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5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Marian Home is a 90-bed nonprofit nursing home in Fort Dodge, Iowa, offering skilled nursing, independent living, memory care, and rehabilitation services to residents in Webster County. The facility accepts Medicare, Medicaid, and private pay and is managed by a nonprofit.
Across 16 inspections since 2019, Marian Home recorded 11 total deficiencies — 59% below the Iowa average of 27. The most recent standard inspection, completed in April 2025, found no deficiencies. One substantiated incident in 2024 involved a resident fall resulting in a fracture, attributed to staff not using a gait belt during a transfer; staff education was implemented afterward. No fines or enforcement actions appear in the record.
The facility’s staffing stands out as a genuine differentiator. Nurse staffing averages 5 hours and 16 minutes per resident per day compared with Iowa’s average of 4 hours and 25 minutes, placing Marian Home 24th out of 241 Iowa SNFs on adjusted nursing hours — a meaningful gap for residents with higher care needs. The facility also provides therapy services, along with community living areas, social programs, and group activities in Halverson Hall, and offers 24-hour staffing. The occupancy rate is 78%, close to the Iowa average, indicating moderate availability.
The combination of a clean recent inspection record, well-above-average nurse staffing, and a continuum that spans independent living, skilled nursing, and memory care makes it best suited for residents seeking a long-term residential setting where care intensity can increase without requiring relocation.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 24th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 3% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 26m per day | ▼ 23% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 53m per day | ▲ 14% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day | ▲ 7% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 23% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 12% State avg: 30m per day · National avg: 28m per day |
Similar to the Iowa average: 75.4%Marian Home is administrated by Tracy Trotter.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 27 | This facility has 59% fewer total deficiencies than a typical Iowa nursing home (11 vs. IA avg 27).↓ 59% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 1.8 | 4.5 | This facility has 60% fewer deficiencies per year than a typical Iowa nursing home (1.8 vs. IA avg 4.5).↓ 60% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.7 | 1.8 | This facility has 61% fewer deficiencies per inspection than a typical Iowa nursing home (0.7 vs. IA avg 1.8).↓ 61% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on May 2024
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 1 came from combined inspections (standard and complaint).
100% better than Iowa averageIowa average: 0.6
11% worse than Iowa averageIowa average: 0.9
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
30% fewer staff per resident than Iowa average
8% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursHelps with daily care and mobility.
All 53 CNA Staff are full-time employees. No contractors work on this role.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,452 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 0 | 53 | 19,032 | 92 | 100% | 7.2 |
| Registered Nurse | 14 | 0 | 14 | 3,972 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,220 | 92 | 100% | 6.5 |
| Dietitian | 2 | 0 | 2 | 768 | 75 | 82% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 681 | 77 | 84% | 5.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 60 | 65% | 8.3 |
| Administrator | 1 | 0 | 1 | 434 | 55 | 60% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 405 | 60 | 65% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 396 | 59 | 64% | 6.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 392 | 65 | 71% | 4.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 303 | 43 | 47% | 7.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 277 | 57 | 62% | 4.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 271 | 57 | 62% | 4.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 189 | 36 | 39% | 5.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 169 | 54 | 59% | 3.1 |
| Qualified Social Worker | 0 | 2 | 2 | 117 | 58 | 63% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Medical Director | 0 | 1 | 1 | 13 | 11 | 12% | 1.1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than Iowa averageIowa average: $48K
100% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 16, 2024 · 2 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 16, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
8% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
8% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
In line with Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
8.7%
56% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.9%
22% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.9%
92% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.2%
41% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
5.0%
101% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.2%
24% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.4%
90% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
11.7%
39% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.50
In line with Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.61
23% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.6%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
10% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
14% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.0%
39% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
27% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.5%
5% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.8%
8% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
60% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Marian Home from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 242Payroll — State benchmarkedThis home is ranked 50th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Fort Dodge's city center to Marian Home's address, calculated via Google Maps.
Add your location
Marian Home is located in Fort Dodge, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Marian Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NC Nursing Care | Fort Dodge | 90
Facility
90
IA AVG
71
Rank
#83 / 407 |
77.8%
Facility
77.8%
IA AVG
75.4%
Rank
#141 / 401 | +3% | 5.26
Facility
5.26
IA AVG
4.30
Rank
#24 / 241 | +21% | +22% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 241 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 241 | 1 | 72 | - |
62
Facility
62
IA AVG
45
Rank
#140 / 528 | Eric Halverson | $9.6M
Facility
$9.6M
IA AVG
$7.0M
Rank
#74 / 242 | $5.6M
Facility
$5.6M
IA AVG
$3.1M
Rank
#50 / 242 | 58.2%
Facility
58.2%
IA AVG
46.3%
Rank
#93 / 242 | 165539 | ||||
| Friendship Haven |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Dodge | 155
Facility
155
IA AVG
71
Rank
#19 / 407 |
83.1%
Facility
83.1%
IA AVG
75.4%
Rank
#102 / 401 | +10% | 5.19
Facility
5.19
IA AVG
4.30
Rank
#31 / 241 | +8% | +21% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 16
Facility
16
IA AVG
21.7
Rank
#122 / 241 | 2.3
Facility
2.3
IA AVG
4.1
Rank
#47 / 241 | 1 | 117 | - |
17
Facility
17
IA AVG
45
Rank
#436 / 528 | Friendship Haven, Inc | $29.2M
Facility
$29.2M
IA AVG
$7.0M
Rank
#4 / 242 | $14.7M
Facility
$14.7M
IA AVG
$3.1M
Rank
#3 / 242 | 50.6%
Facility
50.6%
IA AVG
46.3%
Rank
#160 / 242 | 165291 | ||||
| Fort Dodge Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Fort Dodge | 65
Facility
65
IA AVG
71
Rank
#187 / 407 |
93.3%
Facility
93.3%
IA AVG
75.4%
Rank
#38 / 401 | +24% | 3.28
Facility
3.28
IA AVG
4.30
Rank
#228 / 241 | +22% | -24% | $135.3k
Facility
$135.3k
IA AVG
$53.4k
Rank
#154 / 246 | 42
Facility
42
IA AVG
21.7
Rank
#212 / 241 | 4.7
Facility
4.7
IA AVG
4.1
Rank
#162 / 241 | 4 | 60 | - |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Gateway Healthcare LLC | $7.3M
Facility
$7.3M
IA AVG
$7.0M
Rank
#113 / 242 | $3.3M
Facility
$3.3M
IA AVG
$3.1M
Rank
#143 / 242 | 45.9%
Facility
45.9%
IA AVG
46.3%
Rank
#195 / 242 | 165156 |
Marian Home has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Marian Home's license number is 940496.
According to IA state health department records, Marian Home's license expires on May 1, 2027.
Marian Home's occupancy is 78%.
The team at Marian Home can be reached at [email protected].
Tracy Trotter is the administrator of Marian Home.
Marian Home has 90 beds.
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