Nursing HomeInspections

Keystone Nursing Care Center INC

Nursing home in Keystone, IA

Medicare & Medicaid certified5★ overall (CMS)

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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 or payment denials 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
1 of 5
Quality measures rating
5 of 5
Certified beds
55
Average residents per day
43
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 2026-11-07.

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.

InspectionCitationSeverity
Feb 6, 2025Provide 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, 2023Provide 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, 2023Implement 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly)
44%
RN turnover (yearly)
57%
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.