Occupancy rate
78%
In line with Iowa averageMix 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.
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Nursing Home
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
77.6%
Residents per day (avg)
49
Occupancy rate
77.6%
Residents per day (avg)
49
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Operated by a business corporation.
Home revenue
$6.8M
Profit
$878.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$6,821,145.00
Profit
$878,892.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.6M
58-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
45 / 58
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Iowa
Additional licensing details
License number:
480183
CMS Certification Number:
165614
Certification type:
FALSE
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
Email:
[email protected]
Fax:
3196423822
Additional Policies & Features
Minimum Age:
60
Housekeeping:
Yes
Linen Service:
Yes
Amenities & Lifestyle
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
Show Inspection Reports
Latest inspection
Date:December 29, 2025
42 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Rose Haven Nursing Home
The most recent inspection on December 29, 2025 found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies related primarily to resident care issues, including medication administration, abuse and neglect investigations, and quality of care concerns. Several complaint investigations substantiated failures in timely abuse reporting, resident dignity and supervision, and medication management, with one instance of Immediate Jeopardy related to resident elopement in late 2023 that was promptly resolved. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with recent plans of correction accepted and the latest inspection indicating compliance.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Mar 2025
Total health citations
26
Iowa average 21.7
Citations per inspection
4.33
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 26 citations resulted from standard inspections; 7 of 26 resulted from complaint investigations; and 4 of 26 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
1 critical citation
0 serious citations
23 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 10, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 10, 2025
Corrected
Administration minor citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 10, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 10, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 10, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 10, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Rose Haven Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Marengo
60
74.6%
-1%
3.57
-17%
1
26
1
49
-
$5,7M
$1,9M
33.8%
165614
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Rose Haven Nursing Home
0.0 miles from city center
1500 N Franklyn Avenue, Marengo, IA 523011399
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
78
Employees
57
Contractors
21
Staff to resident ratio
1.66:1
17% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
28
Average shift
7 hours
5% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,709
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.9%
1,397 contractor hours this quarter
Registered Nurse: 7
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Qualified Social Worker: 2
Administrator: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 39 | 0 | 39 | 10,315 | 91 | 100% | 7 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,815 | 91 | 100% | 8.1 |
| Registered Nurse | 4 | 7 | 11 | 1,705 | 91 | 100% | 6.4 |
| Administrator | 1 | 1 | 2 | 963 | 75 | 82% | 9.4 |
| Dental Services Staff | 2 | 0 | 2 | 655 | 65 | 71% | 7.5 |
| Dietitian | 1 | 0 | 1 | 504 | 69 | 76% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 392 | 57 | 63% | 5.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 388 | 65 | 71% | 5.1 |
| Nurse Practitioner | 1 | 0 | 1 | 372 | 45 | 49% | 8.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 224 | 48 | 53% | 4.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 153 | 32 | 35% | 4.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 117 | 30 | 33% | 3.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 27 | 30% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 3 | 3% | 11.3 |
| Qualified Social Worker | 0 | 2 | 2 | 11 | 14 | 15% | 0.8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
39 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
100%
2 Administrator
% of Days
82%
2 Dental Services Staff
% of Days
71%
1 Dietitian
% of Days
76%
3 Other Dietary Services Staff
% of Days
63%
2 Speech Language Pathologist
% of Days
71%
1 Nurse Practitioner
% of Days
49%
2 Physical Therapy Aide
% of Days
53%
1 Physical Therapy Assistant
% of Days
35%
3 Respiratory Therapy Technician
% of Days
33%
1 Occupational Therapy Aide
% of Days
30%
1 Occupational Therapy Assistant
% of Days
3%
2 Qualified Social Worker
% of Days
15%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
47 residents
Residents by payment source
Medicare
7 residents (14.9%)
Medicaid
21 residents (44.7%)
Private pay or other
19 residents (40.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
10% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
6% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.2%
Percent of long-stay residents whose need for help with daily activities has increased
19.2%
In line with Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.6%
Percent of long-stay residents whose ability to move independently worsened
14.6%
26% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
5% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
8% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
7% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
76% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
24% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
69% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.7%
Percent of long-stay residents who received an antipsychotic medication
4.7%
75% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
5% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
18% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
79% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$10K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Rose Haven Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
74.6%
↑ 3.9pp vs 2022
Net Income
$878,892
↑ ~$1.3M vs 2022
Total Payroll
$3,305,237
↑ ~$435K vs 2022
Profit Margin
15.4%
↑ 25.0pp vs 2022
Loading trend charts...
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