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Keystone Nursing Care Center INC
250 Fifth Street, Keystone, IA 52249 (opens Google Maps) · Benton County · (319) 442-3234· 55 certified beds · avg 44 residents/day · certified since Jul 17, 2012 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
5/5
Health inspection rating (on-site)
inspected Sep 11, 2025
1
Serious findings on record
most recent Feb 6, 2025
$0
Fines, last 3 years
4.72
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 20, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
3 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 6, 2025 | ▲ G · Actual harm, isolated | 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 · F-0677 |
| Jun 22, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.72
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.41
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.16
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.75 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Keystone Nursing Care Center INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165604.