Good Samaritan Society – Holstein
Good Samaritan Society – Holstein Information
| Facility Name | Good Samaritan Society - Holstein |
| Location | 505 West Second Street, Holstein, IA 51025 |
| County (SSA Code) | Ida (460) |
| Phone Number | 712-368-4304 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 60 |
| Average Number of Residents | 48.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1994-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.41262 |
| Reported LPN Staffing Hours per Resident per Day | 0.69509 |
| Reported RN Staffing - Hours per Resident per Day | 0.65503 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35012 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.76275 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01546 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.0746 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.66929 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34694 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.09082 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.88128 |
| Total Weighted Health Survey Score for three cycles | 24.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-01-31 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-10-12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-08-18 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 10631 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |