Fort Dodge, IA

Marian Home

5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle

2400 Sixth Avenue North, Fort Dodge, IA

(515) 576-1138

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

70

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2004-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.84

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.08

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.58

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.86

CMS adjusted RN staffing hours

Adjusted total hours

5.04

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,260

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

58.32

Composite VBP score used to determine payment impact.

Payment multiplier

1.0135

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.32

Baseline 21.29% · Performance 18.97% · Measure score 5.32 · Achievement 5.32 · Improvement 4.95

Healthcare-associated infections

4.52

Baseline 7.03% · Performance 6.48% · Measure score 4.52 · Achievement 4.52 · Improvement 2.18

Total nurse turnover

9.01

Baseline 27.27% · Performance 26.87% · Measure score 9.01 · Achievement 9.01 · Improvement 1.18

Adjusted total nurse staffing

4.48

Baseline 3.71 hours · Performance 4.35 hours · Measure score 4.48 · Achievement 4.48 · Improvement 2.59

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.81%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 126 · Observed rate 7.94% · Lower 95% interval 7.53%
Discharge to community	54.77%	50.57% 4.2 pts better	No Different than the National Rate · Eligible stays 98 · Observed rate 51.02% · Lower 95% interval 47.79%
Medicare spending per beneficiary	0.6	1.02 0.4 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 102 · Denominator 102
Falls with major injury	0.98%	0.77% 0.2 pts worse	Numerator 1 · Denominator 102
Discharge self-care score	56.52%	53.69% 2.8 pts better	Numerator 52 · Denominator 92
Discharge mobility score	60.87%	50.94% 9.9 pts better	Numerator 56 · Denominator 92
Pressure ulcers or injuries, new or worsened	3.92%	2.29% 1.6 pts worse	Numerator 4 · Denominator 102 · Adjusted rate 4.81%
Healthcare-associated infections requiring hospitalization	6.48%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 75 · Observed rate 4% · Lower 95% interval 3.6%
Staff COVID-19 vaccination coverage	29.13%	8.2% 20.9 pts better	Numerator 37 · Denominator 127
Staff flu vaccination coverage	84.4%	42% 42.4 pts better	Numerator 184 · Denominator 218
Discharge function score	68.48%	56.45% 12 pts better	Numerator 63 · Denominator 92
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 47 · Denominator 47
Resident COVID-19 vaccinations up to date	34.09%	25.2% 8.9 pts better	Numerator 15 · Denominator 44

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.5 About the same	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	94.0% 5.3 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 98.4% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.7%	3.7% 3 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.6% · Q3 6.2% · Q4 7.9% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	4.0% 3.6 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	6.7%	4.9% 1.8 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.1% · Q3 11.5% · Q4 5.2% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.6%	20.6% 8 pts better	19.6% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 12.1% · Q3 14.5% · Q4 15.9% · 4Q avg 12.6%
Percentage of long-stay residents who received an antipsychotic medication	11.5%	19.8% 8.3 pts better	16.7% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 12.8% · Q3 9.8% · Q4 10.6% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.1%	18.5% 13.4 pts better	16.3% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.3% · Q3 8.8% · Q4 0.0% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.2%	18.3% 2.1 pts better	14.9% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 23.3% · Q3 13.8% · Q4 13.6% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.3%	1.7% 1.6 pts worse	1.0% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.0% · Q3 5.3% · Q4 2.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.0%	2.5% 3.5 pts worse	1.7% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.8% · Q3 1.6% · Q4 8.6% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.9%	26.0% 2.9 pts worse	19.8% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 36.9% · Q3 23.4% · Q4 24.7% · 4Q avg 28.9%
Percentage of long-stay residents with pressure ulcers	6.6%	4.3% 2.3 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.7% · Q3 9.1% · Q4 4.7% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	84.3% 6.6 pts better	81.7% 9.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 85.7% · Q3 94.9% · Q4 97.9% · 4Q avg 90.9%
Percentage of short-stay residents who had an outpatient emergency department visit	8.0%	13.1% 5.1 pts better	12.0% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.4% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.6%	73.3% 7.3 pts better	79.7% 0.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.2%	21.3% 2.9 pts worse	23.9% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.0% · Expected 20.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-16 · Fire 2024-05-16

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-03-23 · Fire 2023-03-23

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-24

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-24

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-05-07

F · Potential for more than minimal harm 2024-05-16

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-25

F · Potential for more than minimal harm 2024-05-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-18

F · Potential for more than minimal harm 2024-05-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-05-16

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-16

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-24

F · Potential for more than minimal harm 2023-03-23

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-04-04

F · Potential for more than minimal harm 2023-03-23

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-04-04

F · Potential for more than minimal harm 2023-03-23

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-04-04

F · Potential for more than minimal harm 2023-03-23

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-04-06

E · Potential for more than minimal harm 2023-03-23

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-03-23

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-04

E · Potential for more than minimal harm 2023-03-23

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-03-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-28

Inspection history

Recent health citations

G · Actual harm 2024-05-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-26

Penalties and ownership

What sits behind the stars

$0 2024-05-16

Payment Denial

Payment Denial · denial start 2024-06-20 · 2 days

2 day denial