Inspection Report Summary
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.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
70 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 17, 2025
Visit Reason
Investigation of complaint #2651758-C conducted on 11/17/2025.
Findings
The complaint investigation resulted in no deficiencies being found.
Complaint Details
Complaint #2651758-C was investigated and found to have no deficiencies.
Inspection Report
Renewal
Census: 70
Deficiencies: 0
Apr 24, 2025
Visit Reason
The inspection was conducted as a re-certification survey and investigation of a self-report #128131-I.
Findings
The Marian Home Nursing Home was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities following the re-certification survey.
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 0
Oct 21, 2024
Visit Reason
The inspection was conducted as a complaint investigation for intake #122774-C.
Findings
The Marian Home was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, and the complaint #122774 was not substantiated.
Complaint Details
Complaint #122774 was investigated and found not substantiated.
Inspection Report
Annual Inspection
Census: 76
Deficiencies: 1
May 16, 2024
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey and included an investigation of complaint #118947-C and facility reported incident #120679-I.
Findings
The facility failed to ensure adequate assistance to prevent a fall with injury for one resident, resulting in a right hip fracture requiring surgery. The complaint was not substantiated, but the facility reported incident was substantiated. Staff education on gait belt use was conducted following the incident.
Complaint Details
Complaint #118947-C was investigated and found not substantiated. Facility reported incident #120679-I was substantiated.
Severity Breakdown
SS=G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to assure each resident received adequate assistance to prevent a fall with injury for 1 of 3 residents reviewed (Resident #31). | SS=G |
Report Facts
Census: 76
Complaint number: 118947
Facility reported incident number: 120679
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Involved in assisting Resident #31 during fall incident |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding Resident #31 fall and gait belt use |
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 0
Oct 18, 2023
Visit Reason
Investigation of intake #116245-C conducted from October 17, 2023 through October 18, 2023.
Findings
The Marian Home Nursing Home is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities following the investigation.
Complaint Details
Investigation of intake #116245-C; substantial compliance found.
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 0
Oct 13, 2023
Visit Reason
Investigation of two facility self-reported incidents (#112714-I and #116178-I) and a facility complaint (#116120-C).
Findings
The facility was found to be in substantial compliance with no deficiencies issued related to the investigation conducted from October 12 through October 13, 2023.
Complaint Details
Investigation involved two self-reported incidents and one facility complaint; no deficiencies were found.
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 23, 2023
Visit Reason
The inspection was conducted as an annual recertification survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The Marian Home Nursing Home was found to be in compliance with the applicable federal requirements based on the annual recertification survey completed between March 20, 2023 and March 23, 2023.
Inspection Report
Annual Inspection
Census: 72
Deficiencies: 4
Jan 24, 2022
Visit Reason
A recertification health survey was conducted from 1/18/22 to 1/24/22 to assess compliance with federal regulations and facility standards.
Findings
The survey identified multiple deficiencies including failure to coordinate PASARR assessments, incomplete care plan revisions for residents, unsafe medication cart practices, and lack of an effective antibiotic stewardship program. The facility reported a census of 72 residents during the survey.
Severity Breakdown
SS=D: 3
SS=E: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to coordinate PASARR assessments and pre-admission screening for residents with mental health diagnoses and psychotropic medications. | SS=D |
| Failure to revise comprehensive care plans for residents #43 and #70, including missing information on transmission-based precautions, medication, and wounds. | SS=D |
| Failure to maintain a safe environment by leaving medication cart unlocked with keys hanging unattended in a resident care area. | SS=D |
| Failure to establish an effective antibiotic stewardship program including tracking and trending antibiotic use. | SS=E |
Report Facts
Deficiencies cited: 4
Resident census: 72
Inspection Report
Abbreviated Survey
Census: 59
Deficiencies: 0
Nov 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 11/12/2020 to 11/16/2020.
Findings
The facility was found in compliance with CMS and CDC recommended practices to prepare for COVID-19, with no deficient practices identified.
Inspection Report
Abbreviated Survey
Census: 66
Deficiencies: 0
Oct 14, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 66
Inspection Report
Abbreviated Survey
Census: 67
Deficiencies: 0
Aug 19, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 8/17 to 8/19/2020.
Findings
The facility was found in compliance with CMS and CDC recommended practices to prepare for COVID-19, resulting in no deficiencies.
Inspection Report
Abbreviated Survey
Census: 70
Deficiencies: 0
Jun 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 70
Inspection Report
Complaint Investigation
Census: 77
Capacity: 75
Deficiencies: 5
Feb 17, 2020
Visit Reason
A recertification survey and investigation of Complaint #87367-C was conducted from 02/17/2020 through 02/20/2020. The complaint was not substantiated.
Findings
The facility failed to revise care plans accurately for residents, failed to ensure adequate supervision and assistance devices to prevent accidents, and failed to maintain proper food safety and infection control practices. Multiple deficiencies were identified related to care planning, accident hazards, food procurement and handling, and infection prevention.
Complaint Details
Complaint #87367-C was investigated from 02/17/2020 to 02/20/2020 and was not substantiated.
Deficiencies (5)
| Description |
|---|
| Care plan timing and revision not met; care plans for residents #175 and #59 were not revised accurately. |
| Facility failed to utilize resident wheelchair pedals for 2 of 2 residents reviewed (#34 and #58). |
| Facility failed to handle food safely; improper handwashing, glove use, and contamination during meal service. |
| Facility failed to ensure infection prevention and control program elements were met, including hand hygiene and food handling. |
| Facility failed to ensure linens were handled to prevent infection spread; laundry cart covered with exposed clothes. |
Report Facts
Residents reviewed: 19
Resident census: 77
Total capacity: 75
BIMS score: 4
BIMS score: 4
BIMS score: 3
BIMS score: 15
Medication orders reviewed: 6
Observation times: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed on 02/19/20 regarding care plan and medication administration record (MAR) directives |
| Administrator | Administrator | Interviewed on 02/19/20 regarding care plan and infection control expectations |
| Staff B | Certified Nurses' Aide (CNA) | Observed pushing resident in wheelchair without foot pedals and improper hand hygiene |
| Staff A | Certified Nurses' Aide (CNA) | Observed pushing resident in wheelchair without foot pedals |
| Staff C | Dietary Aide | Observed improper handwashing and glove use during meal service |
| Dietary Manager | Dietary Manager | Interviewed regarding food handling and hand hygiene practices |
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