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
3 of 5 overall
Good Samaritan - Holstein has an overall rating of 3 out of 5 stars. Its inspection rating is low at 2 stars, while staffing is 4 stars and quality measures are 5 stars; reported nurse staffing is 3.51 hours per resident per day, below the federal benchmark of 4.1, and it has had $99,103 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5064 hrs/resident/day
Quality measures
Last inspection: June 2, 2025Penalties, last 24 months: $99,103recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5064.
Staffing detail
- Registered nurses
- 1.01
- Licensed practical nurses
- 0.32
- Nurse aides
- 2.17
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 9%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
47.8%Improving
Residents with a fall causing major injury
7%Improving
Residents with pressure ulcers (bedsores)
0.7%Improving
Residents with a urinary tract infection
1.1%Steady
Residents who lost too much weight
4.3%Worsening
Residents who were physically restrained
2.1%Steady
Residents needing more help with daily activities
16.7%Improving
Residents whose ability to walk got worse
18.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
36.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
26.3%Worsening
Residents with depressive symptoms
5.4%Worsening
Long-stay residents given the seasonal flu vaccine
94.2%Steady
Long-stay residents given the pneumonia vaccine
94.7%Improving
Short-stay residents given the seasonal flu vaccine
72%Steady
Short-stay residents given the pneumonia vaccine
75.9%Improving
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 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
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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 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 · 92 homes · 3 stars avg
- Occupancy
- 50.4 residents on an average day (84% 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.