Keystone Nursing Care Center INC

Nursing home in Keystone, IA

Medicare & Medicaid certified5★ overall (CMS)

Call (319) 442-3234 Send a message Map ↗

Public-record details

Address: 250 Fifth Street, Keystone, IA 52249
Phone: (319) 442-3234
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN: 165604
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 5 of 5
Staffing rating: 3 of 5
Quality measures rating: 5 of 5
Certified beds: 55
Average residents per day: 44
Ownership: For-profit, corporation
Legal business name: Keystone Nursing Care Center INC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jul 17, 2012
Changed ownership in last 12 months: No
Continuing care retirement community: Yes
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 165604. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 3 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 22, 2023 to Feb 6, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher.

Inspection	Citation	Severity
Feb 6, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Jun 22, 2023	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 22, 2023	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… Pharmacy Service	D Potential for more than minimal harm, isolated

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 no fines or payment denials for this facility in the last three years.

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: 3.75 hours
Registered nurse (RN) time per resident per day: 0.33 hours
Nurse aide time per resident per day: 2.76 hours
Total nurse staffing on weekends: 3.31 hours
Nursing staff turnover (yearly): 39%
RN turnover (yearly): 67%
Administrators who left in the past year: 0

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.