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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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 25th out of 224 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 5% 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.
| 33m per day | ▼ 3% 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 50m per day | ▲ 12% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 38m per day | ▲ 9% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 21m per day | ▼ 30% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
60% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #65 / 226Payroll — state benchmarkedThis home is ranked 65th out of 226 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Iowa average: 75.4%Marian Home is administrated by Tracy Trotter.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 27 | This facility has 59% fewer total deficiencies than a typical Iowa nursing home (11 vs. IA avg 27).↓ 59% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 1.8 | 4.5 | This facility has 60% fewer deficiencies per year than a typical Iowa nursing home (1.8 vs. IA avg 4.5).↓ 60% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.7 | 1.8 | This facility has 61% fewer deficiencies per inspection than a typical Iowa nursing home (0.7 vs. IA avg 1.8).↓ 61% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on May 2024
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 1 came from combined inspections (standard and complaint).
100% better than Iowa averageIowa average: 0.6
1
11% worse than Iowa averageIowa average: 0.9
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 16, 2024
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.
Marian Home is located in Fort Dodge, Iowa.
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0.0 miles from city center
Estimated distance in miles from Fort Dodge's city center to Marian Home's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
23% worse than Iowa averageIowa average ratio: 2.00:1
7% worse than Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
1,285 contractor hours this quarter
| Certified Nursing Assistant | 59 | 0 | 59 | 18,981 | 91 | 100% | 7.2 |
| Registered Nurse | 13 | 0 | 13 | 3,181 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 2,787 | 91 | 100% | 7.1 |
| Dietitian | 2 | 0 | 2 | 783 | 74 | 81% | 6.4 |
| RN Director of Nursing | 2 | 0 | 2 | 707 | 78 | 86% | 5.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 621 | 61 | 67% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 507 | 61 | 67% | 8.3 |
| Administrator | 1 | 0 | 1 | 480 | 61 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 280 | 61 | 67% | 4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 270 | 63 | 69% | 4.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 234 | 56 | 62% | 4.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 221 | 46 | 51% | 4.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 209 | 30 | 33% | 7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 159 | 48 | 53% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 84 | 51 | 56% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8.1 |
| Medical Director | 0 | 1 | 1 | 12 | 12 | 13% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
8% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
8% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
In line with Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
8.7%
56% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.9%
22% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.9%
92% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.2%
41% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
5.0%
101% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
6.2%
24% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.4%
90% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
11.7%
39% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.50
In line with Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.61
23% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.6%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
10% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
14% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.0%
39% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
27% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.5%
5% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.8%
8% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than Iowa averageIowa average: $48K
100% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 16, 2024 · 2 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 16, 2024Last updated: Jan 2026
Historical financial and operational data for Marian Home based on CMS SNF Cost Reports.
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Marian Home has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Marian Home's license number is 940496.
Marian Home's occupancy is 78%.
The team at Marian Home can be reached at [email protected].
Tracy Trotter is the administrator of Marian Home.
Marian Home has 90 beds.
Marian Home is located at 2400 Sixth Avenue North.
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