Fort Dodge Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Fort Dodge Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 27, 2025

  Based on observation, clinical record review, resident interview, staff interview, Physician interview, Nurse Practitioner (NP) interview, and facility policy review, the facility failed to complete thorough assessments and interventions when 3 of 3 residents (Residents #1, #4 and #5) sustained skin breakdown. In addition, the facility failed to properly assess one (1) resident following a fall (Resident #2). Resident #1 had a previous history of an amputation on his left foot. Following his surgery, the facility failed to follow physician orders, complete thorough skin assessments, and failed to follow treatments. Per the Podiatrist, Resident #1 had an additional amputation due to the lack of care and treatment he received. […]

• Immediate jeopardy, isolatedF600Jun 29, 2021

  Based on observation, staff, family, ARNP (advanced registered nurse practitioner) and resident interview, and record review, the facility failed to protect 4 of 9 female residents reviewed (Resident #39, #33, #32, and #21) from sexual abuse by Resident #8. Resident #32 was the only interviewable and she expressed fear of being assaulted by Resident #8. The facility reported a census of 53 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #8 showed a Brief Interview for Mental Status (BIMS) score of 9, indicating moderate cognitive impairment. The resident had delusions in the seven day lookback period. The resident had one to three days in the seven day lookback period of the following behaviors: A. […]

• Actual harm, isolatedF686Feb 26, 2026

  Based on observations, interviews and record review, the facility failed to identify, assess, document, and provide interventions for pressure ulcers for 2 out of 2 residents reviewed (Residents #23 and #26). The failure to manage Resident #26's pressure wounds resulted in Stage 3 pressure ulcers to her right and left heels. The facility reported a census of 59 residents.Findings include:The MDS assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• Actual harm, isolatedF689Feb 26, 2026

  Based on clinical record review, staff interviews, and facility policy review, the facility failed to ensure residents received safe and appropriate assistance during transfers for 2 of 3 residents reviewed (Residents #4 and #2). The facility's failure to follow established transfer procedures and provide the necessary assistance placed residents at risk for injury and failed to ensure a safe environment. Resident #4 slid from a mechanical lift sling during a transfer and fell to the floor, sustaining a rib fracture. Resident #2 experienced a fall during a transfer when the staff failed to provide the required level of assistance resulting in complaints of shoulder pain. The facility reported a census of 59 residents.Findings include:1. […]

• Actual harm, isolatedF689Nov 17, 2025

  Based on observations, clinical record review, facility policy review and staff interviews the facility failed to ensure a resident needing a mechanical lift were provided safe and appropriate transfers to prevent injuries for 1 of 1 residents reviewed (Resident #2). The facility reported a census of 61 residents. Findings Include: Resident #2's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score was a 4, indicating severe cognition. The MDS listed Resident #2 as dependent on the facility staff for all activities of daily living (ADL's). The MDS included diagnoses of non-Alzheimer's dementia, anxiety disorder, aphasia (difficulty speaking), diabetes mellitus, and arthritis. The MDS listed Resident #2's weight as 318 pounds. […]