Entity Details - DIA HFD

Compliance Details

Files

Entity

Entity:
Thomas Rest Haven

Entity Type:
Free Standing NF/SNF

Address:
217 Main Street, Coon Rapids

Phone:
(712) 999-2253

Visit Date:
04/06/2022

Entity Admin:
Michael Ewalt

Coordinator:
Patricia (Lynn) Gray

Compliance Officer:
jeana.becker@dia.iowa.gov

Certification Actions:
Denial of Payment Rescinded, Civil Money Penalty Imposed

Licensure Actions:
Fining & Citation

Loss of NA Training Effective:

Loss of NA Training Expires:

Fine Summary

The maximum State fine amount allowed by Iowa law is $10,000. This fine could be doubled or trebled for repeat offenses for a maximum fine of $30,000 [Iowa Code 135C.36-44A].

Total Imposed State Fine:
$0.00

Federal Fines Imposed:

For details on federal fines, please visit the Quality, Certification, and Oversight reports website

State Waiver:
0%

State Fine Paid:
$0.00

State Fine Owed:
$0.00

Rule Codes	Suspended	State/Federal	One Time Fine	Total Fine	Actions
58.28(3)e	Suspended	State	$28,500.00	$28,500.00	Select Rule Codes
F689		Federal		Federal Fine Information	Select Rule Codes
F880		Federal		Federal Fine Information	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport_840_2022-05-10_050916.pdf	ScannedReport_840_2022-05-10_050916.pdf	Visit Report
ScannedFC_840_2022-04-19_040704.pdf	ScannedFC_840_2022-04-19_040704.pdf	Citation Report