Nursing home report
Keystone, IA · Medicare-certified · 55 beds
Keystone Nursing Care Center INC in Keystone, IA has a 5 out of 5 overall rating, with 5-star health inspection and quality measures ratings, but a 3-star staffing rating and reported nurse staffing below the federal benchmark (3.75 vs 4.1 hours per resident per day). It reported $0 in fines in the last 24 months, though recent inspection citations included care and assistance with activities of daily living, following treatment orders and preferences, and psychotropic medication practices.
Health inspections
Staffing
3.7544 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7544.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited February 2025 — isolated incident, actual harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, potential for harm.
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited June 2023 — isolated incident, potential for harm.
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
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.
