CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1652912026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Friendship Haven, Inc

CMS lists this provider in Fort Dodge, IA, with 155 certified beds, an overall rating of 4/5, and 26 citation rows in the current August 2026 release.

420 South Kenyon Road · Fort Dodge, IA 50501 · Webster County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds155CMS provider file
Recent citation rows26current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Friendship Haven, Inc survey cycles in this release

CMS supplies 3 survey-cycle rows for Friendship Haven, Inc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-07-0362025-07-033
Cycle 22024-08-0862024-08-083
Cycle 32024-01-2542024-01-254
02 / CITATION DETAIL

Friendship Haven, Inc citations in the current release

CMS reports 26 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint
2025-09-10 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Past Non-Compliance · complaint
2025-09-10 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Past Non-Compliance · complaint
2025-07-03 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-07
2025-07-03 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2025-07-07
2025-07-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-07-07
2025-07-03 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-07-09
2025-07-03 · FIREK0363Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2025-07-09
2025-07-03 · FIREK0920Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-07-09
2024-12-31 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2025-01-01 · complaint
2024-12-31 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2025-01-01 · complaint
2024-11-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2024-11-22 · complaint
2024-08-08 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-09
2024-08-08 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-08-09 · complaint
2024-08-08 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-09
2024-08-08 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-13
2024-08-08 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Waiver has been granted · 2024-09-16
2024-08-08 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2024-08-22
2024-01-25 · HEALTHF0638Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Correction field: Deficient, Provider has date of correction · 2024-02-21
2024-01-25 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-02-21
2024-01-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2024-02-21 · complaint
2024-01-25 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-21
2024-01-25 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-03-01
2024-01-25 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-14
03 / ENFORCEMENT FILE

CMS penalties reported for Friendship Haven, Inc

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Friendship Haven, Inc

CMS matched 22 ownership disclosure rows to Friendship Haven, Inc; names and roles are reported fields, not independently verified identities.

  • ANDERSON, TROYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2018
  • BEMRICH, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/01/2024
  • BURNS, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2016
  • ENGLER, JOHNIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2021
  • FILLMORE, LUKEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/01/2024
  • GLASGO, LEAHIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/17/2025
  • HEFFERNAN, LINDSAYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 06/22/2023
  • HOTZ CLARK, SHARONIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2017
  • JOHNSON, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2021
  • JOHNSON, MICHELLEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2021
  • OSBORNE STUBBS, RICKIIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/01/2024
  • SINGER, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2017
  • WHALEY, LINDAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/04/2023
  • ENGELS, KALLEENIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/16/2014
  • THORSON, JULIEIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/06/2012
  • THORSON, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/06/2012
  • CONRAD, CARIIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/26/2022
  • DERRIG, MINDYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/09/2022

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Friendship Haven, Inc

CMS reports 4.41 total nurse hours and 0.83 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.41per resident day
RN hours0.83per resident day
Weekend nurse hours4.13per resident day
Staff turnover40.1%CMS reported field
06 / LOCAL RECORDS

Facilities published near Friendship Haven, Inc

The local peer set contains 2 other published facility records near Fort Dodge, IA, with separate bed, rating, and citation-row fields.

Open the Fort Dodge ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.