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Fort Dodge Health and Rehabilitation
Nursing Home & Skilled Nursing · Fort Dodge, IA
CMS overall rating Info 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.
Exterior view of Fort Dodge Health and Rehabilitation facility signage Exterior view of Fort Dodge Health and Rehabilitation building Exterior view of the Fort Dodge Health and Rehabilitation facility Dining area with orange tablecloths and chairs Private resident room with a bed and reclining chair Common area with comfortable seating and a fireplace Outdoor seating area with tables and chairs

Fort Dodge Health and Rehabilitation

Nursing Home & Skilled Nursing · Fort Dodge, IA
CMS overall rating Info 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.
728 14Th Avenue North, Fort Dodge, IA 50501-7016 View map Calculator: See prices in your area
Fort Dodge Health and Rehabilitation accepts Medicare, Medicaid, and private pay.
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Fort Dodge Health and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Fort Dodge Health and Rehabilitation

Fort Dodge Health and Rehabilitation is a 65-bed skilled nursing facility in Fort Dodge, Iowa, offering short-term rehabilitation and long-term care. The facility, operated by Gateway Healthcare LLC, accepts Medicare, Medicaid, and private-pay residents in Webster County.

CMS rates the facility 1 star overall, with a 1-star Health Inspection rating, driven by inspection performance that is 64.9% below the Iowa average. Across 12 inspection events over the past seven years — three standard surveys and nine complaint investigations — the facility recorded 42 citations in total, including four at the most severe level, and a single $10,000 federal fine. No civil penalties have been issued in the past three years.

Staffing is below state norms. Total nursing care averages 3 hours and 17 minutes per resident per day, roughly 24% below Iowa’s average of 4 hours and 18 minutes, ranking the facility 228th of 241 Iowa skilled nursing facilities. Payroll represents 45.9% of revenue, well below the Iowa peer range of 61–69%, reinforcing the staffing gap. The facility’s occupancy rate is notably high at 93.3%, ranking 36th among 401 Iowa facilities — consistent with strong local demand despite its 1-star rating.

Quality measure outcomes are broadly below average across both long-stay and short-stay populations, with hospitalization rates, walking-ability decline, and weight loss each running meaningfully above Iowa norms. Services include in-house therapy and a Stay Active program; no specialized memory care unit or secured programming is listed.

The facility’s rehabilitation services, Medicare-oriented admission mix — 50% of new residents, with a typical stay of 23 days — and high occupancy orient it toward short-term post-acute stays for residents returning from the hospital. Families considering long-term placement should weigh the extended quality-measure and staffing data alongside the current availability.

Facility Direct Line (515) 576-7226
Facility Direct Line (515) 576-7226 contact-FortDodge@ensignservices.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 67.4% Below IA avg. ▼ 67.4% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below IA avg. ▼ 64.9% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 43.6% Below IA avg. ▼ 43.6% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 38.9% Below IA avg. ▼ 38.9% Below IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Iowa averages

Rank #221 / 231Nurse hours — State benchmarkedThis home is ranked 221st out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 221st out of 231 homes we track 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.

3h 18m

23% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
32m
−28% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
33m
−3% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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 13m
−12% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
2h 50m
−15% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
4m
+102% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
16m
−46% State avg: 30m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: Physical Therapist is +102% above Iowa average

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 65 Rank #186 / 403Bed count — State benchmarkedThis home is ranked 186th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #442 / 504Walk Score — State benchmarkedThis home is ranked 442nd out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
14 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #39 / 362Occupancy rate — State benchmarkedThis home is ranked 39th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
92% This home usually has limited availability
Higher occupancy than the Iowa average: 67%
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
60
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
172 days

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsIn-House Therapy

Contact Fort Dodge Health and Rehabilitation

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 9

Iowa average 4.9

Last Health inspection on Nov 2025

Total health citations
42 Rank #201 / 232Health citations — State benchmarkedThis home is ranked 201st out of 232 homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 232 IA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 21.7

Citations per inspection
4.67 Rank #149 / 232Citations per inspection — State benchmarkedThis home is ranked 149th out of 232 homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 232 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 4.11

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 42 citations resulted from standard inspections; 14 of 42 resulted from complaint investigations; and 9 of 42 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
1
67% worse than Iowa average

Iowa average: 0.6

Serious health citations
3
233% worse than Iowa average

Iowa average: 0.9

1 critical citation Iowa average: 0.6
3 serious citations Iowa average: 0.9
38 moderate citations Iowa average: 19.7
0 minor citations Iowa average: 0.5
Citations history (last 3 years)
Quality of Care serious citation Nov 17, 2025
Quality of Care critical citation Aug 27, 2025
Corrected
Care Planning moderate citation Aug 27, 2025
Corrected
Care Planning moderate citation Aug 27, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 106
Employees 76
Contractors 30
Staff to resident ratio 1.89 : 1
7% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 30
Average shift 7.7 hours
0% compared with Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 21,314

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 15 total: 8 full-time employees and 7 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 20 total: 10 full-time employees and 10 contractors. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 37 total: 25 full-time employees and 12 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.5%

958 contractor hours this quarter

Certified Nursing Assistant: 12 Licensed Practical Nurse: 10 Registered Nurse: 7 Medication Aide/Technician: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2512378,09492100%7.4
Medication Aide/Technician7183,27592100%8.3
Licensed Practical Nurse1010202,94092100%9.1
Registered Nurse87151,3788289%8.7
Speech Language Pathologist3039607076%7.4
Clinical Nurse Specialist5058876470%8.8
Physical Therapy Aide4045976571%5.5
Administrator1015286672%8
Nurse Practitioner2024775358%9
Physical Therapy Assistant3034586571%6.8
Dental Services Staff1014546166%7.4
Qualified Social Worker2024536166%7.2
Dietitian1013475257%6.7
Respiratory Therapy Technician3033405964%5.8
Other Dietary Services Staff1011262830%4.5
37 Certified Nursing Assistant
% of Days 100%
8 Medication Aide/Technician
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
15 Registered Nurse
% of Days 89%
View All Staffing Data in Fort Dodge

Penalties and fines

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)

Total fines amount $10K Rank #227 / 239Federal fines — State benchmarkedThis home is ranked 227th out of 239 homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 239 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
80% lower than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $10K
Iowa average $48K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.8
45% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.4
32% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly below average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.8%
32% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 32.7%
66% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.9%
6% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.4%
62% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
25% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.7%
11% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.8%
95% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 18.1%
366% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.7%
28% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.1%
7% worse than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.20
49% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.96
42% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Below average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
15% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 72.7%
In line with Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.3%
5% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.1%
31% worse than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 44.8%
17% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.8%
In line with Iowa average

Iowa average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

50% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

39% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 56
Medicare
1
1.8% of residents
Medicaid
39
69.6% of residents
Private pay or other
16
28.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$862.3K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.3M Rank #102 / 224Net patient revenue — State benchmarkedThis home is ranked 102nd out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$862.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$3.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #115 / 224Payroll costs — State benchmarkedThis home is ranked 115th out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.3M 53.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #163 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 163rd out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.4M
How we calculate these figures

This home is owned by Gateway Healthcare LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165156

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (50% of admissions), and a typical Medicare stay runs around 23 days.

Admissions
137 total

Coverage residents most often arrive under.

Medicare 50%
Private pay 39%
Medicaid 10%
Discharges
129 total

Coverage residents most often leave under.

Medicare 41%
Private pay 48%
Medicaid 11%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Fort Dodge Health and Rehabilitation

Address 2.0 miles from city center Info Estimated distance in miles from Fort Dodge's city center to Fort Dodge Health and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Fort Dodge Health and Rehabilitation

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Compare Nursing Homes around Fort Dodge

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Marian Home ★ ★ ★ ★ ★
NH
AL
IL
SNF
Fort Dodge
90
Facility 90
IA AVG 72
Rank #83 / 403
77.8%
Facility 77.8%
IA AVG 67%
Rank #142 / 362
+16%
4.85
Facility 4.85
IA AVG 4.30
Rank #57 / 231
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +21%+13%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
1
Facility 1
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
170-
62
Facility 62
IA AVG 47
Rank #140 / 504
Eric Halverson
$8.6MFiscal year ending 08/2024
Facility $8.6MFiscal year ending 08/2024
IA AVG $6.9M
Rank #54 / 224
$5.1MFiscal year ending 08/2024
Facility $5.1MFiscal year ending 08/2024
IA AVG $4.2M
Rank #46 / 224
59.5%Fiscal year ending 08/2024
Facility 59.5%Fiscal year ending 08/2024
IA AVG 60.3%
Rank #98 / 224
165539
Friendship Haven ★ ★ ★ ★ ☆
NH
AL
HOS
IL
MC
RC
SNF
Fort Dodge
155
Facility 155
IA AVG 72
Rank #19 / 403
76.1%
Facility 76.1%
IA AVG 67%
Rank #154 / 362
+14%
5.41
Facility 5.41
IA AVG 4.30
Rank #23 / 231
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +8%+26%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
16
Facility 16
IA AVG 21.7
Rank #111 / 232
2.3
Facility 2.3
IA AVG 4.1
Rank #41 / 232
1118-
17
Facility 17
IA AVG 47
Rank #434 / 504
Friendship Haven, Inc
$23.7MFiscal year ending 12/2023
Facility $23.7MFiscal year ending 12/2023
IA AVG $6.9M
Rank #4 / 224
$14.7MFiscal year ending 12/2023
Facility $14.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #3 / 224
62.1%Fiscal year ending 12/2023
Facility 62.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #82 / 224
165291
Fort Dodge Health and Rehabilitation ★ ☆ ☆ ☆ ☆
NH
SNF
Fort Dodge
65
Facility 65
IA AVG 72
Rank #186 / 403
91.8%
Facility 91.8%
IA AVG 67%
Rank #39 / 362
+37%
3.30
Facility 3.30
IA AVG 4.30
Rank #221 / 231
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +22%-23%
$135.3k
Facility $135.3k
IA AVG $53.4k
Rank #227 / 239
42
Facility 42
IA AVG 21.7
Rank #201 / 232
4.7
Facility 4.7
IA AVG 4.1
Rank #149 / 232
460-
14
Facility 14
IA AVG 47
Rank #442 / 504
Gateway Healthcare LLC
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #102 / 224
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #115 / 224
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #163 / 224
165156
Nursing Home Explorer

Financial Assistance for
Nursing Home in Iowa

Fort Dodge Health and Rehabilitation is located in Fort Dodge, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Fort Dodge Health and Rehabilitation

Is Fort Dodge Health and Rehabilitation in a walkable area?

Fort Dodge Health and Rehabilitation has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Fort Dodge Health and Rehabilitation?

Fort Dodge Health and Rehabilitation's occupancy is 93.3%.

Are pets allowed at Fort Dodge Health and Rehabilitation?

No, Fort Dodge Health and Rehabilitation has a no-pet policy.

Does Fort Dodge Health and Rehabilitation operate as a for-profit or non-profit?

Fort Dodge Health and Rehabilitation is registered as a for-profit.

Are there photos of Fort Dodge Health and Rehabilitation?

Yes — there are 7 photos of Fort Dodge Health and Rehabilitation in the photo gallery on this page.

What is the address of Fort Dodge Health and Rehabilitation?

Fort Dodge Health and Rehabilitation is located at 728 14Th Avenue North, Fort Dodge, IA 50501-7016.

What is the phone number of Fort Dodge Health and Rehabilitation?

(515) 576-7226 will put you in contact with the team at Fort Dodge Health and Rehabilitation.

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