Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Friendship Haven, Inc

Fort Dodge, IA · 155 certified beds · Last Life Safety survey July 3, 2025

CMS Certification Number 165291 · first certified September 1996

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within IA

10 citations — more than 34% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten IA facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility10IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0132024-0832025-07
Citations at each Life Safety survey
Survey dateCitations
January 25, 20244
August 8, 20243
July 3, 20253

Most-cited tags

Most-cited tags at this facility
K-03632K-09201K-09211K-03721K-03741K-03531K-03451K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22025-07-03
K-0920Ensure proper usage of power strips and extension cords.12025-07-03
K-0921Ensure that testing and maintenance of electrical equipment is performed.12024-01-25
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-08-08
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-01-25
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-07-03
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-08-08
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-01-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 3, 2025 — 3 citations

Citations issued on July 3, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 9, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 9, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 9, 2025)

August 8, 2024 — 3 citations

Citations issued on August 8, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 13, 2024)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (September 16, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 22, 2024)

January 25, 2024 — 4 citations

Citations issued on January 25, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 1, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 14, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 13, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.