Good Samaritan - Estherville

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

37.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 30 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.02 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 62 beds and averages 45.4 residents a day — about 73% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.94 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.01 hrs/resident/day on weekends vs 3.79 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.12 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · Ecited before2026-01-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews and policy review, the facility failed to store food items according to professional standards and discard food items after product recommended date. The facility identified a census of 46 residents.Findings include: An initial kitchen tour conducted on 1/12/26 at 10:30 AM, of the kitchen revealed the following items were stored in the kitchen's refrigerator ready for service:a. Bag of shredded lettuce- turning brown- dated 1/2/26b. Container of breaded chicken- dated 1/4/26c. Container of fruit cocktail- dated 1/3/26d. Container of tomato sauce-dated 1/2/26e. Container of egg salad- open with used by date of 12/29/25f. Low Fat Cottage Cheese- 5 lbs- use by 11/11/25g. Mildly Thick Orange Juice - open with no lid and not dated. The directions on the container documented after opening may be kept up to 7 days under refrigeration.h. Angel food cake inside a plastic bag- Not datedIn addition, observation revealed a tray of dinner buns on a rack that were not covered.On 1/12/26 at 10:48 AM, the Certified Dietary Manager (CDM) reported left overs…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to complete a gradual dose reduction (GDR) for 1 of 5 residents (Resident #8) reviewed for unnecessary medications. The facility reported a census of 46 residents. Findings include: Resident #8's Minimum Data Set (MDS) assessment dated [DATE] identified a Staff Assessment for Mental Status indicating severely impaired cognition. The MDS included diagnosis of non-Alzheimer's dementia, depression, frontotemporal cognitive disorder, adjustment disorder with depressed mood and emotional lability. The MDS documented Resident #8 was taking high risk medication that included antipsychotic and antianxiety medications. The Clinical Record revealed Resident #8 was admitted to the facility on [DATE].The Care Plan with a target date of 3/10/26 revealed Resident #8 was on an antipsychotic medication related to dementia with behavioral symptoms and an antianxiety medication related to adjustment issues and anxiety disorder. The care plan directed staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinic record review, staff interviews, and policy review. The facility failed to develop a care plan to address risk factors and interventions for 2 of 13 residents reviewed. (Residents #7, and #10) for Comprehensive Care Plans. The facility reported a census of 46. Findings include: 1. Resident #7's Minimum Data Set (MDS) assessment dated for 11/3/2025 identified a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. The MDS included diagnoses of traumatic brain injury (TBI), hypertension (high blood pressure), and depression. Resident #4's January 2026 MAR's listed the following orders:Oxygen at 4 Liters Per Minute (LPM) per nasal cannula, via O2 concentrator and/or tank. Titrate as tolerates, wean oxygen as patient tolerates tube and O2 sats 90% every shift for hypoxia. The Care Plan with an initiated date of 5/5/25 failed to develop a care plan for oxygen therapy. 2. Resident #10's Minimum Data Set (MDS) assessment dated for 12/8/2025 identified a Brief Interview for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to provide care and services according to accepted standards of clinical practice for 1 of 13 residents reviewed (Resident #2) for Physician orders. The facility reported a census of 46 residents. Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS identified Resident #2 was dependent on staff for lower body dressing. The MDS included diagnoses of hypertension (high blood pressure), heart failure (heart does not pump enough blood), chronic kidney disease, type 2 diabetes mellitus, and morbid obesity. The Care Plan with a target date of 2/10/26 revealed Resident #2 had skin integrity issues with open wounds on bilateral lower extremities (BLE) related to a fall. The care plan directed staff to monitor location, size and treatment of the skin injury. The care plan lacked direction regarding ace…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, staff interviews and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 2 residents reviewed (Resident #2) for falls. The facility reported a census of 46 residents. Findings include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS identified Resident #2 was dependent on staff for all transfers. The MDS included diagnoses of hypertension (high blood pressure), heart failure (heart does not pump enough blood), chronic kidney disease, type 2 diabetes mellitus, and morbid obesity. The Care Plan initiated on 8/11/25 revealed Resident #2 had an Activity of Daily Living (ADL) self care performance deficit related to weakness and limited mobility. The care plan intervention revised on 9/20/25 directed staff to use a mechanical sit to stand lift with assist of 2 with transfers or sit to stand with assist of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to report an allegation of abuse to the State Survey and Certification Agency/Department of Inspections, Appeals and Licensing (DIAL) for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 50 residents.Findings include:According to the Minimum Date Set (MDS) assessment dated [DATE] Resident #3 scored 11 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident required assist with toileting, bathing and transfers. The residents diagnoses included an (ankle) fracture.The Progress Notes dated 9/24/25 at 3:06 a.m. documented the resident screamed, waking residents up, self transferring , and making false accusations of being hit by the nurse while the nurse had been at the nurse station charting.On 10/29/25 at 2 p.m. the Administrator stated the resident's son came in, and the police officer came late that afternoon. That was how/when they found out about the allegation made about the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-10-31 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the Center for Medicare and Medicare Services (CMS) PBJ (Payroll Based Journal) Staffing Data Report for April 1 - June 30, 2024 report, facility schedules, and staff interview, the facility failed to submit complete and accurate staffing information to CMS. The facility reported a census of 51 residents. Findings include: The CMS PBJ Staffing Data Report for April 1 - June 30, 2024 indicated the facility triggered for investigation of staffing. The Facility Schedule for May 4th, 2024 showed Staff E Agency Certified Nursing Assistant (CNA) worked 6 p.m. to 6:15 a.m. (May 5th). A facility PBJ report lacked hours for Staff E on May 5th. On 10/30/24 at 9:34 a.m. Staff D who now does scheduling, and did it at one time before, looked at May 4-5 weekend and a Staff E CNA who worked 6 p.m. to 6 a.m. was inputted into the wrong day on the PBJ report. She actually worked 5/4/24 6 p.m. to May 5th 6 a.m., but her information was put in on 4/28/24, a day she did not work. On 10/30/24 at 10:30 a.m. the Administrator confirmed Staff E was put in on the PBJ report 4/28/24 a day she did…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-31 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, and policy review the facility failed to provide food at an appetizing temperature to 2 of 8 residents reviewed (Residents #27, and #43). The facility reported a census of 51 residents. Findings include: 1. Review of Resident #27 ' s Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 10/28/24 at 12:02 PM with Resident #27 revealed that she eats in her room and that the food is often cold when it is delivered. 2. Review of Resident #43 ' s MDS dated [DATE] revealed a BIMS score of 14 indicating intact cognition. Interview on 10/28/24 at 1:17 PM with Resident #43 revealed that food is often cold when it should be hot. During continuous observation on 10/30/24 at 1:32 PM the last room trays were sent out of the kitchen to be delivered to the residents. Observation on 10/30/24 at 1:47 PM a temperature was obtained on the last room tray delivered. The ham and beans was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, staff interview, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility reported a census of 51 residents. Findings include: During continuous observation on 10/30/24 from 12:25 PM until 12:41 PM Staff A was observed to make extra servings of pureed brownie without completing hand hygiene. Staff A was then observed touching door jams, then preparing room trays, handling spatulas, touching plates for service, and handling bowls for lunch service. At 12:41 PM Staff A then completed hand hygiene. Interview on 10/30/24 at 1:53 PM with the Certified Dietary Manager (CDM) revealed her expectations are for hand hygiene to be completed at the appropriate times. Review of a facility provided policy titled, Hand Washing and Glove Usage-Food Nutrition Services with a review date of 6/13/24 revealed: a. Employees involved in food preparation, distribution and serving must consistently utilize good hygienic practices and techniques.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident interview, staff interview, and policy review the facility failed to treat residents with dignity, and respect throughout cares provided for 2 of 5 residents reviewed (Resident #2, and #43). The facility reported a census of 51 residents. Findings include: 1. Review of Resident #2 ' s Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS further revealed diagnosis of cancer, renal insufficiency, anxiety, and diabetes mellitus. Interview on 10/29/24 at 8:07 AM with Resident #2 revealed that Staff B Certified Nursing Assistant (CNA) had told her that she would get to her when she had time, and to not keep using the call light. Resident # 2 then revealed that Staff B had never cursed at her, but was just rude and waved her finger at Resident #2. Review of a facility provided investigation dated 9/22/24 revealed an interview with Resident #2 documenting that Resident #2 reported a concern that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA