Iowa › Van Buren County › Keosauqua
Country Lane Manor
819 Country Lane Road, Keosauqua, IA 52565
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Country Lane Manor is a For-profit, limited liability company nursing home in Keosauqua, Iowa, certified for 60 beds and caring for about 51 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (11, 14, 32 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 95.0 per 100 beds, more than the state median of 27.5.
CMS lists 2 penalties in the period covered: fines totalling $59K and 1 payment denial.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Iowa median of 3.7; nursing staff turnover is 62.1%.
Compared with county, state and nation
| Measure | This facility | Van Buren Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 57 | 16 | 28.7 |
| Citations per 100 beds | 95.0 | 95.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.7 | 0.7 |
| Nursing staff turnover | 62.1% | 62.1% | 41.9% | 45.8% |
| Fines listed | $59,150 | $59,150 | $0 | — |
County and state figures are medians across facilities (1 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Aug 2025, 16 Sep 2024.
Severity mix: G ×5 D ×33 E ×14 B ×3 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 May 2026 |
| 12 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 5 Sep 2025 |
| 12 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Sep 2025 |
| 14 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 May 2025 |
| 17 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 10 Mar 2025 |
| 13 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 Nov 2024 |
| 16 Sep 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 27 Sep 2024 |
| 16 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 Sep 2024 |
| 16 Sep 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0758 | 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. | D | Standard survey | 27 Sep 2024 |
| 16 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | Standard survey | 27 Sep 2024 |
| 2 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 20 May 2024 |
| 2 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 20 May 2024 |
| 2 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 May 2024 |
| 2 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 20 May 2024 |
| 2 May 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 29 May 2024 |
| 2 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 May 2024 |
| 2 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0758 | 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. | D | Standard survey | 29 May 2024 |
| 2 May 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard survey | 29 May 2024 |
| 2 May 2024 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | B | Standard survey | 29 May 2024 |
| 25 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 12 Apr 2024 |
| 25 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 12 Apr 2024 |
| 25 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 12 Apr 2024 |
| 11 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Complaint investigation | 10 Nov 2023 |
| 2 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 10 Nov 2023 |
| 2 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Aug 2023 |
| 2 Aug 2023 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | B | Complaint investigation | 17 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 May 2024 | Payment denial | — | 4 days |
| 2 May 2024 | Fine | $59,150 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 62.1%, RNs 66.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.7% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.0% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Country Lane Manor Llc. Chain: Cedar View Holdings (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Amaranthine Holdings LLC | 5% or greater direct ownership interest | 100% | 01/01/2025 |
| Cedar View Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| Cedar View Tr | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| Iowa 5784 LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| 819 Country Lane Road Propco LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Caresage Administrative Consulting, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Clinical Consulting Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Jsj 2020 Fam Tr | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Jsj Property LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Summation Financial Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| The Bryn Mawr Trust Company of Delaware | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Country Lane Manor been cited for?
57 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Country Lane Manor been fined?
Yes. CMS lists fines totalling $59K in the period covered, plus 1 payment denial.
How does staffing at Country Lane Manor compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Country Lane Manor?
It is part of the Cedar View Holdings chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Amaranthine Holdings LLC, Cedar View Holdings LLC and Cedar View Tr. Individual owners and managers are not listed on this site.
When was Country Lane Manor last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 12 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.