Skilled nursing · Holstein, IA

Good Samaritan - Holstein

505 West Second Street, Holstein, IA 51025

60 bedsNon profit - Other
4.1Clarity

▼ 0.1 since Jun

Score history
Oct 20264.1 flagged
Sep 20264.1 flagged
Aug 20264.1▼ 0.1 flagged
Jul 20264.2 flagged
Jun 20264.2 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Oct 2026

The record on Good Samaritan - Holstein cuts both ways. On one side, staff turnover is roughly half the U.S. rate. On the other, inspectors levied $99,103 in federal fines over the last 36 months, and antipsychotic use runs 3.5 times the national median. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Oct 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★☆☆ 3 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
57 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 21 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
33.3%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
48.6%
National
14%

On sedatives / sleep medicationlower is better

This home
36.2%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
5.4%
National
1.6%

Physically restrainedlower is better

This home
2.2%
National
1.1%
Penalties & citations · last 36 months
Federal fines$99,103 · 1 penalty
Abuse iconNot flagged
Conflict flags in latest reconcile5

IA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • A sedation pattern. Antipsychotic use (49%) and sleep-medication use (36%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • The falls number is the outlier: 3× the national rate. 5.4% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
  • $99,103 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

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Questions families ask

What is the CMS rating for Good Samaritan - Holstein?
Good Samaritan - Holstein has an overall CMS Care Compare rating of 3 out of 5 stars.
Has Good Samaritan - Holstein been cited for resident harm?
Good Samaritan - Holstein has $99,103 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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