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
Country Lane Manor
Keosauqua, IA · Medicare-certified · 60 beds
Needs attention
For-profitChain member
1 of 5 overall
Country Lane Manor in Keosauqua, IA has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating. It also has a recent federal penalty, $59,150 in fines over the last 24 months, and reported nurse staffing of 3.30 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.303 hrs/resident/day
Quality measures
Last inspection: August 12, 2025Penalties, last 24 months: $59,150recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.303.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.29
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.1%Improving
Residents with a fall causing major injury
2.5%Improving
Residents with pressure ulcers (bedsores)
0.6%Steady
Residents with a urinary tract infection
1.6%Improving
Residents who lost too much weight
6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.6%Improving
Residents whose ability to walk got worse
17.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.1%Worsening
Short-stay residents newly given an antipsychotic
4.2%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
25.6%Improving
Residents with depressive symptoms
11%Worsening
Long-stay residents given the seasonal flu vaccine
93%Steady
Long-stay residents given the pneumonia vaccine
84.3%Worsening
Short-stay residents given the seasonal flu vaccine
47.6%Steady
Short-stay residents given the pneumonia vaccine
56.9%Worsening
What the inspectors found
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 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 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 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CAMPBELL STREET SERVICES · 20 homes · 2.1 stars avg
- Occupancy
- 50.8 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.