ElderGrade
B

73.5/100

Above average

Thomas Rest Haven

217 Main Street, Coon Rapids, IA 50058

CMS 2/5 stars #2 of 4 in Carroll County (712) 999-2253
Certified beds
57
Occupancy
61%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $11,190 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

22/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years

Staffing

25.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.46 total nurse hours per resident per day (national median 3.77)
  • 0.65 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $11,190 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.71 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.65 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.97 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: September 18, 2025 (11 months ago).

G Jan 15, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E Sep 18, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
HOCKING, MICHAEL Individual W-2 MANAGING EMPLOYEE
DAVIS, MICHAEL Individual CORPORATE OFFICER
IRLMEIER, JOAN Individual CORPORATE OFFICER
HOCKING, MICHAEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Thomas Rest Haven

What is the ElderGrade for Thomas Rest Haven? +

Thomas Rest Haven holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Thomas Rest Haven? +

Residents receive an average of 4.71 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Thomas Rest Haven been cited for harming residents? +

Yes. 2 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Thomas Rest Haven accept Medicaid? +

Yes, Thomas Rest Haven is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.