The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Keosauqua Health Care Center
Registered name: Country Lane Manor
Keosauqua, IA · Medicare-certified · 60 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Keosauqua Health Care Center has an overall 1-star rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It has the lowest overall rating, reports 3.22 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2206 hrs/resident/day
Quality measures
Last inspection: April 16, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2206.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.19
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.1%28.6%Worsening
Residents with a fall causing major injury
2%6.1%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
2.1%0%Improving
Residents who lost too much weight
7.3%6.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.2%2.3%Improving
Residents whose ability to walk got worse
27.7%0%Improving
Long-stay residents on antianxiety or sleep medication
18.6%25.5%Worsening
Short-stay residents newly given an antipsychotic
—3.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.6%16.6%Improving
Residents with depressive symptoms
13.3%6.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93%—
Long-stay residents given the pneumonia vaccine
79.6%71.4%Worsening
Short-stay residents given the seasonal flu vaccine
—47.6%—
Short-stay residents given the pneumonia vaccine
54.2%62.5%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $59,150 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $59,150 in total fines · 2 payment denials.
- 4 days
Medicare/Medicaid payment denial
May 2, 2024
- $59,150
Federal fine
May 2, 2024
- 78 days
Medicare/Medicaid payment denial
Aug 1, 2023
Operator & ownership
Recent ownership change · Jan 1, 2025
Now operated by Country Lane Manor, previously Keosauqua Health Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CEDAR VIEW HOLDINGS · 9 homes · 1.3 stars avg
- Occupancy
- 50.9 residents on an average day (85% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.