Thomas Rest Haven
Thomas Rest Haven in Coon Rapids, IA — inspection on September 18, 2025.
Found 8 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
that staff should set up follow up per-shift assessments with any incident on hot chart form to support evaluating for changes and documenting regarding effectiveness of interventions and resident status.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Thomas Rest Haven
217 Main Street Coon Rapids, IA 50058
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2025-09-18.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
According to the Imaging Report dated 8/12/25, an exam of left wrist showed fractures of the fourth and fifth metacarpals. On 9/16/25 at 7:52 AM, the Administrator said that she came into the facility at 4 AM on 8/9/25 when the nurse said that the morning it was discovered the swollen hand.
She looked at it with the nurse and told him to call the doctor and to document.
She said that she found out later he hadn't contacted the doctor. In the process of investigating the residents falls she discovered that skin assessments were not getting completed.
The Administrator maintained that the wife had not expressed concerns about the swelling, nor did she ask for an X-Ray.
According to a document used to educate nursing staff, titled: Nursing Standards of Practice, page 11, When documenting a change in donation or resident issue in the progress notes, it must be followed up with an appropriate solution or plan and order follow up assessment if needed.
Notify the physician as needed with changes for further direction.
Assess and notify the physician of concerns and follow orders as directed.
Page 14 indicated that staff should set up follow up per-shift assessments with any incident on hot chart form to support evaluating for changes and documenting regarding effectiveness of interventions and resident status.
Facility ID:
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-09-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
Federal health inspectors cited Thomas Rest Haven in COON RAPIDS, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-18.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Thomas Rest Haven.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.