.1%34.9%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.2%22.6%Improving
Residents with depressive symptoms
0%2.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.2%—
Long-stay residents given the pneumonia vaccine
95.7%95.8%No change
Short-stay residents given the seasonal flu vaccine
—72%—
Short-stay residents given the pneumonia vaccine
68%61.3%Worsening
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 741 — 42 CFR §483.40 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $99,103 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $99,103 in total fines.
- $99,103
Federal fine
Aug 17, 2024
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of GOOD SAMARITAN SOCIETY · 91 homes · 3 stars avg
- Occupancy
- 52.3 residents on an average day (87% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.