Iowa › Benton County › Keystone
Keystone Nursing Care Center Inc
250 Fifth Street, Keystone, IA 52249
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.
Keystone Nursing Care Center Inc is a For-profit, corporation nursing home in Keystone, Iowa, certified for 55 beds and caring for about 44 residents a day.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (0, 1, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 5.5 per 100 beds, fewer than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.3 RN), close to the Iowa median of 3.7; nursing staff turnover is 38.6%.
Compared with county, state and nation
| Measure | This facility | Benton Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 13 | 16 | 28.7 |
| Citations per 100 beds | 5.5 | 21.3 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.1 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 38.6% | 54.8% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 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: 11 Sep 2025, 19 Sep 2024.
Severity mix: G ×1 D ×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 |
|---|---|---|---|---|---|
| 6 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint investigation | 20 Feb 2025 |
| 22 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2023 |
| 22 Jun 2023 | 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 | 10 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 38.6%, RNs 66.7%; 0 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 | 19.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 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, corporation. Legal business name: Keystone Nursing Care Center Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Benton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Virginia Gay Nursing & Rehab, LLC | Vinton | 40 | 5 | 5 | 1 | 2 | 5.0 | — | 1 Aug 2024 |
| Belle Plaine Specialty Care | Belle Plaine | 46 | 4 | 3 | 3 | 20 | 43.5 | — | 21 Jan 2026 |
| The Vinton Lutheran Home | Vinton | 61 | 2 | 1 | 5 | 13 | 21.3 | — | 6 Jan 2026 |
All 4 facilities in Benton County
Questions and answers
How many deficiencies has Keystone Nursing Care Center Inc been cited for?
3 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Keystone Nursing Care Center Inc been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Keystone Nursing Care Center Inc compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Keystone Nursing Care Center Inc?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Keystone Nursing Care Center Inc last inspected?
The most recent survey or investigation in the CMS record is dated 6 Feb 2025; the most recent standard health survey was 11 Sep 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.