Thomas Rest Haven: Staffing, Turnover, and Inspection Record
Thomas Rest Haven is a 57-bed government-run nursing home in Coon Rapids, Iowa. In the CMS August 2026 release it reported 3.25 nurse aide hours per resident per day, 30% above the Iowa average of 2.51, and 46.5% nursing staff turnover (Iowa average 44.0%).
Thomas Rest Haven
217 Main StreetCoon Rapids, IA 50058
Carroll County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Thomas Rest Haven, nurse aides logged 3.25 hours per resident per day, 30% above the Iowa average. With about 35 residents a day, that works out to roughly 114 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.25 | 2.51 | 2.32 |
| Licensed practical nurses | 0.81 | 0.56 | 0.86 |
| Registered nurses | 0.65 | 0.74 | 0.69 |
| All nursing staff | 4.71 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.97 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
46.5% of nursing staff at Thomas Rest Haven left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 60.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $11,190 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 15, 2026 | Fine | $11,190 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Thomas Rest Haven holds 2 of 5 overall; the Iowa average is 3.1.
About Thomas Rest Haven
- Ownership: Government - City/county
- Medicare and Medicaid certified since: Oct 1, 1997
- Councils: resident council
- Area: rural
Nursing homes near Thomas Rest Haven
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Regency Park Nursing & Rehab Center of Carroll Carroll | 15.9 | 46 | 2.19 | 3.48 | — | 5 | None |
| St Anthony Senior Services Carroll · abuse citation | 16.0 | 79 | 2.69 | 3.87 | — | 1 | $12,038 |
| The New Homestead Care Center Guthrie Center | 16.4 | 58 | 2.58 | 3.47 | 56.3% | 3 | None |
| Friendship Home Association Audubon | 16.9 | 46 | 2.66 | 3.92 | 60.5% | 4 | $11,536 |
| Accura Healthcare of Carroll Carroll | 17.8 | 65 | 1.71 | 2.93 | 44.2% | 1 | None |
| Regency Park Nursing & Rehab Center of Jefferson Jefferson | 18.0 | 46 | 1.97 | 3.04 | 97.5% | 4 | None |
| Panora Specialty Care Panora | 20.7 | 46 | 1.61 | 2.90 | 50.0% | 3 | None |
| Exira Care Center Exira | 22.3 | 60 | 2.42 | 3.74 | 50.0% | 2 | $22,880 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.