Rose Haven Nursing Home

Rose Haven Nursing Home is a Nursing Home in Iowa

Rose Haven Nursing Home is a Nursing Home in Iowa

Rose Haven Nursing Home

Marengo, IA 523011399 View Map

Rose Haven Nursing Home is a Nursing Home in Iowa

Rose Haven Nursing Home is a Nursing Home in Iowa

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Overview of Rose Haven Nursing Home
Rose Haven Nursing Home is located in Marengo, Iowa, and provides short-term rehabilitation and long-term skilled nursing care. The facility is dedicated to quality nursing care and offers personalized care plans, engaging lifestyle activities, and a supportive community. It is a 58-bed facility that emphasizes dignity, safety, and quality of life for its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.57/day Iowa avg: 4.30/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Iowa avg: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Iowa avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Iowa avg: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 58

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 74.6%
Residents per day (avg) 49
Occupancy rate
74.6%
Residents per day (avg)
49

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

39% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 5 months

Finances and operations

Proprietary home
Corporation
Home revenue
$6.8M
Profit
$878.9K
Proprietary home Corporation
Home revenue
$6,821,145.00
Profit
$878,892.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
28.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
Total costs $5.6M
Bed community size
58-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy Rate
78%
Occupied Beds
45 of 58
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Free Standing NF/SNF

Additional licensing details

License number: 480183
CMS Certification Number: 165614
Certification type: FALSE
County: Iowa
Accreditations: 2025 Bronze National Quality Award
Awards: 2025 Bronze National Quality Award

Ownership & operating entity

Rose Haven Nursing Home is administrated by Tereni Kepler.

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing

Contact Information

Fax: 3196423822

Additional Policies & Features

Minimum Age: 60
Housekeeping: Yes
Linen Service: Yes

Amenities & Lifestyle

24 hour nursing care
physical therapy
occupational therapy
speech therapy
dietary consultation
housekeeping
laundry services
social services
activities
lab services

Programs & Activities

Activities
Engaging lifestyle and activities including music, games, and seasonal events.
Specific Programs
Personalized Care Plans, Short-Term Rehabilitation, Long-Term Care, Engaging Lifestyle & Activities

Dining & Nutrition

Food Description
Dietary consultation and meal services provided.

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

23 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:December 29, 2025

42 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4/5
4.7098
4/5
5/5
1/5
-
4
-
+15%
+10%
+30%
Accura HealthCare of Carlisle
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
4/5
5.8515
3/5
5/5
4/5
-
17
2
-40%
+36%
+7%
Rose Haven Nursing Home
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 523011399
60
No
-
74.6%
$5,703,319.00
$1,927,529.00
33.8%
48.50
3/5
3.5724
3/5
3/5
3/5
1
26
1
+22%
-17%
-1%
Accura Healthcare of Spirit Lake
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
1/5
4.2922
1/5
4/5
3/5
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
1/5
5.1665
1/5
4/5
1/5
4
39
4
-33%
+20%
-7%

Places of interest near Rose Haven Nursing Home

Address Marengo, IA 523011399

Address Marengo, IA 523011399

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

78
Total Staff
57
Employees
21
Contractors
17,709
Total Hours (Quarter)
28
Avg Staff/Day
7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse116.4 Yes
Licensed Practical Nurse68.1 No
Certified Nursing Assistant397 No
Staff by Category
Administration
3 staff
9.2hs shift avg
Nursing Staff
56 staff
7.1hs shift avg
Physicians & Practitioners
1 staff
8.3hs shift avg
Therapy Services
10 staff
4.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
0.8hs shift avg
Dietary Services
4 staff
6.4hs shift avg
Other Services
2 staff
7.5hs shift avg
Contractor Analysis
7.9%
of total hours from contractors
1,397 contractor hours this quarter
Physical Therapy Aide: 2 Registered Nurse: 7 Administrator: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 3 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant3903910,31591100%7
Licensed Practical Nurse6061,81591100%8.1
Registered Nurse47111,70591100%6.4
Administrator1129637582%9.4
Dental Services Staff2026556571%7.5
Dietitian1015046976%7.3
Other Dietary Services Staff3033925763%5.5
Speech Language Pathologist0223886571%5.1
Nurse Practitioner1013724549%8.3
Physical Therapy Aide0222244853%4.5
Physical Therapy Assistant0111533235%4.8
Respiratory Therapy Technician0331173033%3.9
Occupational Therapy Aide011562730%2.1
Occupational Therapy Assistant0113433%11.3
Qualified Social Worker022111415%0.8
Medical Director011633%2

Health Inspection History

Total Health inspections 6
22% above Iowa average
Iowa average: 4.9

Last Health inspection on Mar 2025

Total Health citations 26
20% above Iowa average
Iowa average: 21.7

4.33 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 19 citations
Complaint investigations 11 citations
Breakdown of citations
Critical Health citations 1
67% above Iowa average
Iowa average: 0.6
Serious Health citations 0
100% below Iowa average
Iowa average: 0.9
Moderate Health citations 23

Minor Health citations 2
Citations history (last 3 years)
Abuse/Neglect moderate citation Mar 10, 2025
Corrected

Abuse/Neglect moderate citation Mar 10, 2025
Corrected

Administration minor citation Mar 10, 2025
Corrected

Quality of Care moderate citation Mar 10, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Resident Census by Payment Source
47 Total Residents
Medicare 7 (14.9%)
Medicaid 21 (44.7%)
Private Pay/Other 19 (40.4%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 9.2
10% better than Iowa average
Iowa average: 10.2
Functional decline score 20.4
6% better than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 19.2%
2% above Iowa average.

Walking Ability Worsened 14.6%
26% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 27.5%
5% above Iowa average.
Safety & clinical stability

Falls with Major Injury 3.9%
8% above Iowa average.

High Risk Residents with Pressure Ulcers 4.7%
7% above Iowa average.

Urinary Tract Infection 0.6%
76% below Iowa average.
Emotional & behavioral wellbeing

Depressive Symptoms 1.2%
69% below Iowa average.

Antipsychotic Use 4.7%
75% below Iowa average.
Preventive care

Pneumococcal Vaccine 93.3%
1% below Iowa average.

Influenza Vaccine 95.8%
1% above Iowa average.
Nutrition & physical health

Lost Too Much Weight 3.8%
24% below Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 89.2%

5% better than Iowa average
Antipsychotic medication increase 0.0%

100% better than Iowa average
Influenza Vaccine 86.2%

18% better than Iowa average

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $10K
This home paid 79% less in fines than the state average.
Iowa average: $48K
Number of Fines 1
This home received 41% fewer fines than the state average.
Iowa average: 1.7
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Iowa average: 0.5
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Nov 7, 2023
$10K

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

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Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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