Nursing Home

Marian Home

Overview of Marian Home

Marian Home is a senior living community located in Fort Dodge, IA. It offers independent living, nursing care, and rehabilitation services. The facility focuses on enhancing the independence and quality of life of its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Iowa average: 3.2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Iowa average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Iowa average: 3.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Iowa average: 3.5/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
5h 16m per day

This home provides 19% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 90

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 77.8%
Residents per day (avg) 70
Occupancy rate
77.8%
Residents per day (avg)
70

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

60% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

28% of new residents, often for short stays.

Typical stay 2 years

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$9.6M
Surplus of revenue
$849.1K
Voluntary non-profit community Operated by a church.
Home revenue
$9,553,575.00
Surplus of revenue
$849,064.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
44.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
Total costs $8.6M
Bed community size
90-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
78%
In line with Iowa average
Occupied beds
70 / 90
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
County: Webster

Additional licensing details

License number: 940496
CMS Certification Number: 165539
Certification type: FALSE

Ownership & operating entity

Marian Home is administrated by Tracy Trotter.

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Independent Living
Assisted Living
Nursing Care
Rehabilitation Services

Contact Information

Fax: 5155765099

Additional Policies & Features

Visitor Policy: Families need a code to access the building.

Amenities & Lifestyle

Senior apartments
therapy services
daily activities
community living areas
social programs
group activities
beauty shop
transportation services

Programs & Activities

Activities
Activities are held in Halverson Hall and dining areas; family members are welcome to attend.
Specific Programs
Independent Living, Nursing Care, Assisted Living, Rehabilitation Services, Daily Activities, Transportation Services
Religious Services
Yes, daily church services are available.
Operating Hours
Open 24 hours

Pricing & Financial Information

Dining & Nutrition

Food Description
Room and board includes catered meals, handicapped-accessible bathrooms, access to lounge, emergency nurse services, and community activities.
Meals Included
Yes
Special Diets
Yes

Inspection History

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.

16 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:November 17, 2025

10 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Marian Home

The most recent inspection on November 17, 2025, found no deficiencies during a complaint investigation. Earlier inspections generally showed compliance with federal requirements, though the facility had some deficiencies in May 2024 related to preventing a resident fall that caused injury. Prior reports from 2020 and 2022 noted issues mainly with care planning, medication safety, infection control, and environmental safety, but no fines or enforcement actions were listed in the available reports. Complaint investigations were mostly unsubstantiated, with one substantiated facility-reported incident in 2024 that led to staff education. The facility appears to have improved over time, with recent inspections showing no deficiencies after earlier citations.

Health Inspection History

Inspections
Total health inspections 1

Iowa average 4.9


Last Health inspection on May 2024

Total health citations 1
Citations per inspection
1

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).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 1
11% worse than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

1 serious citation More info Iowa average: 0.9

0 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Quality of Care serious citation May 16, 2024
Corrected

Compare Assisted Living around Fort Dodge

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Marian Home
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

IA 505013541
90
-
HALVERSON, ERIC
83.0%
$9,270,012.00
$4,211,566.00
45.4%
70
5/5
5.2607
5/5
5/5
5/5
1
1
+6%
+22%
+10%
Bickford of Fort Dodge
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Fort Dodge
49
22
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Marian Home

Address 0.0 miles from city center

Address Fort Dodge, IA 505013541

Calculate Travel Distance to Marian Home

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

106
Total Staff
95
Employees
11
Contractors
30,002
Total Hours (Quarter)
48
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse136.8 No
Licensed Practical Nurse137.1 No
Certified Nursing Assistant597.2 No
Staff by Category
Administration
2 staff
6.7hs shift avg
Nursing Staff
87 staff
7.1hs shift avg
Physicians & Practitioners
3 staff
7.3hs shift avg
Therapy Services
9 staff
4.1hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.6hs shift avg
Dietary Services
3 staff
6.5hs shift avg
Other Services
1 staff
8.3hs shift avg
Contractor Analysis
4.3%
of total hours from contractors
1,285 contractor hours this quarter
Speech Language Pathologist: 3 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Physical Therapy Aide: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant5905918,98191100%7.2
Registered Nurse130133,18191100%6.8
Licensed Practical Nurse130132,78791100%7.1
Dietitian2027837481%6.4
RN Director of Nursing2027077886%5.4
Clinical Nurse Specialist2026216167%6.8
Mental Health Service Worker1015076167%8.3
Administrator1014806167%7.9
Nurse Practitioner1014645864%8
Speech Language Pathologist0332806167%4
Physical Therapy Assistant0112706369%4.3
Physical Therapy Aide0222345662%4.1
Occupational Therapy Aide0112214651%4.8
Other Dietary Services Staff1012093033%7
Respiratory Therapy Technician0111594853%3.3
Qualified Social Worker011845156%1.6
Occupational Therapy Assistant0112433%8.1
Medical Director011121213%1

Facility Characteristics

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

Total census
69 residents
Residents by payment source
Medicare
8 residents (11.6%)
Medicaid
23 residents (33.3%)
Private pay or other
38 residents (55.1%)
Programs & Services
Residents' Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 9.4
8% better 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. 19.8
8% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.9%
In line with Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.7%
56% better 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 31.9%
22% 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 6.9%
92% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.2%
41% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.0%
101% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.2%
24% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.4%
90% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.7%
39% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
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 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.6%
In line with 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 80.6%
10% better than Iowa average

Iowa average: 73.3%

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 $0
100% lower than Iowa average

Iowa average: $48K

Number of fines 0
100% 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. 1
88% more payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $0
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. May 16, 2024
2 days

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

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

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

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

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

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

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