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Complaint Investigation

Fort Dodge Health And Rehabilitation

February 26, 2026 · Fort Dodge, IA · 728 14th Avenue North
Citations 1
CMS Rating 1/5
Beds 65
Provider ID 165156
Healthcare Facility
Fort Dodge Health And Rehabilitation
Fort Dodge, IA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Fort Dodge Health and Rehabilitation in Fort Dodge, IA — inspection on February 26, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689
Quality of Life and Care Deficiencies

During a follow-up interview on 2/26/26 at 2:50 PM Staff H reported the bottom right strap for him or left side for her had the strap come off.

When this happened, his legs came out then his upper torso.

Staff H said he used a green outline blue mesh woven grip sling.

Staff H reported she might have hooked up his legs but thought she hooked up his head.

She added she thought they may have moved/pivoted him in the wrong direction that caused a displacement in the pressure and caused it to pop off.

They have a full-body mechanical hook there with safety hooks in the front of the building.

They used the one in the back of the building, that didn't have them.

Staff H said they had 3 full-body mechanical lifts in the building, 2 of the same and one different.

The 2 that were the same didn't have the safety hooks.

She thought the one with the safety hooks was older, and she thought they got the other two from a local facility after they closed.

  • According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #2 scored 15 on
  • the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment.

The MDS included a diagnosis of chronic (long-term) kidney disease.

The Care Plan initiated 6/16/25 identified Resident #2 at risk for falls related to taking an antidepressant, an opioid and diuretic medications. Resident #2 had diagnoses of coronary artery disease, atrial fibrillation, congestive heart failure, and anxiety.

The Progress Notes dated 2/1/26 at 5:51 p.m. documented while the CNA assisted Resident #2 to transfer from the bed to the wheelchair around 4:30 p.m., they fell backward into the bed. Resident #2 stated while both arms landed on the bed, she felt like her right arm hit something.

After the incident, she reported right shoulder pain (at 10 out of 10, indicating the worst pain imaginable) and received her scheduled hydrocodone (narcotic pain medication). Resident #2 had slightly limited range of motion (ROM) on the right upper arm. Resident #2 reassessed for pain at 5:50 p.m. and reported at 7/10.

After, super Resident #2 assisted and transferred back to bed without complaint.

On 2/11/26 at 2:43 p.m.

Staff F, CNA (agency), stated she assisted Resident #2 in getting up. No one told her what assistance they needed.

She asked Resident #2 what help she needed, and she said she could get herself up.

She stood up and Staff F held onto her pants.

She took 1 step and fell back on the bed.

She got back up and said her shoulder hurt.

She reported it to the nurse, and she had a history of shoulder pain.

On 2/12/26 at 8:15 a.m. the DON stated the staff member should have used a gait belt on the resident when assisting her.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Fort Dodge, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Fort Dodge Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.