Keystone Nursing Care Center INC

Name: Keystone Nursing Care Center INC
Address: 250 Fifth Street, Keystone, IA, 52249, US
Telephone: 3194423234

250 Fifth Street, Keystone, IA 52249 · Benton County · 55 certified beds · avg 44 residents/day · certified since Jul 17, 2012

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.72

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 6, 2025 · F-0677 · triggered by a complaint

The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.

Why it matters: Residents who don't get this help can suffer poor hygiene, skin breakdown, weight loss, and a loss of dignity.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 20, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (3)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 6, 2025	▲ G · Actual harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 22, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 22, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	D
2025	1	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.72	4.37	3.95	top 30% in Iowa; top 18% in the U.S.
Registered Nurse hours	0.41	0.85	0.69	bottom 6% in Iowa; bottom 24% in the U.S.
Weekend total nurse staffing	4.16	3.86	3.50	top 33% in Iowa; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 16% in Iowa; bottom 32% in the U.S.
Total nursing staff turnover (%)	38.6	44.0	45.8	top 41% in Iowa; top 33% in the U.S.
RN turnover (%)	66.7	42.1	42.9	bottom 17% in Iowa; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.75, RN 0.33, weekend 3.31. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
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	Corporate Director	NOT APPLICABLE	03/16/2012
Bruns, Tracy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/16/2012
Bruns, Tracy	Individual	ADP of the SNF	NOT APPLICABLE	03/26/2012
Meeker, Brian	Individual	Corporate Director	NOT APPLICABLE	03/16/2012
Meeker, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	03/16/2012
Meeker, Brian	Individual	ADP of the SNF	NOT APPLICABLE	04/02/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Belle Plaine Specialty Care	8.0 mi	Belle Plaine, IA	★★★★☆	3/5
The Vinton Lutheran Home	14.0 mi	Vinton, IA	★★☆☆☆	1/5
Virginia Gay Nursing & Rehab, LLC	15.1 mi	Vinton, IA	★★★★★	5/5
Rose Haven Nursing Home	16.8 mi	Marengo, IA	★★★☆☆	3/5
Sunrise Hill Care Center	18.5 mi	Traer, IA	★★★★☆	4/5
Sunny Hill Care Center	19.8 mi	Tama, IA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Keystone →

Facility data as of CMS processing date 2026-08-01. CCN 165604.

The Care File

Visit checklist — Keystone Nursing Care Center INC

250 Fifth Street, Keystone, IA 52249 · 3194423234

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Feb 6, 2025 (F-0677, Actual harm, one-off): The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.

Questions for the administrator:

☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165604 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)