Thomas Rest Haven
217 Main Street · Coon Rapids, IA · 50058 · 7129992253
57 certified beds Government - City/county
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 4.08 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $11,190 |
Inspection citations (18 in the current record)
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Actual harm · G January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 7, 2026 · Quality of Life and Care
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Potential for harm · D September 18, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D September 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 13, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025
Provide and implement an infection prevention and control program.
Corrected September 25, 2025 · Infection Control
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Actual harm · G April 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 8, 2024 · Pharmacy Service
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Potential for harm · D October 17, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2024 · Quality of Life and Care
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No harm found · B October 17, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · F July 27, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected August 19, 2023 · Nutrition and Dietary
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Potential for harm · F July 27, 2023
Provide and implement an infection prevention and control program.
Corrected August 19, 2023 · Infection Control
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Potential for harm · D July 27, 2023
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected August 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 15, 2026 | Fine | $11,190 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165358 · certified since October 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.