Good Samaritan Society – Holstein

Nursing Home, Adult Day Care & Memory Care · Holstein, IA

CMS overall rating

505 West Second Street, Holstein, Ia 510255111 View map

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Good Samaritan Society – Holstein accepts Medicare, Medicaid, and private pay.

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Good Samaritan Society – Holstein accepts Medicare, Medicaid, and private pay.

Overview of Good Samaritan Society – Holstein

Located in Holstein, Iowa, Good Samaritan Society – Holstein is a 60-bed nursing home owned by Troy Anderson. The facility has an occupancy rate of 82%, and residents stay an average of 262 days. The resident population includes both short-term rehabilitation patients and those receiving longer-term care.

Rehabilitation is at the center of the home’s care programs. The facility offers inpatient and outpatient rehabilitation services, along with caregiver support. It’s a setting that serves residents recovering from surgery, injury, or hospitalization who need skilled nursing care and structured therapeutic support.

Daily nursing care averages about 4 hours and 13 minutes per resident. Registered nurses, nursing aides, and licensed practical nurses make up the care team, so hands-on clinical support is part of daily life. Good Samaritan Society accepts Medicare, Medicaid, and private pay. This way, families have several ways to arrange coverage for both short-term rehabilitation and ongoing care.

State inspections have focused on care documentation and planning, the implementation of advance directives, oral health practices, nursing oversight, and infection control procedures. The facility continues to work through these areas as part of maintaining safe and coordinated care. They’re important topics families may want to discuss during a visit.

Holstein has a Walk Score of 46. Some nearby services are within walking distance, but most trips require transportation. It’s a quieter small-town setting that may appeal to some families. The facility also works with family members and caregivers throughout a resident’s stay, whether it’s for short-term recovery or longer-term care.

Facility Direct Line (712) 368-4304

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 13m per day

vs avg

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +38% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 1m per day	▲ 38% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	19m per day	▼ 43% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 10m per day	▼ 14% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 3m per day	▼ 9% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 95% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	32m per day	▲ 8% State avg: 30m per day · National avg: 28m per day

Capacity and availability

262 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 46 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

82%

Higher than the Iowa average: 75.4%

Occupied beds

49 / 60

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationJuly 27, 2026 Expires in 17 days

CountyIda

License Number470420

CMS Certification Number165207

Certification TypeFALSE

Good Samaritan Society – Holstein is administered by Troy Anderson.

Rehabilitation Services

Email lbagenst@good-sam.com

Fax7123682104

Pets not allowed

Since 2020 · 6 years of data 63 deficiencies 19 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection October 15, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	63	27	This facility has 133% more total deficiencies than a typical Iowa assisted living residence (63 vs. IA avg 27).↑ 133% worse
Deficiencies per year Average deficiencies per year since 2020.	10.5	4.5	This facility has 133% more deficiencies per year than a typical Iowa assisted living residence (10.5 vs. IA avg 4.5).↑ 133% worse
Deficiencies per inspection Average deficiencies per inspection.	3.3	1.8	This facility has 83% more deficiencies per inspection than a typical Iowa assisted living residence (3.3 vs. IA avg 1.8).↑ 83% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	19	15	This facility has had 27% more total inspections than the Iowa average (19 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 27% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The October 15, 2025 complaint investigation found the facility in substandard compliance for failing to update care plans reflecting current resident conditions.
The March 20, 2025 annual inspection cited 7 deficiencies including failure to implement advance directives, incomplete care plans, inadequate oral care, poor nursing supervision causing a resident fracture, and infection control lapses.
The June 16, 2025 Plan of Correction was accepted, certifying the facility in substantial compliance effective June 15, 2025.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

3.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 22 citations resulted from standard inspections; 5 of 22 resulted from complaint investigations; and 4 of 22 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

0 serious citations State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Care Planning moderate citation Jun 02, 2025

Corrected

Infection Control moderate citation Mar 20, 2025

Corrected

Pharmacy moderate citation Mar 20, 2025

Corrected

Quality of Care moderate citation Mar 20, 2025

Corrected

Total staff 65

Employees 62

Contractors 3

Staff to resident ratio 1.30 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,960

Nursing staff breakdown

8.8 hours

7.4 hours

Contractor staffing

108 contractor hours this quarter

Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	28	0	28	8,657	92	100%	7.4
Registered Nurse	13	0	13	3,656	92	100%	8.8
Licensed Practical Nurse	5	0	5	1,491	91	99%	7.4
Medication Aide/Technician	3	0	3	1,400	88	96%	8.8
Dietitian	2	0	2	555	58	63%	7.7
Nurse Practitioner	1	0	1	528	66	72%	8
Clinical Nurse Specialist	2	0	2	517	59	64%	7.7
Dental Services Staff	1	0	1	412	62	67%	6.6
Administrator	2	0	2	288	33	36%	8
Speech Language Pathologist	1	0	1	240	61	66%	3.9
Physical Therapy Aide	1	0	1	74	33	36%	2.2
Occupational Therapy Aide	0	1	1	55	8	9%	6.9
Occupational Therapy Assistant	0	1	1	51	6	7%	8.5
Nurse Aide in Training	1	0	1	18	6	7%	3
Physical Therapy Assistant	1	0	1	9	5	5%	1.8
Respiratory Therapy Technician	1	0	1	8	8	9%	1
Medical Director	0	1	1	2	2	2%	1

28 Certified Nursing Assistant

% of Days 100%

13 Registered Nurse

% of Days 100%

5 Licensed Practical Nurse

% of Days 99%

3 Medication Aide/Technician

% of Days 96%

2 Dietitian

% of Days 63%

1 Nurse Practitioner

% of Days 72%

2 Clinical Nurse Specialist

% of Days 64%

1 Dental Services Staff

% of Days 67%

2 Administrator

% of Days 36%

1 Speech Language Pathologist

% of Days 66%

1 Physical Therapy Aide

% of Days 36%

1 Occupational Therapy Aide

% of Days 9%

1 Occupational Therapy Assistant

% of Days 7%

1 Nurse Aide in Training

% of Days 7%

1 Physical Therapy Assistant

% of Days 5%

1 Respiratory Therapy Technician

% of Days 9%

1 Medical Director

% of Days 2%

View All Staffing Data

Total fines amount $99K

106% higher than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $99K

State average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 17, 2024 · $99K

Civil Money Penalty Aug 17, 2024

$99K

Last updated: Jan 2026

High-risk clinical events score 12.3

20% worse than State average

State average: 10.2

Functional decline score 24.7

14% worse than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 24.8%

32% worse than State average

State average: 18.8%

Walking Ability Worsened 22.9%

16% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 26.3%

In line with State average

State average: 26.2%

Falls with Major Injury 6.1%

70% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 3.9%

11% better than State average

State average: 4.4%

Urinary Tract Infection 3.6%

44% worse than State average

State average: 2.5%

Lost Too Much Weight 3.6%

28% better than State average

State average: 5.0%

Depressive Symptoms 1.8%

53% better than State average

State average: 3.9%

Antipsychotic Use 48.5%

155% worse than State average

State average: 19.0%

Pneumococcal Vaccine 92.9%

In line with State average

State average: 94.4%

Influenza Vaccine 94.2%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 0.56

62% better than State average

State average: 1.48

ED visits per 1,000 days 1.25

40% better than State average

State average: 2.09

Short-stay resident measures

Above average State avg: 2.6

Pneumococcal Vaccine 68.8%

19% worse than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 72.0%

In line with State average

State average: 73.3%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 45.0%

16% worse than State average

State average: 53.7%

Successful return to home or community 54.3%

7% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 50

Medicare

2% of residents

Medicaid

60% of residents

Private pay or other

38% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Good Samaritan Society – Holstein from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 91.0% ↑ 8.7pp vs 2022

Net Patient Income $149.1K ↑ ~$277.8K vs 2022

Payroll Costs $3.3M ↑ ~$319.0K vs 2022

Operating Margin 2.4% ↑ 4.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.3%	81.7%	89.5%	88.5%	88.1%	86.9%	89.0%	84.2%	83.7%	75.4%	77.9%	82.3%	91.0%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$165,967	$215,076	$381,233	$102,832	$59,346	-$83,997	$138,427	-$75,767	$59,564	-$67,780	-$83,652	-$132,270	$144,074
Gross Revenue	$3,706,254	$3,699,875	$4,000,271	$4,318,211	$4,482,081	$4,615,933	$4,839,176	$4,914,031	$5,024,575	$5,539,663	$6,229,748	$6,635,269	$7,624,483
Operating Expenses	$3,421,956	$3,514,042	$3,631,694	$3,991,247	$4,123,390	$4,407,942	$4,309,598	$4,362,069	$4,407,817	$4,701,035	$4,838,208	$5,408,547	$6,121,266
Net Patient Income	$69,262	-$44,626	$79,660	-$91,590	-$76,056	-$267,678	-$80,952	-$128,083	-$81,568	-$79,512	-$76,852	-$128,689	$149,090
Net Patient Revenue	$3,491,218	$3,469,416	$3,711,354	$3,899,657	$4,047,334	$4,140,264	$4,228,646	$4,233,986	$4,326,249	$4,621,523	$4,761,356	$5,279,858	$6,270,356
Payroll Costs	$2,210,565	$2,296,497	$2,392,734	$2,574,915	$2,615,970	$2,808,645	$2,870,675	$2,948,075	$2,994,230	$2,791,964	$2,784,491	$3,002,443	$3,321,482
Operating Margin %	2.0%	-1.3%	2.2%	-2.4%	-1.9%	-6.5%	-1.9%	-3.0%	-1.9%	-1.7%	-1.6%	-2.4%	2.4%
Medicare %	6.7%	7.9%	5.6%	5.3%	4.9%	5.4%	4.3%	5.9%	4.5%	7.9%	4.8%	5.5%	4.0%
Medicaid %	49.5%	51.8%	46.8%	42.6%	48.5%	47.7%	50.7%	45.9%	46.2%	49.0%	47.3%	47.2%	48.0%
Private %	43.8%	40.3%	47.6%	52.1%	46.6%	46.9%	45.0%	48.2%	49.3%	43.1%	47.9%	47.2%	48.0%
Net Patient Revenue/Day	$185	$193	$189	$201	$210	$217	$217	$230	$236	$279	$279	$293	$315
Cost/Day	$181	$196	$185	$206	$214	$231	$221	$237	$240	$284	$284	$300	$307
Avg Length of Stay	609.7 days	448.5 days	217.9 days	199.8 days	205.3 days	166.0 days	200.8 days	104.8 days	374.1 days	186.1 days	379.0 days	286.2 days	262.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.3M

Net patient income

$149.1K

Nonprofit Other Nonprofit

Net patient revenue

$6.3M

Net patient income

$149.1K

Other income

$42.1K

Payroll costs

$3.3M 53% of net patient revenue

Other operating costs

$2.8M

Total costs

$6.1M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 23%

Private pay 53%

Medicaid 23%

Coverage residents most often leave under.

Medicare 16%

Private pay 50%

Medicaid 34%

0.0 miles from city center Estimated distance in miles from Holstein's city center to Good Samaritan Society – Holstein's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Good Samaritan Society – Holstein	NH ADC MC	Holstein	-	60	-	46	-

Nursing Home Explorer

Is Good Samaritan Society – Holstein in a walkable area?

Good Samaritan Society – Holstein has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Good Samaritan Society – Holstein?

According to IA state health department records, Good Samaritan Society – Holstein's license number is 470420.

When does Good Samaritan Society – Holstein's license expire?

According to IA state health department records, Good Samaritan Society – Holstein's license expires on July 27, 2026.

What is the occupancy rate at Good Samaritan Society – Holstein?

Good Samaritan Society – Holstein's occupancy is 82%.

Are pets allowed at Good Samaritan Society – Holstein?

No, Good Samaritan Society – Holstein has a no-pet policy.

What is the best email address for Good Samaritan Society – Holstein?

The team at Good Samaritan Society – Holstein can be reached at lbagenst@good-sam.com.

Does Good Samaritan Society – Holstein operate as a for-profit or non-profit?

Good Samaritan Society – Holstein is registered as a non-profit in IA.

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Good Samaritan Society – Holstein

Overview of Good Samaritan Society – Holstein

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Good Samaritan Society – Holstein

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

28 Certified Nursing Assistant

13 Registered Nurse

5 Licensed Practical Nurse

3 Medication Aide/Technician

2 Dietitian

1 Nurse Practitioner

2 Clinical Nurse Specialist

1 Dental Services Staff

2 Administrator

1 Speech Language Pathologist

1 Physical Therapy Aide

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Nurse Aide in Training

1 Physical Therapy Assistant

1 Respiratory Therapy Technician

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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