CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1655392026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Marian Home

2400 Sixth Avenue North · Fort Dodge, IA 50501 · Webster County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds90CMS provider file
Recent citation rows18current CMS citation release
Penalty rows1current 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

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-04-2402025-04-244
Cycle 22024-05-1612024-05-165
Cycle 32023-03-2302023-03-238
02 / CITATION DETAIL

18 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-04-24 · FIREK0291Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-01
2025-04-24 · 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 · 2025-05-01
2025-04-24 · 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 · 2025-05-01
2025-04-24 · FIREK0362Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-07
2024-05-16 · HEALTHF0689Severity G · isolated actual 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: Past Non-Compliance · 2024-04-26 · complaint
2024-05-16 · FIREK0223Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-05-29
2024-05-16 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-05-25
2024-05-16 · FIREK0321Severity E · pattern; 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 · 2024-05-24
2024-05-16 · 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 · 2024-06-18
2024-05-16 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2024-06-21
2023-03-23 · FIREE0026Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

Correction field: Deficient, Provider has date of correction · 2023-04-04
2023-03-23 · FIREK0232Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-03-27
2023-03-23 · FIREK0346Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-04-04
2023-03-23 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-03-28
2023-03-23 · FIREK0354Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-04-04
2023-03-23 · FIREK0374Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-04-04
2023-03-23 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2023-04-06
2023-03-23 · FIREK0914Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2023-03-30
03 / ENFORCEMENT FILE

Penalties reported by CMS

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
2024-05-16Payment Denial$02
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ALLEN, JAMESIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2019
  • CRIMMINS, NANCYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2017
  • KERSTEN, STEVEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2018
  • MCCOY, KEVINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2018
  • NICKLESS, RALPHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2002
  • RANNIGER, ROYCEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/31/2002
  • KESTERSON, JAMESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/31/2019
  • O'CONNOR, BENNETTIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/31/2017
  • TROTTER, TRACYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/26/2019
  • TROTTER, TRACYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/31/2019
  • WALLACE, KELLIIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2003
  • BRIGHTON CONSULTING GROUP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/31/2019
  • HEALTHCARE OF IOWA INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/25/2024
  • TROTTER, TRACYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/03/2025
  • WALLACE, KELLIIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/03/2025

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

Reported hours and turnover

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

Total nurse hours4.06per resident day
RN hours0.73per resident day
Weekend nurse hours3.59per resident day
Staff turnover37.8%CMS reported field
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.