See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid

Good Samaritan Society - Holstein

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

505 West Second Street, Holstein, IA 5102560 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 3 Google reviews

Good Samaritan Society - Holstein Nursing Home in Holstein, IA — Street View
Street View

Watch Good Samaritan Society - Holstein

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

The facility is noted for having a staff that truly cares for residents, which is a significant indicator of a positive environment. However, because the available reviews lack detail on clinical care or dining, families should use a visit to verify specific medical and nutritional standards.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.01hrs
OK
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
9%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility47.8%
Worse than Avg
Here
47.8%
US
15.5%
IA
19.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility36.8%
Worse than Avg
Here
36.8%
US
19.5%
IA
20.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
19.4%
IA
25.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.4%
Mixed vs Avgs
Here
5.4%
US
12.1%
IA
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
4.9%
IA
4.3%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility7.0%
Worse than Avg
Here
7.0%
US
3.2%
IA
3.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.9%
Worse than Avg
Here
75.9%
US
81.8%
IA
84.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.0%
Worse than Avg
Here
72.0%
US
79.8%
IA
73.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (6.2)
6 complaint-triggered
$99,103 in fines

Multiple families have filed complaints about this facility, with 6 complaint-triggered deficiencies including serious concerns about resident protection from abuse and neglect. The facility shows persistent problems across fire safety systems, medication management, and care planning that continue to recur across surveys, though all violations are reported as corrected by the provider.

Apr 9, 2026Routine
13
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 2, 2025Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Mar 20, 2025Routine
9
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 17, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0741Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Jun 17, 2024Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 21, 2023Routine
13
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Federal Penalties

Fine

Aug 17, 2024

$99,103

Ownership & Operations

Who Operates This Facility

Owner / Operator

Good Samaritan Society - Holstein

Organization Type

nonprofit

Chain Affiliation

Chain Name

Good Samaritan Society

Chain Size

92 facilities nationwide

Chain avg rating: 3.0/5 · Rank 63 of 88

Ownership & Management

Owners

Sanford

Owner · Organization

100%

The Evangelical Lutheran Good Samaritan Society

Owner (parent company) · Organization

100%

Key personnel

Brown, GeorgeOfficer / DirectorDykhouse, DanaOfficer / DirectorEngbrecht, WesleyOfficer / DirectorGassen, WilliamOfficer / DirectorGulsvig, NeilOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call