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NATIONAL NURSING HOME WATCH LIST

MARIAN HOME: Actual Harm and/or Immediate Jeopardy

2400 SIXTH AVENUE NORTH

FORT DODGE IA

TELEPHONE: 5155761138

TYPE OF OWNERSHIP: Non profit - Church related

NUMBER OF BEDS / PERCENT OCCUPIED: 97 / 93

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Based on the annual and complaint survey data reported by CMS as of 06/25/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below:
RATING DEFINITION
actual harm and/or immediate jeopardy: score= G,H,I,J,K,L
potential for more than minimal harm: score= D, E, F
potential for minimal harm: score= A, B, C
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COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
12/08/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
12/31/2007 Make sure that the nursing home area is free of dangers that cause accidents. G
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