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Rose Haven Nursing Home
Nursing Home, Independent Living & Skilled Nursing · Marengo, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Rose Haven Nursing Home sign and building Exterior sign of Rose Haven Nursing Home with landscaping Exterior view of Rose Haven Nursing Home with trees Front entrance of a nursing home with an American flag Entrance of Rose Haven Nursing Home with accessible parking

Rose Haven Nursing Home

Nursing Home, Independent Living & Skilled Nursing · Marengo, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1500 N Franklyn Avenue, Marengo, IA 52301-1399 View map Calculator: See prices in your area
Rose Haven Nursing Home accepts Medicare, Medicaid, and private pay.
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Rose Haven Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Rose Haven Nursing Home

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 2.1% Below IA avg. ▼ 2.1% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 5.2% Above IA avg. ▲ 5.2% Above IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 15.4% Below IA avg. ▼ 15.4% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 22.2% Above IA avg. ▲ 22.2% Above IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Iowa averages

Rank #164 / 231Nurse hours — State benchmarkedThis home is ranked 164th out of 231 homes we track in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 231 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 164th out of 231 homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 47m

12% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
34m
−24% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
23m
−34% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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 51m
+12% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
3h 22m
Avg State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−58% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
20m
−33% State avg: 30m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Nurse Aide is +12% above Iowa average

Capacity and availability

Residents per day
45
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
93 days
Bed community size
58-bed community Rank #226 / 403Bed count — State benchmarkedThis home is ranked 226th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 47 / 100 Rank #245 / 504Walk Score — State benchmarkedThis home is ranked 245th out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
78%
Rank #143 / 362Occupancy rate — State benchmarkedThis home is ranked 143rd out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Iowa average: 75.4%
Occupied beds
45 / 58
Average occupied beds in Iowa homes 51 beds

Awards

2025 Bronze National Quality Award

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
CountyIowa
License Number480183
CMS Certification Number165614
Certification TypeFALSE

Ownership & Operating Entity

Rose Haven Nursing Home is administered by Tereni Kepler.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Email tkepler@rosehavennursinghome.com
Fax3196423822

Additional Policies & Features

Pets not allowed
Minimum Age60
HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

Housekeeping
Laundry
Activities
ActivitiesEngaging lifestyle and activities including music, games, and seasonal events
Specific ProgramsPersonalized Care Plans, Engaging Lifestyle & Activities

Contact Rose Haven Nursing Home

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.

Since 2020 · 6 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 79 deficiencies 25 inspections

Inspection Scorecard Info 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 1 Worse Metrics worse than Iowa average:
• Total deficiencies (193% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7927 This facility has 193% more total deficiencies than a typical Iowa nursing home (79 vs. IA avg 27).↑ 193% worse

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

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2515 This facility has had 67% more total inspections than the Iowa average (25 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 67% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 6

State average 4.9

Last Health inspection on Mar 2025

Total health citations
26 Rank #161 / 232Health citations — State benchmarkedThis home is ranked 161st out of 232 homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 232 IA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 21.7

Citations per inspection
4.33 Rank #139 / 232Citations per inspection — State benchmarkedThis home is ranked 139th out of 232 homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 232 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 4 years)
Critical health citations
1
67% worse than State average

State average: 0.6

Serious health citations
0
100% better than State average

State average: 0.9

1 critical citation State average: 0.6
0 serious citations State average: 0.9
23 moderate citations State average: 19.7
2 minor citations State average: 0.5
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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 69
Employees 55
Contractors 14
Staff to resident ratio 1.47 : 1
28% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 25
Average shift 7 hours
5% worse than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 16,008

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 6 total: 5 full-time employees and 1 contractor. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 3 LPN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 38 CNA Staff are full-time employees. No contractors work on this role. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.2%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant380389,99392100%7.1
Licensed Practical Nurse3031,40992100%8.3
Registered Nurse5161,2969199%8.7
Administrator1125356571%7.6
Dental Services Staff1015056368%8
Nurse Practitioner2024945863%8.5
Other Dietary Services Staff3034276874%5.4
Clinical Nurse Specialist1014235863%7.3
Speech Language Pathologist0113276470%5.1
Physical Therapy Aide0111925155%3.8
Dietitian1011131718%6.6
Physical Therapy Assistant0111082527%4.3
Occupational Therapy Aide022701718%4.1
Respiratory Therapy Technician033662729%2.3
Occupational Therapy Assistant0113433%11.2
Qualified Social Worker022121415%0.9
Medical Director011633%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%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023

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 Rank #155 / 239Federal fines — State benchmarkedThis home is ranked 155th out of 239 homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 239 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
79% lower than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa 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.

1 penalty in the past 3 years

Nov 7, 2023 · $10K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 7, 2023
$10K

Last updated: Jan 2026

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 Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.4
6% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly above average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.2%
In line with Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.6%
26% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.5%
5% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
8% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.7%
7% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
76% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.8%
24% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
69% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.7%
75% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.62
77% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.35
108% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.2%
5% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 86.2%
18% better than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 5.7%
73% better than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.1%
38% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 58.1%
8% better than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.8%
21% worse than Iowa average

Iowa average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 47
Medicare
7
14.9% of residents
Medicaid
21
44.7% of residents
Private pay or other
19
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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$108.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.9M Rank #145 / 224Net patient revenue — State benchmarkedThis home is ranked 145th out of 224 homes we track in Iowa. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$108.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #188 / 224Payroll costs — State benchmarkedThis home is ranked 188th out of 224 homes we track in Iowa. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.2M 44.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #210 / 224Payroll % of net patient revenue — State benchmarkedThis home is ranked 210th out of 224 homes we track in Iowa. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.8M
How we calculate these figures

This home is administered by Tereni Kepler.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165614

Show certification details

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.

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

Admissions
170 total

Coverage residents most often arrive under.

Medicare 32%
Private pay 39%
Medicaid 28%
Discharges
176 total

Coverage residents most often leave under.

Medicare 32%
Private pay 45%
Medicaid 23%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Rose Haven Nursing Home

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

Calculate Travel Distance to Rose Haven Nursing Home

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bethany Home Retirement Center ★ ★ ★ ★ ★
NH
IL
MC
SNF
Dubuque (Eagle Point District)
66
Facility 66
IA AVG 72
Rank #181 / 403
--
5.47
Facility 5.47
IA AVG 4.30
Rank #17 / 231
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ 0%+27%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
2
Facility 2
IA AVG 21.7
Rank #6 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
-67-
69
Facility 69
IA AVG 47
Rank #103 / 504
Mike Brannon
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #42 / 224
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #32 / 224
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #43 / 224
165584
Friendship Village ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 72
Rank #143 / 403
91.7%
Facility 91.7%
IA AVG 67
Rank #40 / 362
+37%
5.78
Facility 5.78
IA AVG 4.30
Rank #9 / 231
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +5%+34%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
8
Facility 8
IA AVG 21.7
Rank #44 / 232
2.0
Facility 2.0
IA AVG 4.1
Rank #19 / 232
166-
52
Facility 52
IA AVG 47
Rank #202 / 504
Friends Of Faith Retirement Homes, Inc
$14.2MFiscal year ending 03/2024
Facility $14.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #10 / 224
$11.6MFiscal year ending 03/2024
Facility $11.6MFiscal year ending 03/2024
IA AVG $4.2M
Rank #6 / 224
81.4%Fiscal year ending 03/2024
Facility 81.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #14 / 224
165081
St Francis Manor ★ ★ ★ ★ ★
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 72
Rank #119 / 403
69.2%
Facility 69.2%
IA AVG 67
Rank #195 / 362
+3%
5.66
Facility 5.66
IA AVG 4.30
Rank #13 / 231
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +34%+32%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
1
Facility 1
IA AVG 21.7
Rank #1 / 232
1.0
Facility 1.0
IA AVG 4.1
Rank #1 / 232
-54-
82
Facility 82
IA AVG 47
Rank #39 / 504
St Francis Manor Inc
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #82 / 224
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #50 / 224
69.4%Fiscal year ending 12/2023
Facility 69.4%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #38 / 224
165480
Prairie Vista Village ★ ★ ★ ★ ★
NH
AL
IL
SNF
South Altoona
68
Facility 68
IA AVG 72
Rank #170 / 403
50.0%
Facility 50.0%
IA AVG 67
Rank #254 / 362
-25%
4.82
Facility 4.82
IA AVG 4.30
Rank #57 / 231
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -20%+12%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
1.3
Facility 1.3
IA AVG 4.1
Rank #8 / 232
-34A
29
Facility 29
IA AVG 47
Rank #371 / 504
John Freeman
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #43 / 224
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #102 / 224
40.8%Fiscal year ending 12/2023
Facility 40.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #221 / 224
165610
Rose Haven Nursing Home ★ ★ ★ ☆ ☆
NH
IL
SNF
Marengo
58
Facility 58
IA AVG 72
Rank #226 / 403
77.6%
Facility 77.6%
IA AVG 67
Rank #143 / 362
+16%
3.78
Facility 3.78
IA AVG 4.30
Rank #164 / 231
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -25%-12%
$10.1k
Facility $10.1k
IA AVG $53.4k
Rank #155 / 239
26
Facility 26
IA AVG 21.7
Rank #161 / 232
4.3
Facility 4.3
IA AVG 4.1
Rank #139 / 232
145-
47
Facility 47
IA AVG 47
Rank #245 / 504
-
$4.9MFiscal year ending 11/2023
Facility $4.9MFiscal year ending 11/2023
IA AVG $6.9M
Rank #145 / 224
$2.2MFiscal year ending 11/2023
Facility $2.2MFiscal year ending 11/2023
IA AVG $4.2M
Rank #188 / 224
44.9%Fiscal year ending 11/2023
Facility 44.9%Fiscal year ending 11/2023
IA AVG 60.3%
Rank #210 / 224
165614
Nursing Home Explorer

Frequently Asked Questions about Rose Haven Nursing Home

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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