Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marian Home during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple physical limitations fell and fractured her hip due to the failure of a CNA to use a required gait belt during a transfer. The resident's care plan had recently changed to require one-person assistance, but the CNA was unaware of the need for a gait belt. The resident was taken to the ER, underwent hip surgery, and experienced increased pain upon returning to the facility.
Failure to Use Gait Belt Leads to Resident's Fall and Hip Fracture
Penalty
Summary
The facility failed to provide adequate assistance to prevent a fall with injury for a resident with severe cognitive impairment and multiple physical limitations. The resident, who had a history of rheumatoid arthritis, Alzheimer's, and impaired balance, required supervision or touching assistance with transfers and ambulation. On the day of the incident, the resident was being assisted by a CNA to stand up and use a walker. The CNA did not use a gait belt, which was required for residents needing assistance with transfers and ambulation. As the CNA tried to assist the resident's contracted hand to the walker, the resident let go with the other hand, lost balance, and was lowered to the ground, resulting in a right hip fracture that required surgical intervention. The resident's care plan had recently been updated to require one-person assistance for transfers and ambulation, but the CNA was unaware of the need to use a gait belt. The Director of Nursing confirmed that the resident should have had a gait belt on during the transfer. The incident report noted that the resident's care plan had changed from independent to requiring assistance shortly before the fall, and the CNA had not seen other staff use a gait belt on the resident. Following the fall, the resident was taken to the emergency room, where an X-ray confirmed a right femoral neck fracture. The resident underwent hip surgery and experienced increased pain upon returning to the facility. The resident's cognitive impairment made it difficult for her to express the extent of her pain, but staff observed signs of discomfort during transfers and daily care activities. The failure to use a gait belt as required by the care plan directly contributed to the resident's fall and subsequent injury.
Removal Plan
- Employee education done with all CNA's and Nurses regarding gait belt use on all residents that were assist of 1 or greater, when not using a manual lift.
- Each individual CNA or Nurse was given the education on a 1 to 1 basis.
- Nursing Administration would conduct audits on all shifts to make sure all were using gait belts properly.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Dodge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fort Dodge Health And Rehabilitation | 1.5 mi | ★★★★★ | 26 | 1 |
| Friendship Haven, Inc | 3.9 mi | ★★★★★ | 3 | 0 |
| Humboldt County Memorial Hospital | 15.6 mi | ★★★★★ | 5 | 0 |
| Rotary Senior Living | 17.2 mi | ★★★★★ | 3 | 1 |
| Aspire Of Gowrie | 17.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.