The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Thomas Rest Haven
Coon Rapids, IA · Medicare-certified · 57 beds
Needs attention
Government-run
2 of 5 overall
Thomas Rest Haven (Coon Rapids, IA) has an overall 2-star rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It has $11,190 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.48 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
4.4801 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $11,190recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4801.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.69
- Nurse aides
- 3.22
- Weekend nursing
- 4.08
Hours per resident per day.
Total staff turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—30%—
Residents with a fall causing major injury
3.3%0%Improving
Residents with pressure ulcers (bedsores)
0%2.7%Worsening
Residents with a urinary tract infection
7.1%3.3%Improving
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.8%15%Improving
Residents whose ability to walk got worse
—33.2%—
Long-stay residents on antianxiety or sleep medication
25%23.8%Improving
Short-stay residents newly given an antipsychotic
—4.1%—
Residents with a long-term catheter
0%2.6%Worsening
Residents with new or worsening incontinence
22.4%45.9%Worsening
Residents with depressive symptoms
7.1%4.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96%—
Short-stay residents given the pneumonia vaccine
96%87%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $11,190 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,190 in total fines.
- $11,190
Federal fine
Jan 15, 2026
Operator & ownership
- Ownership
- Government - City/county
- Occupancy
- 34.1 residents on an average day (60% of 57 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.