Nursing HomeInspections

Country Lane Manor

Nursing home in Keosauqua, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (319) 293-3761Send a messageMap ↗

Public-record details

Address
819 Country Lane Road, Keosauqua, IA 52565
Phone
(319) 293-3761
Listed under
For-profit
Medicare CCN
165204
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
51
Ownership
For-profit, limited Liability company
Legal business name
Country Lane Manor LLC
Chain
Cedar View Holdings (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165204. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 12, 2025. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 2, 2023 to Apr 16, 2026): 25 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 16, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 12, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 12, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 12, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated
Aug 12, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 12, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 12, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		E
Potential for more than minimal harm, pattern
May 14, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $59,150 and 1 denial of Medicare payment for new admissions in the last three years.

May 2, 2024Fine: $59,150
May 2, 2024Payment denial for 4 days from Jun 4, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.22 hours
Registered nurse (RN) time per resident per day
0.34 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
2.91 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
67%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.