Nursing homeActive
Good Samaritan - Estherville
1646 Fifth Avenue North, Estherville, IA 51334712362352262 certified beds · 45 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
26
● 0● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-15
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-11-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-31 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-11-30 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-30 | Standard | 0110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 165192-20260115-F605
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 165192-20260115-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 165192-20260115-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 165192-20260115-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 165192-20260115-F812
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 165192-20251110-F609
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 165192-20241031-F550
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 165192-20241031-F657
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 165192-20241031-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 165192-20241031-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 165192-20241031-F851
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 165192-20231130-F725
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 165192-20231130-F802
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 165192-20231130-F803
F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 165192-20231130-F809
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F585
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F657
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F688
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165192-20230830-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.94
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.57
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.01
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover49%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover54%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.1% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.0% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.2% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Sanford Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Berry, Patrick Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Cain, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| North, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rogers, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shulkin, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tangen, Lorraine Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Good Samaritan Society — 92 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Emmet.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Estherville Community Care Center Estherville | 0.4 mi | 2026-06-10 | 0202 |
| Good Samaritan Society - Jackson Jackson | 17.4 mi | 2024-09-05 | 040 |
| Ruthven Community Care Center Ruthven | 19.4 mi | 2025-10-02 | 040 |
| Accura Healthcare of Spirit Lake Spirit Lake | 15.0 mi | 2026-04-22 | 0181 |
| Palo Alto County Hospital Emmetsburg | 20.9 mi | 2025-07-17 | 010 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |