Home›Iowa›Carroll County›Thomas Rest Haven
C
Below Standard

Thomas Rest Haven

217 MAIN STREET · COON RAPIDS, IA 50058

7129992253 · Government - City/county

57 beds33.8 residents76 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Thomas Rest Haven receives an overall staffing grade of C (Below Standard). With 4.5478 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5163 HPRD, below the recommended 0.75. It is 0.65 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 16.91% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5163 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.5478hrs/resident/day▲ 0.65
CMS benchmark: 3.48
RN HPRD
0.5163hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
16.91%
4.776 weekday → 3.9685 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8149hrs/resident/day
Direct care aides
LPN HPRD
0.7959hrs/resident/day
Licensed practical nurses
Consistency
0.5254std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Carroll County Average+0.65 HPRD
3.90
04.55 HPRD
vs. Iowa State Average+0.73 HPRD
3.82
04.55 HPRD
vs. National Average+0.65 HPRD
3.90
04.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Thomas Rest Haven ★
COON RAPIDS · This facility
—
C
4.54780.5163★★☆☆☆
Regency Park Nursing & Rehab Center of Carroll
Carroll
15.9 mi
C
3.74820.5255★★★★★
Friendship Home Association
Audubon
16.8 mi
B
3.69340.6987★★★★★
Regency Park Nursing & Rehab Center of Jefferson
Jefferson
17.9 mi
B
3.51650.671★★★★☆
Panora Specialty Care
Panora
20.6 mi
C
3.44020.7096★★★☆☆
Salem Lutheran Home
Elk Horn
27.5 mi
D
2.94530.5758★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
17
Total Deficiencies
$0
Fines Assessed
Sep 18, 2025Health
8 deficiencies cited
▼
Apr 9, 2025Health
1 deficiency cited· Includes actual harm
▼
Oct 17, 2024Health
4 deficiencies cited
▼
Jul 27, 2023Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.