D

Thomas Rest Haven

217 Main Street, Coon Rapids, IA 50058
Score: 51 / 100

CMS data shows Thomas Rest Haven earning a D grade with a score of 51/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Thomas Rest Haven exceed national averages, with 4.54 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.52 hours per resident per day is near the national average of 0.7 hours.

Recent inspections identified 18 deficiencies at Thomas Rest Haven. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.54 3.8 Above Average
Registered Nurses (RN) 0.52 0.7 Below Average
Licensed Practical Nurses (LPN) 0.80 0.7 Above Average
Certified Nursing Assistants (CNA) 3.23 2.4 Above Average
Weekend Total Nursing 3.96 3.8 Average
Weekend RN Hours 0.32 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jan 14, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 17 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 14, 2026 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Sep 17, 2025 · Infection Control Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Sep 17, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Sep 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Sep 17, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.0% 4.5% Better
Falls with major injury 3.3% 3.0% Average
On antipsychotic medication 28.6% 14.5% Worse
Urinary tract infections 3.4% 2.5% Worse
ADL decline (daily activities) 22.2% 14.0% Worse
Excessive weight loss 2.3% 7.5% Better
New/worsened incontinence 21.3% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - City/county
Certified Beds
57
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 17, 2025
Deficiencies (Cycle 1)
10

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