Find a nursing home

Home / Iowa / Fort Dodge

Friendship Haven, Inc

420 South Kenyon Road, Fort Dodge, IA 50501 · Webster County · (515) 573-2121

155 certified beds, about 118 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165291 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 3, 2025, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 16 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.41 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.

40.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
0E
0F
Potential for minimal harm
0A
0B
0C
January 21, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on clinical record reviews and staff interviews, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 3 residents reviewed (Resident #3) for falls. The facility reported a census of 114 residents.
September 10, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review, facility investigation, facility policy/procedures, and staff interviews the facility failed to provide a supportive and safe environment for 1 of 3 residents reviewed (Resident #1). On 8/3/25, the facility staff learned of a Certified Nurse Aide (CNA) being accused of taking a photograph of Resident #1. After learning of this allegation, the facility staff allowed the CNA to work with Resident #1 and all other residents for an entire 8 hour shift. The facility identified a census of 122 residents.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review, facility policy/procedure, employee time card, and staff interviews, the facility failed to protect vulnerable residents from an alleged abuser. On 8/3/25 at 1:30 p.m., facility staff were aware of a photograph that was taken of 1 of 3 residents reviewed (Resident #1). Facility staff allowed the alleged abuser to work their entire shift on 8/3/25 and allowed the alledged abuser to work with Resident #1 and all other vulnerable residents and failed to notify the facility administration of the allegation. The facility identifed a census of 122 residents.
July 3, 2025Standard inspection · 3 citations
  1. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2025
    Inspectors wrote2. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS included diagnoses of hypertension (high blood pressure), heart failure (heart does not pump blood well), coronary artery disease, and chronic kidney disease. Review of Census and Progress Notes revealed Resident #8 was admitted to the hospital for congestive heart failure from 3/5/25 to 3/6/25 and 3/10/25 to 3/17/25. The facility form titled Notice of Transfer Form to Long Term Care Ombudsman used to track discharges and notify the Ombudsman of a discharge revealed Resident #3 was not listed on the forms for March or April 2025. [...]
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2025
    Inspectors wroteBased on clinical record review, staff interviews and policy review the facility failed to change indwelling catheter per physician orders for 1 of 1 resident reviewed (Resident #85) for catheter care. The facility reported a census of 117 residents.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2025
    Inspectors wroteBased on observations, record review, staff interviews, and resident interview, the facility failed to change oxygen tubing and water humidifier for 1 of 1 resident reviewed (Resident #3) for respiratory services. The facility reported a census of 117 residents. Findings Include: Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS included diagnoses of hypertension (high blood pressure), heart failure (heart does not pump blood well), coronary artery disease, and chronic kidney disease. The MDS documented Resident #3 received oxygen and a non-invasive mechanical ventilator (CPAP) while a resident within the last 14 days. [...]
December 31, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 1, 2025
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to report an allegation of abuse timely after the allegation was made for 1 of 1 residents reviewed for alleged abuse (Resident #1). The facility reported a census of 116 residents.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 1, 2025
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to separate an alleged abuser from a resident for 1 of 1 residents reviewed for alleged abuse (Resident #1). The facility reported a census of 116 residents.
November 21, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to report an allegation of abuse immediately, but not later than 2 hours after the allegation was made for 1 resident (Resident #1). The facility reported a census of 118 residents.
August 8, 2024Standard inspection, Complaint inspection · 3 citations
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to use safety principles while transporting 2 residents in their wheelchairs (Residents #56 and #71). An observation revealed both pushed from the dining area to their rooms without the staff applying foot pedals on to their wheelchairs. Each resident had to hold their feet off the floor during transport. The facility reported a census of 116.
  2. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to check proper gastrostomy tube (a tube inserted through a hole in the abdomen into the stomach to administer nutrition and medications) placement prior to administering medications to 1 of 1 resident observed (Resident #49). The facility reported a census of 116 residents.
  3. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to complete post dialysis assessments for 1 of 1 resident reviewed for receiving dialysis (Resident #113). The facility reported a census of 116 residents.
January 25, 2024Standard inspection, Complaint inspection · 4 citations
  1. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment no less than 3 months after the last assessment for 2 of 2 residents reviewed (Resident #40 and #105). The facility reported a census of 116 residents.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on observation, record review, and staff interview the facility failed to accurately complete the Residents' Minimum Data Set (MDS) assessments by not coding for an unhealed pressure ulcer (soft tissue injuries from prolonged pressure to areas of the body) and use of physical restraints for 2 of 2 residents reviewed. (Residents #49 and #76). The facility reported a census of 116 residents.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on clinical record review and staff interviews, the facility failed to follow a comprehensive Care Plan for 1 of 1 residents reviewed for transfers (Resident #104). The facility reported a census of 116 residents.
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to follow professional standards in regards to physician follow-up with reassessing as needed (PRN) psychotropic medication for 1 of 4 residents reviewed (Resident #26). The facility reported a census of 116 residents.

Fire safety inspections

10 fire safety citations on file: 3 on July 3, 2025, 3 on August 8, 2024, 4 on January 25, 2024.

Every fire safety citation10 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 3, 2025 · Corrected (the home has a date of correction)
  2. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 3, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 3, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 8, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 8, 2024 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 8, 2024 · Waiver
  7. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 25, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 25, 2024 · Corrected (the home has a date of correction)
  9. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 25, 2024 · Corrected (the home has a date of correction)
  10. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)4.413.823.86
Registered nurses0.830.740.69
All nursing staff on weekends4.133.373.42
Nurse aides2.87
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)40.1%44.0%45.8%
Registered nurse turnover39.3%42.1%42.9%
Administrators who left0

CMS expects 3.12 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.51 on weekdays and 4.13 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 4.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.410.834.514.13 0.0%0 of 90118
Oct to Dec 20254.370.834.474.09 0.0%0 of 92117
Jul to Sep 20254.500.944.694.01 0.0%0 of 92121
Apr to Jun 20254.520.884.783.86 0.0%0 of 91120
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Iowa

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Friendship Haven, Inc. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.917.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.62.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.516.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.04.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.619.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.120.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
20.513.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Friendship Haven, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (56.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.5% this home

Better than the national rate

US median of homes 51.5% · Iowa: 28 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 223 eligible stays.

Potentially preventable readmissions

7.7% this home

Better than the national rate

US median of homes 10.7% · Iowa: 1 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 251 eligible stays.

Infections that led to a hospital stay

5.4% this home

No different from the national rate

US median of homes 7.1% · Iowa: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 152 eligible stays.

Self-care and mobility at discharge

77.9% this home

Median of homes: Iowa56.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 113 residents counted.

Falls with major injury

0.8% this home

Median of homes: Iowa0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 132 residents counted.

New or worsened pressure ulcers

6.2% this home

Median of homes: Iowa1.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 132 residents counted.

Medication list given at discharge

95.4% this home

Median of homes: Iowa100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 65 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FRIENDSHIP HAVEN, INC.

NameRoleTypeShareSince
Anderson, TroyManaging control - governing bodyIndividual07/01/2018
Bemrich, MatthewManaging control - governing bodyIndividual08/01/2024
Burns, TimothyManaging control - governing bodyIndividual07/01/2016
Engler, JohnManaging control - governing bodyIndividual07/01/2021
Fillmore, LukeManaging control - governing bodyIndividual08/01/2024
Glasgo, LeahManaging control - governing bodyIndividual04/17/2025
Heffernan, LindsayManaging control - governing bodyIndividual06/22/2023
Hotz Clark, SharonManaging control - governing bodyIndividual07/01/2017
Johnson, MatthewManaging control - governing bodyIndividual07/01/2021
Johnson, MichelleManaging control - governing bodyIndividual07/01/2021
Osborne Stubbs, RickiManaging control - governing bodyIndividual08/01/2024
Singer, RobertManaging control - governing bodyIndividual07/01/2017
Whaley, LindaManaging control - governing bodyIndividual08/04/2023
Engels, KalleenCorporate officerIndividual06/16/2014
Thorson, JulieCorporate officerIndividual01/06/2012
Thorson, JulieOperational/managerial controlIndividual01/06/2012
Conrad, CariAdp of the SNFIndividual09/26/2022
Derrig, MindyAdp of the SNFIndividual05/09/2022
Hoversten-Majewski, ErinAdp of the SNFIndividual08/14/2025
McCarville, MitchAdp of the SNFIndividual10/21/2024
Nanninga, MelissaAdp of the SNFIndividual05/09/2022
Wallace, LincolnAdp of the SNFIndividual08/14/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 21, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on September 10, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 25, 2024: "Assure that each resident’s assessment is updated at least once every 3 months."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Friendship Haven, Inc's Medicare star rating?
CMS rates Friendship Haven, Inc 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Friendship Haven, Inc get at its last inspection?
3 health deficiencies at the standard inspection on July 3, 2025. The Iowa average is 6.5.
Has Friendship Haven, Inc been fined?
CMS lists no fines in the last three years.
Does Friendship Haven, Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Friendship Haven, Inc?
CMS lists 22 owners and managers. Legal business name: FRIENDSHIP HAVEN, INC.

Sources

Find a nursing home Read an inspection