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Good Samaritan Society - Holstein
505 WEST SECOND STREET
Holstein, IA 51025
(712) 368-4304
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 60 |
| Number of Residents: | 50 |
| Percent of Occupied Beds: | 83% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071025 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20071203 |
| 20071025 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20071203 |
| 20071025 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm | 20071203 |
| 20071025 | Health | Administration Deficiencies | Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm | 20071203 |
| 20080708 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Widespread | Potential for minimal harm | 20080815 |
| 20080708 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20080815 |
| 20081203 | Health | Administration Deficiencies | Follow all laws and professional standards. | Pattern | Minimal harm or potential for actual harm | 20081204 |
| 20100210 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20100416 |
| 20100803 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100823 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 93 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 23 | |
| Percent of long-stay residents who have moderate to severe pain: | 0 | |
| Percent of high-risk long-stay residents who have pressure sores: | 17 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 24 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 61 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 0 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 17 | |
| Percent of long-stay residents who had a urinary tract infection: | 14 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 92 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 72 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 8 | |
| Percent of short-stay residents who have pressure sores: | 14 | |
| # of Residents: | 50 |
| # RN Hours per Resident: | 1 |
| # LPN Hours per Resident: | 0.32 |
| # CNA Hours per Resident: | 2.48 |
| Total Staff Hours per Resident: | 1.32 |
