Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 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 Alzheimer’s disease, respiratory failure, and COPD symptoms developed SOB, nausea, dizziness, cyanosis, crackles, and a new productive cough with O2 saturations as low as 70% on 3L NC. Nursing notes documented repeated low O2 readings and abnormal lung findings, but the physician was not notified of the change in condition before the resident was later hospitalized for a COPD exacerbation.
A resident with a gastrostomy tube, documented dx including Alzheimer's disease, respiratory failure, seizure disorder, malnutrition, anxiety, and depression, was fed without the RN first verifying tube placement. The care plan and facility policy required placement checks before each feeding, and the LPN stated staff were expected to check residuals prior to feeding.
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 Notify Physician of Resident’s Respiratory Decline
Penalty
Summary
The facility failed to notify the physician of a change in condition for Resident #66. The resident’s MDS showed a BIMS score of 15 and documented diagnoses of Alzheimer’s disease, respiratory failure, a seizure disorder, malnutrition, anxiety, and depression. On 5/14/26, a nurse documented that the resident complained of shortness of breath, difficulty breathing, and nausea, and stated she felt dizzy and lightheaded. The resident appeared diaphoretic, was shaking her legs, and had cyanotic hands. Her vital signs included a temperature of 98.6, pulse of 104, blood pressure of 153/65, and O2 saturation of 79% on 3 liters via nasal cannula. The nurse instructed her to take deep breaths, and after 15 minutes her O2 saturation returned to 90% and her pulse decreased to 84. The resident returned to bed and reported no further nausea or dizziness, and she stated she had not eaten that day because she felt unwell. The resident also had a new productive cough that started that morning, and crackles were heard in both lower lungs. On 5/15/26 at 2:00 AM, a nurse documented nausea, pale skin, pulse of 102, blood pressure of 171/70, and O2 saturation of 75% on 3 liters via nasal cannula, which improved to 88% after 15 minutes. Later that morning, staff were summoned to the room for complaints of shortness of breath; the resident had an O2 saturation of 70% on 3 liters of oxygen, wheezes throughout the lungs, a worse cough, and stated she had not felt well for the last two days and wanted to go to the emergency room. The resident was later admitted to the hospital with an exacerbation of COPD. The facility’s records showed the physician was not notified of the change in condition, and the Administrator acknowledged on 6/18/26 that no notification had been made. The facility policy required prompt physician notification for significant or life-threatening changes in condition and for changes requiring immediate attention.
Failure to Verify Gastrostomy Tube Placement Before Feeding
Penalty
Summary
The facility failed to check placement of a gastrostomy tube for Resident #66 before administering an enteral feeding. Resident #66 had a BIMS score of 15, indicating no cognitive impairment, and the MDS documented diagnoses of Alzheimer's disease, respiratory failure, a seizure disorder, malnutrition, anxiety, and depression, as well as nutrition provided through a gastrostomy feeding tube. The care plan directed staff to check and record tube placement per facility protocol. During observation, an RN flushed and administered an enteral feeding through the gastrostomy tube without checking tube placement first. The facility policy required tube placement to be checked before each feeding, and during interview the LPN stated staff were expected to check placement by checking residual prior to the feeding.
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.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 101 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 | ★★★★★ | 21 | 0 |
| Friendship Haven, Inc | 3.9 mi | ★★★★★ | 1 | 0 |
| Humboldt County Memorial Hospital | 15.6 mi | ★★★★★ | 5 | 0 |
| Rotary Senior Living | 17.2 mi | ★★★★★ | 4 | 1 |
| Aspire Of Gowrie | 17.2 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Marian Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.