Nursing HomeMedicaid Top Rated

Marian Home

Strong Medicare quality ratings; families often praise friendly and welcoming staff. Still worth an in-person visit.

2400 Sixth Avenue North, Fort Dodge, IA 50501|90 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 10 Google reviews

(515) 576-1138 Directions Website

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What this means for your family

The Marian Home is frequently praised for its compassionate care, particularly for those transitioning from hospice. However, families should be aware of potential access issues on weekends and should observe staff interactions during different shifts to ensure consistent professionalism.

Google Reviews

10 reviews on Google

“The Marian Home generally receives positive feedback for its friendly staff and quality of care, with several families expressing high satisfaction regarding their loved ones' experiences. However, some visitors have reported inconsistent professionalism among nursing staff and difficulties accessing the building on weekends due to front door security protocols.”

Quality Themes

Tap a score for details

Strengths

Friendly and welcoming staff
High quality of care for hospice transitions
Positive overall environment for long-term placement

Concerns

Inconsistent nursing staff professionalism (mentioned by 2 reviewers)
Difficult building access on weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 12 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1Given the high marks for hospice care, how does your team ensure that same level of specialized attention and comfort for residents in long-term care?
2I noticed there have been a few state citations recently; could you walk me through the steps the facility has taken to address those specific areas and prevent them from recurring?
3How do you support your nursing staff in maintaining consistent communication and professional standards during shift changes?
4We sometimes visit on weekends; what is the best way to ensure smooth building access and coordination with staff during those times?
5With a capacity of 90 residents, how do you tailor your daily activity calendar to ensure that everyone feels included and engaged?
6In the event of a sudden medical change, what is your specific protocol for notifying family members and coordinating with the resident's primary physician?

Personalized based on this facility's data

Key Review Excerpts

“The Marian Home has been stellar to deal with. Our mom has been there a couple of months after a hospice stay and we have nothing but praise for her care and treatment while staying there.”

Long-term resident's family · 2023★★★★★

“Everyone but one person was very friendly one nurse was a little gruff... I went there Friday night to take Kendall his stuff And the nurses were very nice I went back Saturday and one of the nurses the main nurses Was not quite as nice”

Visitor · 2025★★★★★

“If I had to absolutely place a loved one in a care facility this would be the place”

General observer · 2024★★★★★

Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.71hrs

94%

Registered nurses for medical care

Total Nursing

4.02hrs

98%

All nurses + aides combined

Staff Turnover

37%

Lower is better (< 30% = good)

RN Turnover

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

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

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility5.2%

Better than Avg

Here

5.2%

15.3%

17.5%

Webster

20.5%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

4.1%

Webster

5.8%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility28.5%

Worse than Avg

Here

28.5%

19.4%

25.9%

Webster

22.5%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility14.8%

Better than Avg

Here

14.8%

19.5%

20.7%

Webster

22.9%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility13.7%

Better than Avg

Here

13.7%

14.4%

17.6%

Webster

21.8%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility11.4%

Better than Avg

Here

11.4%

15.5%

19.4%

Webster

19.2%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.0%

Better than Avg

Here

95.0%

81.8%

84.1%

Webster

85.0%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility80.6%

Better than Avg

Here

80.6%

79.8%

73.3%

Webster

73.4%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Webster

1.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies

1penalties

Well below state avg (6.2)

1 complaint-triggered

Clean record — no deficiencies

Marian Home has ongoing building safety maintenance issues, with deficiencies in fire safety systems, emergency lighting, and electrical systems persisting across all three surveys from 2023 to 2025. One family filed a complaint about accident hazards and supervision that was corrected. While all issues have correction dates, the repeated pattern of fire alarm, sprinkler system, and emergency lighting problems suggests maintenance challenges that families should discuss during visits.

Apr 24, 2025Routine4 findings

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0291Potential for harm · PatternCorrected

Egress Deficiencies

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

0362Potential for harm · PatternCorrected

Smoke Deficiencies

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

May 16, 2024Complaint1 finding

0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

May 16, 2024Routine5 findings

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0223Potential for harm · PatternCorrected

Egress Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

Mar 23, 2023Routine8 findings

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0232Potential for harm · PatternCorrected

Egress Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Payment Denial

May 16, 2024

2-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

6deficiencies

Nov 17, 2025ComplaintNo deficiencies

Clean