nursing home in Keystone, IA
Keystone Nursing Care Center INC
250 Fifth Street, Keystone, IA 52249 · (319) 442-3234
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Keystone Nursing Care Center INC at a glance
Keystone Nursing Care Center INC is a 55-bed for-profit nursing home in Keystone, Iowa (Benton County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 3.8 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (September 11, 2025) found 0 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.6% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 17, 2012
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Benton County
- CMS Certification Number
- 165604
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.75 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.33 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.76 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 38.6% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 5 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 55 | 65 | 107 | |
| Average residents per day | 44 | 52 | 86 | |
| Occupancy | 80.4% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.8% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.8% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.7% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.1% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 30% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.4% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 87% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.4% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 3 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 22, 2025 |
| September 11, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 22, 2025 |
| September 11, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected October 11, 2025 |
| September 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected September 22, 2025 |
| February 6, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | G Actual harm, isolated | Corrected February 20, 2025 |
| September 19, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected October 3, 2024 |
| September 19, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 3, 2024 |
| June 22, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected June 28, 2023 |
| June 22, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 5, 2023 |
| June 22, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected June 30, 2023 |
| June 22, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 10, 2023 |
| June 22, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BRUNS, TRACY Individual | adp of the snf | NOT APPLICABLE | 03/26/2012 |
| MEEKER, BRIAN Individual | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| BRUNS, TRACY Individual | corporate director | NOT APPLICABLE | 03/16/2012 |
| MEEKER, BRIAN Individual | corporate director | NOT APPLICABLE | 03/16/2012 |
| BRUNS, TRACY Individual | direct ownership interest | NOT APPLICABLE | 03/26/2012 |
| BRUNS, TRACY Individual | managing control - governing body | NOT APPLICABLE | 03/06/2012 |
| BRUNS, TRACY Individual | operational/managerial control | NOT APPLICABLE | 03/16/2012 |
| MEEKER, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 03/16/2012 |
Other nursing homes near Keystone Nursing Care Center INC
Belle Plaine Specialty Care
1505 Sunset Drive, Belle Plaine, IA 52208 · 8 mi
Non-profit · 46 beds · Part of Care Initiatives
★★★★★4Above average- ★★★★★2Below average
Virginia Gay Nursing & Rehab, LLC
502 North Ninth Avenue, Vinton, IA 52349 · 15.1 mi
Non-profit · 40 beds
★★★★★3Average- ★★★★★3Average
- ★★★★★4Above average
- ★★★★★1Much below average
Frequently asked questions
What is Keystone Nursing Care Center INC's rating?
Keystone Nursing Care Center INC has 5 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Keystone Nursing Care Center INC receive?
Its most recent standard health inspection found 0 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Keystone Nursing Care Center INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Keystone Nursing Care Center INC?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Keystone Nursing Care Center INC and how do I contact it?
Keystone Nursing Care Center INC is at 250 Fifth Street, Keystone, IA 52249. Phone: (319) 442-3234.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.