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Nursing HomeMedicaid Investigative

Fort Dodge Health and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

728 14th Avenue North, Fort Dodge, IA 5050165 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 25 Google reviews

5
4
3
2
1
Fort Dodge Health and Rehabilitation Nursing Home in Fort Dodge, IA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (13 vs median 5)

Bottom 25% in IA · Worst in THE ENSIGN GROUP chain · $135,298 in fines

Source: Medicare data

What this means for your family

While the facility has historically been praised for its therapy team and home-like atmosphere, the recent, consistent reports of bed bugs, scabies, and neglect are critical red flags. We strongly advise families to conduct an unannounced visit and specifically inspect the cleanliness of rooms and ask management directly about their current pest control protocols and staffing ratios.

Google Reviews

Google Reviews

25 reviews on Google
Fort Dodge Health and Rehabilitation presents a highly polarized experience for families. While some reviewers praise the therapy team and home-like environment, recent reports from 2024 describe severe sanitation issues, including bed bug and scabies infestations, alongside concerns regarding understaffing and neglect of basic patient needs.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean1.0Activities7.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective rehabilitation therapy team
  • Home-like facility atmosphere
  • Friendly staff members (noted by some)

Concerns

  • Bed bug and scabies infestations (mentioned by 3 reviewers)
  • Chronic understaffing and slow response times (mentioned by 3 reviewers)
  • Poor quality and delivery of meals (mentioned by 2 reviewers)
  • Lack of communication or difficulty reaching staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(7)'19(1)'21(2)'23(3)'25(3)'26(2)

Distribution · 27 analyzed

5
17
4
0
3
0
2
1
1
9

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on facility hygiene, could you walk me through your current protocols for pest control and how you ensure rooms remain clean and comfortable for residents?
  • 2I noticed that communication is a top priority for families; what is the most reliable way for me to get in touch with my loved one's care team if I have a question or concern?
  • 3With your rehabilitation team being a noted strength, how do they coordinate with the nursing staff to ensure a resident's therapy goals are supported throughout the rest of the day?
  • 4I see that you have responded to some feedback online; how do you use family input to make tangible improvements to the daily dining experience and meal quality?
  • 5Could you explain your current staffing model and how you ensure that residents receive timely assistance when they press their call lights, especially during evening or weekend hours?
  • 6What specific activities or social opportunities are available to help residents feel connected and engaged in the community on a daily basis?

Personalized based on this facility's data


Key Review Excerpts

I have a loved one there currently amd not only do they bed bugs, that have been spread throughout the building they now have scabies!!!!!! The recent change in leadership has made the building go down hill in my opinion

Long-term resident's family · 2024☆☆☆☆

He was covered in sores from a medicine change. No one did anything about it until I showed up. I cried when I saw how bad he was.

Long-term resident's family · 2024★★☆☆☆

The food was horrid, cold and soggy being the only thing consistent. Totally inept and understaffed.

Rehab patient · 2021☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.09hrs
75%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility32.0%
Worse than Avg
Here
32.0%
US
12.1%
IA
4.1%
Webster
3.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
14.4%
IA
17.6%
Webster
20.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
15.3%
IA
17.5%
Webster
19.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.2%
Worse than Avg
Here
31.2%
US
19.4%
IA
25.9%
Webster
22.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.1%
Worse than Avg
Here
88.1%
US
95.5%
IA
95.3%
Webster
96.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
IA
93.9%
Webster
91.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
81.8%
IA
84.1%
Webster
84.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.7%
Worse than Avg
Here
72.7%
US
79.8%
IA
73.3%
Webster
74.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
IA
2.0%
Webster
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

23deficiencies
2penalties
Well above state avg (6.2)
22 complaint-triggered
$135,298 in fines

Fort Dodge Health and Rehabilitation has a concerning pattern of complaint-triggered deficiencies, with families filing reports that led to 23 violations across multiple surveys. The facility shows recurring issues with treatment and care quality, resident safety measures, and nursing staffing levels. While all deficiencies show correction dates, the persistent nature of similar problems across multiple years suggests ongoing operational challenges that prospective families should carefully consider.

Feb 26, 2026Routine
19
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0922Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0774Potential for harm · IsolatedCorrected

Administration Deficiencies

Help the resident with transportation to and from laboratory services outside of the facility.

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Feb 26, 2026Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 17, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 27, 2025Complaint
5
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

May 22, 2025Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 27, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Federal Penalties

Fine

Feb 26, 2026

$47,300

Fine

Aug 27, 2025

$135,298

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
32deficiencies
Apr 1, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Feb 26, 2026Inspection
Clean

Fed violations: 17, State violations: 2

Dec 23, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 17, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Oct 29, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Aug 27, 2025Complaint
Clean

Fed violations: 5, State violations: 1

Jul 3, 2025Complaint
Clean

Fed violations: 0, State violations: 0

May 22, 2025Complaint
Clean

Fed violations: 2, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fort Dodge Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 290 of 328 (Worst)

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Hayden, ElizabethManaging Control - Governing BodyWallace, LincolnManaging Control - Governing BodyJorgensen, DavidOfficer / DirectorKeetch, ChadOfficer / DirectorKoenig, DebraOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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