Marian Home
2400 Sixth Avenue North, Fort Dodge, IA 50501 · Webster County · (515) 576-1138
90 certified beds, about 73 residents a day · Non profit - Church related · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165539 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 3 health citations since May 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.06 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
37.8% 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.
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 3 health citations on file.
June 18, 2026Standard inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy, the facility failed to notify the physician of a condition change for 1 of 1 residents reviewed (Resident #66). Resident #66 had complaints of shortness of breath with low oxygen saturation of 79% on 3 liters (L) of oxygen and a new productive cough with crackles in bilateral lower lungs. The facility reported a census of 72 residents.
- 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.
Inspectors wroteBased on observations, clinical chart review and staff interview the facility failed to check placement for gastrostomy tube for 1 of 1 residents (Resident #66). The facility reported a census of 72 residents.
April 24, 2025Standard inspection · 0 citations
May 16, 2024Standard inspection, Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, the facility failed to assure each resident received adequate assistance to prevent a fall with injury for 1 of 3 residents reviewed (Resident #31). The facility reported a census of 76 residents.
Fire safety inspections
17 fire safety citations on file: 8 on June 18, 2026, 4 on April 24, 2025, 5 on May 16, 2024.
Every fire safety citation17 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Develop Emergency Preparedness policies and procedures.
- F Provide properly protected cooking facilities.
- F Properly provide smoke detection systems in areas open to corridors.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 16, 2024 | Payment Denial | 2 days from June 20, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.06 | 3.82 | 3.86 |
| Registered nurses | 0.73 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.37 | 3.42 |
| Nurse aides | 2.88 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 37.8% | 44.0% | 45.8% |
| Registered nurse turnover | 9.1% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.21 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 4.25 on weekdays and 3.59 on weekends, 16% 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 4.19 in April to June 2025 to 4.06 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.06 | 0.73 | 4.25 | 3.59 | 0.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 4.02 | 0.71 | 4.20 | 3.59 | 0.0% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.08 | 0.70 | 4.28 | 3.58 | 0.0% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.19 | 0.67 | 4.42 | 3.64 | 0.0% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.8 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.6 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.7 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: MARIAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Allen, James | Corporate director | Individual | 08/31/2019 | |
| Crimmins, Nancy | Corporate director | Individual | 08/31/2017 | |
| Kersten, Steve | Corporate director | Individual | 08/31/2018 | |
| McCoy, Kevin | Corporate director | Individual | 08/31/2018 | |
| Nickless, Ralph | Corporate director | Individual | 08/31/2002 | |
| Ranniger, Royce | Corporate director | Individual | 08/31/2002 | |
| Kesterson, James | Corporate officer | Individual | 08/31/2019 | |
| O'Connor, Bennett | Corporate officer | Individual | 08/31/2017 | |
| Trotter, Tracy | Corporate officer | Individual | 07/26/2019 | |
| Trotter, Tracy | Operational/managerial control | Individual | 03/31/2019 | |
| Wallace, Kelli | Operational/managerial control | Individual | 09/01/2003 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 08/31/2019 | |
| Healthcare of Iowa Inc | Adp of the SNF | Organization | 08/25/2024 | |
| Trotter, Tracy | Adp of the SNF | Individual | 04/03/2025 | |
| Wallace, Kelli | Adp of the SNF | Individual | 04/03/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 18, 2026: "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."
- 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 June 18, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
Other nursing homes nearby
- Fort Dodge Health and Rehabilitation Fort Dodge, 1.5 mi · 1 of 5 stars · 48 citations
- Friendship Haven, Inc Fort Dodge, 3.9 mi · 4 of 5 stars · 16 citations
- Humboldt County Memorial Hospital Humboldt, 15.6 mi · 5 of 5 stars · 7 citations
- Rotary Senior Living Eagle Grove, 17.2 mi · 3 of 5 stars · 23 citations
- Crestview Nursing and Rehabilitation Webster City, 17.6 mi · 2 of 5 stars · 19 citations
- Grandview Health Care Center Dayton, 17.7 mi · 2 of 5 stars · 12 citations
- Southfield Wellness Community Webster City, 18.1 mi · 1 of 5 stars · 63 citations
- Good Samaritan - Manson Manson, 18.8 mi · 4 of 5 stars · 11 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Marian Home's Medicare star rating?
- CMS rates Marian Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Marian Home get at its last inspection?
- 2 health deficiencies at the standard inspection on June 18, 2026. The Iowa average is 6.5.
- Has Marian Home been fined?
- CMS lists no fines in the last three years.
- Does Marian Home 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 Marian Home?
- CMS lists 15 owners and managers. Legal business name: MARIAN HOME.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.