★★★★☆CMS 4/5155 bedsNon-profitMedicaid
- Nurse hours
- 4.41 /day
- Staff turnover
- 40%
- Serious cites
- 0
Friendship Haven runs 155 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. That cushion shows up in turnover too: 40.1% annually against a national 45.8%, and weekend coverage only dips about 6% below weekdays, so care doesn't fall off a cliff on Saturdays.
The tradeoff is inspection history. The current record carries 16 deficiencies, five of them abuse-related, though none rose to harm or jeopardy, and the last survey was in July 2025, so it's recent. Quality measures score well, and the staffing numbers are the real story here, steady hands, adequate hours, and a survey record that's worth asking about directly.
★★★★★CMS 5/590 bedsNon-profitMedicaid
- Nurse hours
- 4.06 /day
- Staff turnover
- 38%
- Serious cites
- 0
Marian Home runs a tight ship on the staffing side. At 4.06 nurse hours per resident day, it sits about 5% above the national average, and its 37.8% turnover beats the 45.8% national figure, meaning the people caring for your relative are more likely to still be there next year than at the typical Iowa home. The tradeoff shows up on the clinical side. CMS gives it just 2 of 5 stars on quality measures, and its one deficiency on record is flagged at the harm level, which the agency doesn't take lightly. Weekend staffing also dips about 11% below weekday levels, worth asking about directly.
★☆☆☆☆CMS 1/565 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 49%
- Serious cites
- 0
The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.