Thomas Rest Haven: Respiratory Care Failure - IA
The citation, issued September 18, flagged the facility for failing to provide safe and appropriate respiratory care for a resident when needed. Inspectors classified it as an isolated incident with no documented actual harm, but with potential for more than minimal harm. That distinction matters: it means no one was recorded as injured, but the conditions were serious enough that someone could have been.
Respiratory care in a nursing home setting covers a range of interventions, from oxygen delivery and suctioning to the management of ventilators and inhalers. When it breaks down, the consequences can move fast. A resident who isn't getting the right support for their airway doesn't have much margin.
The deficiency fell under the category of Quality of Life and Care, a broad federal designation that covers the hands-on clinical work nursing homes are expected to perform every day. It is not a paperwork violation. It describes something that did or didn't happen at a bedside.
Thomas Rest Haven reported the problem corrected by September 25, one week after inspectors walked out the door. Whether that timeline reflects a swift fix or a swift response to regulatory pressure is not something the inspection record answers.
What the record does show is that respiratory care was not the only concern. Seven other deficiencies were cited during the same inspection. The full scope of those findings is not detailed here, but eight citations from a single complaint inspection at a small-town Iowa facility is not a routine outcome. Complaint inspections are triggered by a specific allegation, not a scheduled calendar visit. Someone contacted regulators about something happening at Thomas Rest Haven before inspectors arrived.
Coon Rapids is a town of roughly 1,200 people in Carroll County, in west-central Iowa. For residents of Thomas Rest Haven and their families, the facility is not an abstract institution. It is where someone's mother or father or spouse lives, where the staff know them by name, where the quality of care on any given shift is the difference between a stable day and a crisis.
The federal severity scale that inspectors use runs from A to L. A, B, and C represent no actual harm and no potential for more than minimal harm. D, where this citation landed, is the first level at which regulators determine the potential for real harm exists. It is also the most common severity level cited across the country, which sometimes leads families to underestimate what it means. Potential for more than minimal harm is the threshold at which the system says: this was not acceptable, and something worse was possible.
The facility's reported correction date of September 25 closes the administrative loop, at least on paper. Inspectors may return to verify. They may not. The correction status listed in the federal record is self-reported by the provider, meaning Thomas Rest Haven told regulators the problem was fixed. Independent verification is not guaranteed by the citation process itself.
For the resident at the center of the respiratory care finding, the inspection report does not say what happened next. It does not say whether they recovered, whether their condition worsened, or whether they are still a resident at the facility. The record captures a moment, a finding, a severity level, and a date. The person behind it remains unnamed.
That is often how these reports work. The regulatory language is precise about what was deficient and vague about who bore the cost of it. A citation under F0695 describes a failure to provide safe respiratory care. It does not describe what it felt like to be the resident who needed that care and didn't receive it correctly, or the family member who may have been the one to make the call to regulators in the first place.
Eight deficiencies. One of them involving a resident's ability to breathe safely. A one-week correction window. These are the facts Thomas Rest Haven's inspection record now contains, and they will remain in the federal database regardless of what the facility reports having fixed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Thomas Rest Haven from 2025-09-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Thomas Rest Haven in Coon Rapids, IA was cited for violations during a health inspection on September 18, 2025.
The citation, issued September 18, flagged the facility for failing to provide safe and appropriate respiratory care for a resident when needed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.