Federal inspection record · CMS data as of October 1, 2026
Rose Haven Nursing Home
1500 N Franklin Avenue, Marengo, IA · (319) 642-5533
- Certified beds
- 58
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 17, 2016
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Rose Haven Nursing Home carries 37 inspection points. That is fewer than 46% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation8D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights5E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2C
- C
Have a plan that describes the process for conducting QAPI and QAA activities.
- C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Pharmacy Service1E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2025-12-11
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-10-24
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2023-08-30
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 15 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,062 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-07 | Fine | $10,062 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 95.5% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 2.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 6.1% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 19.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts better | 11.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.8 pts better | 8.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 9.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better | 22.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better | 94.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 10.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.9% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts better | 14.7% | 20.7% | 23.4% |
·
Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sissel, Shane | 5% Or Greater Direct Ownership Interest · Individual | 50% | 2 facilities |
| Sissel, Susan | 5% Or Greater Direct Ownership Interest · Individual | 50% | 2 facilities |
| Access Technologies Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Bakerstarrett Llp | Adp Of The SNF · Organization | 0% | 2 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Dose, Ronald | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dose, Ronald | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Gerard, Dale | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gulick, Kensey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| J Evans Nutrition Consulting LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Kepler, Tereni | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kepler, Tereni | Adp Of The SNF · Individual | 0% | 1 facilities |
| Key Rehabilitation Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Keystone Savings Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Keystone Savings Bank | Adp Of The SNF · Organization | 0% | 2 facilities |
| Mcmann, Macy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pm Acquisition LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Radeke, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schaffner, Trista | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schaffner, Trista | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sissel, Shane | Corporate Officer · Individual | 0% | 2 facilities |
| Sissel, Shane | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sissel, Shane | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sissel, Susan | Corporate Officer · Individual | 0% | 2 facilities |
| Sissel, Susan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Virtuous Ltc Consulting | Adp Of The SNF · Organization | 0% | 2 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Construction2F
- F
Install a two-hour-resistant firewall separation.
- D
Use approved construction type or materials.
Emergency Preparedness1F
- F
Provide primary/alternate means for communication.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Colonial Manor of Amana
Amana, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Highland Ridge Care Center, LLC
Williamsburg, IA · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
Belle Plaine Specialty Care
Belle Plaine, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 51 min
- Fines
- $0