Good Samaritan - Holstein
Holstein, Ida County, Iowa · CCN 165207 · Non-profit (Other) · part of Good Samaritan Society (92 facilities, chain average 3 stars)
CMS rates Good Samaritan - Holstein 3 of 5 overall as of August 2026. 60 certified beds, 52 residents a day on average. 24 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $99,103.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.34758 hours per resident per day |
|---|---|
| Registered nurses | 0.95348 hours per resident per day |
| Weekend total | 2.95397 hours per resident per day |
| Nursing staff turnover | 33.3% (registered nurses 0%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2026-04-09 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2026-04-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2025-06-02 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-12 |
| 2025-03-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-12 |
| 2025-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-12 |
| 2025-03-20 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-12 |
| 2024-08-17 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-08-27 |
| 2024-08-17 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-08-27 |
| 2024-08-17 complaint survey |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · tag F0741 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-27 |
| 2024-06-17 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-27 |
| 2023-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nursing and Physician Services Deficiencies · tag F0726 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0801 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
| 2023-12-21 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
| 2023-12-21 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
| 2023-12-21 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-17 | Fine | $99,103 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Sanford Organization | 5% or greater direct ownership interest | 100% | 2019-01-01 |
| The Evangelical Lutheran Good Samaritan Society Organization | 5% or greater indirect ownership interest | 100% | 2019-01-01 |
| Dtn Staffing Inc. Organization | adp of the snf | — | 2024-08-02 |
| Grape Tree Medical Staffing LLC Organization | adp of the snf | — | 2018-04-13 |
| Sanford Organization | adp of the snf | — | 2025-11-11 |
| The Evangelical Lutheran Good Samaritan Society Organization | adp of the snf | — | 2019-01-01 |
| Sanford Organization | operational/managerial control | — | 2019-01-01 |
| The Evangelical Lutheran Good Samaritan Society Organization | operational/managerial control | — | 2019-01-01 |
| Anderson, Troy Individual | adp of the snf | — | 2020-12-14 |
| Brown, George Individual | adp of the snf | — | 2025-01-01 |
| Dykhouse, Dana Individual | adp of the snf | — | 2024-05-30 |
| Engbrecht, Wesley Individual | adp of the snf | — | 2024-05-30 |
| Fluit, Joel Individual | adp of the snf | — | 2022-10-01 |
| Gassen, William Individual | adp of the snf | — | 2024-05-30 |
| Gulsvig, Neil Individual | adp of the snf | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | adp of the snf | — | 2024-05-30 |
| Luft, Michael Individual | adp of the snf | — | 2020-07-01 |
| Lundeen, Mark Individual | adp of the snf | — | 2024-05-30 |
| Mccausland, Maureen Individual | adp of the snf | — | 2025-01-01 |
| Middleton, Aimee Individual | adp of the snf | — | 2022-01-27 |
| Molbert, Lauris Individual | adp of the snf | — | 2024-05-30 |
| Morrison, Tony Individual | adp of the snf | — | 2019-01-01 |
| North, Andrew Individual | adp of the snf | — | 2024-05-30 |
| Olson, Nicholas Individual | adp of the snf | — | 2024-04-08 |
| Sandgren, Deeandra Individual | adp of the snf | — | 2023-07-16 |
| Schema, Nathan Individual | adp of the snf | — | 2022-01-01 |
| Schieffer, Kevin Individual | adp of the snf | — | 2025-01-01 |
| Shulkin, David Individual | adp of the snf | — | 2024-05-30 |
| Teiken, Brent Individual | adp of the snf | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | adp of the snf | — | 2024-05-30 |
| Wenzel, Thomas Individual | adp of the snf | — | 2025-01-01 |
| Brown, George Individual | corporate director | — | 2025-01-01 |
| Dykhouse, Dana Individual | corporate director | — | 2024-05-30 |
| Engbrecht, Wesley Individual | corporate director | — | 2024-05-30 |
| Gassen, William Individual | corporate director | — | 2024-05-30 |
| Gulsvig, Neil Individual | corporate director | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | corporate director | — | 2024-05-30 |
| Lundeen, Mark Individual | corporate director | — | 2024-05-30 |
| Mccausland, Maureen Individual | corporate director | — | 2025-01-01 |
| Molbert, Lauris Individual | corporate director | — | 2024-05-30 |
| North, Andrew Individual | corporate director | — | 2024-05-30 |
| Schieffer, Kevin Individual | corporate director | — | 2025-01-01 |
| Shulkin, David Individual | corporate director | — | 2024-05-30 |
| Teiken, Brent Individual | corporate director | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | corporate director | — | 2024-05-30 |
| Wenzel, Thomas Individual | corporate director | — | 2025-01-01 |
| Fluit, Joel Individual | corporate officer | — | 2022-10-01 |
| Gassen, William Individual | corporate officer | — | 2024-05-30 |
| Middleton, Aimee Individual | corporate officer | — | 2022-01-27 |
| Olson, Nicholas Individual | corporate officer | — | 2024-04-08 |
| Schema, Nathan Individual | corporate officer | — | 2022-01-01 |
| Anderson, Troy Individual | operational/managerial control | — | 2020-12-14 |
| Luft, Michael Individual | operational/managerial control | — | 2020-07-01 |
| Morrison, Tony Individual | operational/managerial control | — | 2019-01-01 |
| Sandgren, Deeandra Individual | operational/managerial control | — | 2023-07-16 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Good Samaritan - Holstein.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Ida County.