1/5
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.
1/5
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.
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.
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 234th out of 249 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 |
|---|---|---|
|
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.
| 2h 32m per day | ▼ 24% State avg: 3h 21m per day · National avg: 3h 26m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% fewer staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 8 full-time employees and 7 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
20 total: 10 full-time employees and 10 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
37 total: 25 full-time employees and 12 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
958 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 12 | 37 | 8,094 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 7 | 1 | 8 | 3,275 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 10 | 10 | 20 | 2,940 | 92 | 100% | 9.1 |
| Registered Nurse | 8 | 7 | 15 | 1,378 | 82 | 89% | 8.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 960 | 70 | 76% | 7.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 887 | 64 | 70% | 8.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 597 | 65 | 71% | 5.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 477 | 53 | 58% | 9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 458 | 65 | 71% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Qualified Social Worker | 2 | 0 | 2 | 453 | 61 | 66% | 7.2 |
| Dietitian | 1 | 0 | 1 | 347 | 52 | 57% | 6.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 340 | 59 | 64% | 5.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 126 | 28 | 30% | 4.5 |
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)
80% lower than Iowa averageIowa average: $48K
41% 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.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
14.8
45% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
32% worse 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
24.8%
32% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
32.7%
66% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
6% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
62% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.4%
25% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.7%
11% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
9.8%
95% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
18.1%
366% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
13.7%
28% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
7% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
49% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
42% worse 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
97.5%
15% better than 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
72.7%
In line with Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
5% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
31% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.8%
17% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.8%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
50% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
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 Fort Dodge Health and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #148 / 251Payroll — State benchmarkedThis home is ranked 148th out of 251 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #201 / 251Payroll % — State benchmarkedThis home is ranked 201st out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 miles from city center
Estimated distance in miles from Fort Dodge's city center to Fort Dodge Health and Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Marian Home | NH AL IL NC | Fort Dodge | 90
Facility
90
IA AVG
71
Rank
#83 / 407 |
77.8%
Facility
77.8%
IA AVG
75.4%
Rank
#144 / 407 | +3% | 5.26
Facility
5.26
IA AVG
4.30
Rank
#24 / 249 | +21% | +22% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 250 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 250 | 1 | 72 | - |
62
Facility
62
IA AVG
45
Rank
#140 / 528 | Eric Halverson | $8.6M
Facility
$8.6M
IA AVG
$7.0M
Rank
#76 / 251 | $5.1M
Facility
$5.1M
IA AVG
$3.1M
Rank
#50 / 251 | 59.5%
Facility
59.5%
IA AVG
46.3%
Rank
#94 / 251 | 165539 | ||||
| Friendship Haven | NH AL IL MC | Fort Dodge | 155
Facility
155
IA AVG
71
Rank
#19 / 407 |
83.1%
Facility
83.1%
IA AVG
75.4%
Rank
#104 / 407 | +10% | 5.19
Facility
5.19
IA AVG
4.30
Rank
#31 / 249 | +8% | +21% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 16
Facility
16
IA AVG
21.7
Rank
#122 / 250 | 2.3
Facility
2.3
IA AVG
4.1
Rank
#47 / 250 | 1 | 117 | - |
17
Facility
17
IA AVG
45
Rank
#436 / 528 | Friendship Haven, Inc | $23.7M
Facility
$23.7M
IA AVG
$7.0M
Rank
#4 / 251 | $14.7M
Facility
$14.7M
IA AVG
$3.1M
Rank
#3 / 251 | 62.1%
Facility
62.1%
IA AVG
46.3%
Rank
#164 / 251 | 165291 | ||||
| Fort Dodge Health and Rehabilitation | NH | Fort Dodge | 65
Facility
65
IA AVG
71
Rank
#187 / 407 |
93.3%
Facility
93.3%
IA AVG
75.4%
Rank
#39 / 407 | +24% | 3.28
Facility
3.28
IA AVG
4.30
Rank
#234 / 249 | +22% | -24% | $135.3k
Facility
$135.3k
IA AVG
$53.4k
Rank
#243 / 255 | 42
Facility
42
IA AVG
21.7
Rank
#217 / 250 | 4.7
Facility
4.7
IA AVG
4.1
Rank
#165 / 250 | 4 | 60 | - |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Gateway Healthcare LLC | $6.3M
Facility
$6.3M
IA AVG
$7.0M
Rank
#118 / 251 | $3.3M
Facility
$3.3M
IA AVG
$3.1M
Rank
#148 / 251 | 53.1%
Facility
53.1%
IA AVG
46.3%
Rank
#201 / 251 | 165156 |
Fort Dodge Health and Rehabilitation is located in Fort Dodge, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Fort Dodge Health and Rehabilitation has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
Fort Dodge Health and Rehabilitation's occupancy is 93.3%.
Fort Dodge Health and Rehabilitation is registered as a for-profit.
Yes — there are 7 photos of Fort Dodge Health and Rehabilitation in the photo gallery on this page.
Fort Dodge Health and Rehabilitation is located at 728 14Th Avenue North, Fort Dodge, Ia 505017016.
(515) 576-7226 will put you in contact with the team at Fort Dodge Health and Rehabilitation.
Yes — Fort Dodge Health and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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