Thomas Rest Haven

217 Main Street, Coon Rapids, IA 50058 · CCN 165358 · 57 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2026-01-15 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-04-09 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

4.13

state median 3.10

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $11,190 in fines.

Date	Type	Amount
2026-01-15	Fine	$11,190

Ownership

Ownership type: Government - City/county.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 15

Survey date	Tag	Category	Severity	Corrected
2026-01-15	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-09-18	F0578	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0580	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-09-18	F0628	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-09-18	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-09-18	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-09-18	F0880	Infection Control Deficiencies	E	not recorded
2025-04-09	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-10-17	F0550	Resident Rights Deficiencies	D	not recorded
2024-10-17	F0640	Resident Assessment and Care Planning Deficiencies	B	not recorded
2024-10-17	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-10-17	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-07-27	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-27	F0801	Nutrition and Dietary Deficiencies	F	not recorded
2023-07-27	F0880	Infection Control Deficiencies	F	not recorded
2023-07-27	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Thomas Rest Haven, Coon Rapids” at medicare.gov/care-compare.