Rose Haven Nursing Home

Nursing Home, Independent Living & Skilled Nursing · Marengo, IA

CMS overall rating

1500 N Franklyn Avenue, Marengo, Ia 523011399 View map

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Rose Haven Nursing Home accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Rose Haven Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Rose Haven Nursing Home

Rose Haven Nursing Home is a 58-bed facility in Marengo, Iowa, run by administrator Tereni Kepler. The building operates at roughly 78 percent occupancy and handles billing through private pay alongside Medicare and Medicaid. Lengths of stay average around 93 days, which means the daily routine balances short-term, post-hospital recovery therapies with traditional extended nursing placements.

The on-floor nursing team provides an average of 3 hours and 34 minutes of direct daily care to each resident. Registered nurses account for 32 minutes of this daily care, working alongside nurse aides to manage physical, occupational, and speech therapy routines. The facility coordinates music sessions, group games, and dietary consultations for tailored meals to support daily life. The town setting has a walkability score of 47 out of 100, indicating that while you can handle a few minor errands on foot, a short drive is required for most trips.

Families can reach out to the admissions office to check on current room openings, look over the seasonal events calendar, or plan a walkthrough of the therapy rooms. The business desk can also help verify your financial eligibility and clarify how Medicare or state aid programs handle short-term recovery costs.

Facility Direct Line (319) 642-5533 ap@rosehavennursinghome.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 34m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	32m per day	▼ 26% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	21m per day	▼ 39% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 27m per day	▼ 4% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 55m per day	▼ 13% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 52% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	22m per day	▼ 25% State avg: 30m per day · National avg: 28m per day

Capacity and availability

93 days

58-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 47 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

78%

Similar to the Iowa average: 75.4%

Occupied beds

45 / 58

Average occupied beds in Iowa homes 51 beds

2025 Bronze National Quality Award

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

CountyIowa

License Number480183

CMS Certification Number165614

Certification TypeFALSE

Rose Haven Nursing Home is administered by Tereni Kepler.

Rehabilitation Services

24-Hour Staffing

Email tkepler@rosehavennursinghome.com

Fax3196423822

Pets not allowed

Minimum Age60

HousekeepingYes

Linen ServiceYes

24 Hour Nursing Care

Physical Therapy

Occupational Therapy

Speech Therapy

Dietary Consultation

Housekeeping

Laundry Services

Activities

Lab Services

Since 2020 · 6 years of data 79 deficiencies 23 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection December 29, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	79	27	This facility has 193% more total deficiencies than a typical Iowa assisted living residence (79 vs. IA avg 27).↑ 193% worse
Deficiencies per year Average deficiencies per year since 2020.	13.2	4.5	This facility has 193% more deficiencies per year than a typical Iowa assisted living residence (13.2 vs. IA avg 4.5).↑ 193% worse
Deficiencies per inspection Average deficiencies per inspection.	3.4	1.8	This facility has 89% more deficiencies per inspection than a typical Iowa assisted living residence (3.4 vs. IA avg 1.8).↑ 89% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	23	15	This facility has had 53% more total inspections than the Iowa average (23 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 53% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 11, 2025 complaint investigation substantiated multiple abuse-related deficiencies, including failure to prevent physical abuse, timely report, separate perpetrator, and delayed infection care interventions.
December 8, 2025 annual inspection found 8 deficiencies involving abuse prevention, medication self-administration, psychotropic drug monitoring, insulin administration, and failure to separate alleged abuser from residents.
December 29, 2025 plan of correction accepted, certifying the facility in substantial compliance with health requirements and closing prior deficiencies.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

4.33

State average N/A

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

23 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 4 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

Total staff 69

Employees 55

Contractors 14

Staff to resident ratio 1.47 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,008

Nursing staff breakdown

8.7 hours

8.3 hours

7.1 hours

Contractor staffing

834 contractor hours this quarter

Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Occupational Therapy Aide: 2 Physical Therapy Aide: 1 Registered Nurse: 1 Administrator: 1 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	38	0	38	9,993	92	100%	7.1
Licensed Practical Nurse	3	0	3	1,409	92	100%	8.3
Registered Nurse	5	1	6	1,296	91	99%	8.7
Administrator	1	1	2	535	65	71%	7.6
Dental Services Staff	1	0	1	505	63	68%	8
Nurse Practitioner	2	0	2	494	58	63%	8.5
Other Dietary Services Staff	3	0	3	427	68	74%	5.4
Clinical Nurse Specialist	1	0	1	423	58	63%	7.3
Speech Language Pathologist	0	1	1	327	64	70%	5.1
Physical Therapy Aide	0	1	1	192	51	55%	3.8
Dietitian	1	0	1	113	17	18%	6.6
Physical Therapy Assistant	0	1	1	108	25	27%	4.3
Occupational Therapy Aide	0	2	2	70	17	18%	4.1
Respiratory Therapy Technician	0	3	3	66	27	29%	2.3
Occupational Therapy Assistant	0	1	1	34	3	3%	11.2
Qualified Social Worker	0	2	2	12	14	15%	0.9
Medical Director	0	1	1	6	3	3%	2

38 Certified Nursing Assistant

% of Days 100%

3 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 99%

2 Administrator

% of Days 71%

1 Dental Services Staff

% of Days 68%

2 Nurse Practitioner

% of Days 63%

3 Other Dietary Services Staff

% of Days 74%

1 Clinical Nurse Specialist

% of Days 63%

1 Speech Language Pathologist

% of Days 70%

1 Physical Therapy Aide

% of Days 55%

1 Dietitian

% of Days 18%

1 Physical Therapy Assistant

% of Days 27%

2 Occupational Therapy Aide

% of Days 18%

3 Respiratory Therapy Technician

% of Days 29%

1 Occupational Therapy Assistant

% of Days 3%

2 Qualified Social Worker

% of Days 15%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $10K

79% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $10K

State average $48K

Penalty History

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

1 penalty in the past 3 years

Nov 7, 2023 · $10K

Civil Money Penalty Nov 7, 2023

$10K

Last updated: Jan 2026

High-risk clinical events score 9.2

10% better than State average

State average: 10.2

Functional decline score 20.4

6% better than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 19.2%

In line with State average

State average: 18.8%

Walking Ability Worsened 14.6%

26% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 27.5%

5% worse than State average

State average: 26.2%

Falls with Major Injury 3.9%

8% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 4.7%

7% worse than State average

State average: 4.4%

Urinary Tract Infection 0.6%

76% better than State average

State average: 2.5%

Lost Too Much Weight 3.8%

24% better than State average

State average: 5.0%

Depressive Symptoms 1.2%

69% better than State average

State average: 3.9%

Antipsychotic Use 4.7%

75% better than State average

State average: 19.0%

Pneumococcal Vaccine 93.3%

In line with State average

State average: 94.4%

Influenza Vaccine 95.8%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 2.62

77% worse than State average

State average: 1.48

ED visits per 1,000 days 4.35

108% worse than State average

State average: 2.09

Short-stay resident measures

Significantly above average State avg: 2.6

Pneumococcal Vaccine 89.2%

5% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 86.2%

18% better than State average

State average: 73.3%

Re-hospitalized after SNF stay 5.7%

73% better than State average

State average: 21.3%

Emergency department visits 8.1%

38% better than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 58.1%

8% better than State average

State average: 53.7%

Successful return to home or community 39.8%

21% worse than State average

State average: 50.6%

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

Total residents 47

Medicare

14.9% of residents

Medicaid

44.7% of residents

Private pay or other

40.4% of residents

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.

Financial Trends

Historical financial and operational data for Rose Haven Nursing Home from 2017–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 11/2023.

Occupancy Rate 74.6% ↑ 3.9pp vs 2022

Net Patient Income $108.5K ↑ ~$470.7K vs 2022

Payroll Costs $2.2M ↑ ~$166.7K vs 2022

Operating Margin 2.2% ↑ 11.5pp vs 2022

Metric	2017	2018	2019	2020	2021	2022	2023
Occupancy %	79.0%	80.0%	91.1%	80.6%	70.6%	70.7%	74.6%
Beds	60	60	60	60	60	60	60
Net Income	-$91,031	-$5,383	$227,243	-$73,536	$839,046	-$426,136	$878,892
Gross Revenue	$3,790,058	$4,276,668	$4,661,004	$4,268,081	$4,095,212	$4,425,244	$5,703,319
Operating Expenses	$3,316,577	$3,543,530	$3,618,509	$3,738,828	$3,696,688	$4,251,653	$4,818,120
Net Patient Income	-$36,800	$8,027	$358,248	$115,137	-$82,066	-$362,218	$108,456
Net Patient Revenue	$3,279,777	$3,551,557	$3,976,757	$3,853,965	$3,614,622	$3,889,435	$4,926,576
Payroll Costs	$1,816,245	$1,903,425	$1,949,464	$2,118,175	$1,947,902	$2,043,485	$2,210,185
Operating Margin %	-1.1%	0.2%	9.0%	3.0%	-2.3%	-9.3%	2.2%
Medicare %	4.9%	10.0%	6.4%	4.8%	6.6%	7.0%	10.4%
Medicaid %	44.6%	54.3%	52.0%	49.3%	43.2%	35.1%	44.3%
Private %	50.4%	35.7%	41.6%	45.9%	50.3%	57.9%	45.4%
Net Patient Revenue/Day	$190	$203	$199	$218	$234	$251	$302
Cost/Day	$192	$202	$181	$211	$239	$274	$295
Avg Length of Stay	200.6 days	181.9 days	173.1 days	256.0 days	191.9 days	158.6 days	92.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 11/2023.

Net patient revenue

$4.9M

Net patient income

$108.5K

For-profit Corporation

Net patient revenue

$4.9M

Net patient income

$108.5K

Other income

$1.1M

Payroll costs

$2.2M 44.9% of net patient revenue

Other operating costs

$2.6M

Total costs

$4.8M

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.

New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 32%

Private pay 39%

Medicaid 28%

Coverage residents most often leave under.

Medicare 32%

Private pay 45%

Medicaid 23%

0.0 miles from city center Estimated distance in miles from Marengo's city center to Rose Haven Nursing Home's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Rose Haven Nursing Home	NH IL SNF	Marengo	-	58	-	47	-

Nursing Home Explorer

Is Rose Haven Nursing Home in a walkable area?

Rose Haven Nursing Home has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Rose Haven Nursing Home?

According to IA state health department records, Rose Haven Nursing Home's license number is 480183.

What is the occupancy rate at Rose Haven Nursing Home?

Rose Haven Nursing Home's occupancy is 78%.

Are pets allowed at Rose Haven Nursing Home?

No, Rose Haven Nursing Home has a no-pet policy.

What is the best email address for Rose Haven Nursing Home?

The team at Rose Haven Nursing Home can be reached at tkepler@rosehavennursinghome.com.

Does Rose Haven Nursing Home operate as a for-profit or non-profit?

Rose Haven Nursing Home is registered as a for-profit in IA.

Who is the administrator of Rose Haven Nursing Home?

Tereni Kepler is the administrator of Rose Haven Nursing Home.

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Rose Haven Nursing Home

Overview of Rose Haven Nursing Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Rose Haven Nursing Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

38 Certified Nursing Assistant

3 Licensed Practical Nurse

6 Registered Nurse

2 Administrator

1 Dental Services Staff

2 Nurse Practitioner

3 Other Dietary Services Staff

1 Clinical Nurse Specialist

1 Speech Language Pathologist

1 Physical Therapy Aide

1 Dietitian

1 Physical Therapy Assistant

2 Occupational Therapy Aide

3 Respiratory Therapy Technician

1 Occupational Therapy Assistant

2 Qualified Social Worker

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Rose Haven Nursing Home

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