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HomeIowaKeystone Nursing Care Center INC

Keystone Nursing Care Center INC

250 Fifth Street, Keystone, IA 522493194423234WebsiteGoogle Maps
4.2on Google(21 reviews)
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
5/5
Staffing
3/5
Quality
5/5
Beds
55
certified

How Keystone Nursing Care Center INC Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
5/5
IA average
3.1/5
Above state average
Health inspection rating
5/5
IA average
2.8/5
Above state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.75 hrs/day
IA average
3.81 hrs/day
Close to state average
RN hours per resident
0.33 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
38.6%
IA average
44.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Iowa average of 3.1/5.
Its 5/5 health inspection rating is above the Iowa average of 2.8/5.
Reported RN time is 0.33 hours per resident per day, below the state average of 0.74.
Staff turnover is 38.6%, lower than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Sep 19, 2024
Most recent cycle
0
deficiency citations
Inspected Sep 11, 2025
The most recent cycle recorded 1 fewer deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Benton County 65+
4,835
18.8% of county
County Population
25,652
Benton County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Keystone Nursing Care Center INC is a 5-star Medicare and Medicaid certified nursing home in Keystone, Iowa with 55 certified beds. It has been operating since 2012. Its overall CMS rating is 5 out of 5.

Beds
55
Avg Residents/Day
44.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 17, 2012
Sprinklers
Yes
Council
Resident
County
Benton
Last Inspection
Sep 11, 2025
Deficiencies (Cycle 1)
0
Weighted Score
5.0
Infection Citations
0

Deficiency Citations (3)

F0677Actual Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 6, 2025Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 22, 2023Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Jun 22, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.76 hrs
National avg: 2.32 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN0.33 hrs
National avg: 0.69 hrs
Total Nursing3.75 hrs
National avg: 3.86 hrs
Weekend Total3.31 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
38.6%
RN Turnover
66.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
BRUNS, TRACYDIRECT OWNERSHIP INTERESTIndividualN/AMar 26, 2012
BRUNS, TRACYMANAGING CONTROL - GOVERNING BODYIndividualN/AMar 6, 2012
BRUNS, TRACYCORPORATE DIRECTORIndividualN/AMar 16, 2012
MEEKER, BRIANCORPORATE DIRECTORIndividualN/AMar 16, 2012
BRUNS, TRACYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 16, 2012
MEEKER, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 16, 2012
BRUNS, TRACYADP OF THE SNFIndividualN/AMar 26, 2012
MEEKER, BRIANADP OF THE SNFIndividualN/AApr 2, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Keystone Nursing Care Center INC and nearby alternatives.

All Iowa facilities
Keystone Nursing Care Center INC
Keystone, IACurrent facility
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Belle Plaine Specialty Care
Belle Plaine, IA8.0 mi
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: None
The Vinton Lutheran Home
Vinton, IA14.0 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: None
Virginia Gay Nursing & Rehab, LLC
Vinton, IA15.1 mi
CMS
5/5
Health
5/5
Staffing
1/5
Recorded fines: None
Rose Haven Nursing Home
Marengo, IA16.8 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $10,062
Sunrise Hill Care Center
Traer, IA18.5 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Sunny Hill Care Center
Tama, IA19.8 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $24,756
FacilityDistanceCMSHealthStaffingRecorded fines
Keystone Nursing Care Center INC
Keystone, IA · Current facility
—5/55/53/5None recorded
Belle Plaine Specialty Care
Belle Plaine, IA
8.0 mi4/53/53/5None recorded
The Vinton Lutheran Home
Vinton, IA
14.0 mi2/51/55/5None recorded
Virginia Gay Nursing & Rehab, LLC
Vinton, IA
15.1 mi5/55/51/5None recorded
Rose Haven Nursing Home
Marengo, IA
16.8 mi3/53/53/5$10,062
Sunrise Hill Care Center
Traer, IA
18.5 mi4/54/53/5None recorded
Sunny Hill Care Center
Tama, IA
19.8 mi1/51/53/5$24,756

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Keystone Nursing Care Center INC?▾
Keystone Nursing Care Center INC has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated above average.
How much does Keystone Nursing Care Center INC cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Keystone Nursing Care Center INC participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Keystone Nursing Care Center INC had any health inspection violations?▾
Keystone Nursing Care Center INC had 0 deficiency citations in its most recent health inspection (Sep 11, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Keystone Nursing Care Center INC?▾
Keystone Nursing Care Center INC provides 3.75 total nursing staff hours per resident per day, including 0.33 RN hours, 0.66 LPN hours, and 2.76 nurse aide hours. The total staff turnover rate is 38.6%.
How many beds does Keystone Nursing Care Center INC have?▾
Keystone Nursing Care Center INC has 55 certified beds with an average of 44.2 residents per day, resulting in approximately 80% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Keystone Nursing Care Center INC?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Keystone Nursing Care Center INC?▾
On Google Maps, Keystone Nursing Care Center INC has a rating of 4.2 out of 5 based on 21 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.