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.
According to a document used to educate nursing staff, titled: Nursing Standards of Practice dated 2024, page 11, When documenting a change in condition 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.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
165358 09/18/2025
Thomas Rest Haven 217 Main Street Coon Rapids, IA 50058
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 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.
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.