4/5
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.
4/5
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.
Friendship Haven in Fort Dodge, IA, is a non-profit continuing care retirement community (CCRC) that offers independent living, assisted living, rehabilitation, and skilled nursing. With a nurturing, home-like environment, the community ensures older adults can live comfortably during their stay. Light housekeeping, nutritious meals, and medication management are among the excellent services provided to improve residents’ living experiences. Residents also receive the utmost attention and care to recover and return to their routines with ease through personalized care plans.
Strength exercises, social events, and various recreational activities ensure residents can make friends and have fun. Safe trails, accessible common areas, and a garden also provide residents with more opportunities for recreation and wellness. Located near the Fort Museum and Frontier Village and bus stops along Kenyon Road, the community guarantees accessibility and convenience. This CCRC has a wide range of care options and a clean setting, making it a great choice for senior living in Iowa.
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 31st 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 |
|---|---|---|
|
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.
| 50m per day | ▲ 12% 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.
| 42m per day | ▲ 24% 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 51m per day | ▲ 13% State avg: 2h 30m 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.
| 4h 6m per day | ▲ 21% State avg: 3h 23m per day · National avg: 3h 27m 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 | ▼ 28% 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.
| 33m per day | ▲ 10% State avg: 30m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Iowa average
7% 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 31 RN Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 30 LPN Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursHelps with daily care and mobility.
All 132 CNA Staff are full-time employees. No contractors work on this role.
132
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
278 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 132 | 0 | 132 | 30,326 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 30 | 0 | 30 | 7,149 | 92 | 100% | 6.8 |
| Registered Nurse | 31 | 0 | 31 | 6,833 | 92 | 100% | 8.6 |
| Other Dietary Services Staff | 9 | 0 | 9 | 2,739 | 92 | 100% | 7.2 |
| Dental Services Staff | 6 | 0 | 6 | 2,214 | 64 | 70% | 7.4 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 1,724 | 83 | 90% | 5.8 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 923 | 64 | 70% | 7.3 |
| Physical Therapy Aide | 2 | 0 | 2 | 538 | 64 | 70% | 4.3 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 61 | 66% | 7.7 |
| Dietitian | 1 | 0 | 1 | 453 | 61 | 66% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 413 | 50 | 54% | 6.9 |
| Speech Language Pathologist | 4 | 0 | 4 | 395 | 65 | 71% | 3.2 |
| Nurse Practitioner | 3 | 0 | 3 | 387 | 53 | 58% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 353 | 56 | 61% | 6.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 288 | 67 | 73% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 278 | 47 | 51% | 5.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 160 | 63 | 68% | 2.5 |
| Qualified Social Worker | 2 | 0 | 2 | 57 | 47 | 51% | 1.2 |
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
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.
11.8
15% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
In line with Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
21.8%
16% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
18% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
18% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.4%
47% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
8.2%
230% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
7.4%
47% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.0%
49% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
18.5%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
16% 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
94.9%
29% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
79% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
119Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Friendship Haven 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 #3 / 251Payroll — State benchmarkedThis home is ranked 3rd 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 #164 / 251Payroll % — State benchmarkedThis home is ranked 164th 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).
Housing Options: Private Rooms
Building Type: 3-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Housekeeping Services
Social and Recreational Activities
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (79% of admissions), and a typical Medicare stay runs around 20 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Fort Dodge's city center to Friendship Haven'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 |
Friendship Haven is located in Fort Dodge, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Friendship Haven has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
Friendship Haven's occupancy is 83.1%.
Friendship Haven is registered as a non-profit.
Yes — there are 43 photos of Friendship Haven in the photo gallery on this page.
Friendship Haven is located at 420 Kenyon Rd, Fort Dodge, IA 50501.
(515) 573-2121 will put you in contact with the team at Friendship Haven.
Yes — Friendship Haven is a CMS-certified provider of Medicare and Medicaid.
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