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Nursing homes / skilled nursing facilities

Keystone Nursing Care Center INC

Keystone, IA, 52249

250 Fifth Street

Telephone 3194423234

CMS certification number (CCN) 165604

Ownership, as reported by CMS: For profit - Corporation

Last verified: 2026-09-30

Audience

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Professional snapshot

What am I walking into if I work here? CareRecon shows the evidence. You make the decision.

Facility scale

Certified beds
55
Average number of residents per day
44.2

Measurement period: 2026-01-01 through 2026-03-31

Workforce hours

Reported total nurse staffing hours per resident per day
3.75439

Measurement period: 2026-01-01 through 2026-03-31

Reported RN hours per resident per day
0.32891

Measurement period: 2026-01-01 through 2026-03-31

Reported LPN hours per resident per day
0.66391

Measurement period: 2026-01-01 through 2026-03-31

Reported nurse aide hours per resident per day
2.76158

Measurement period: 2026-01-01 through 2026-03-31

Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.

Stability

Total nursing staff turnover
38.6

Measurement period: 2025-01-01 through 2025-12-31

RN turnover
66.7

Measurement period: 2025-01-01 through 2025-12-31

Administrators who left
0

Measurement period: 2025-01-01 through 2025-12-31

CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.

Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.

Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Workforce snapshot

These are reported hours per resident per day, not nurse-to-patient ratios.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Census

Certified beds
55

Why this may matter

Bed count reported for this nursing home on the CMS snapshot.

Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Average number of residents per day
44.2

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Resident census CMS used with the staffing hours for this period.

CMS census for the staffing measurement period. This is not current occupancy and not available beds.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported hours

Reported total nurse staffing hours per resident per day
3.75439

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for total nurse staffing during this period.

CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported RN hours per resident per day
0.32891

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for registered-nurse staffing during this period.

CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported LPN hours per resident per day
0.66391

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for LPN staffing during this period.

CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported nurse aide hours per resident per day
2.76158

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for nurse aide staffing during this period.

CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported RN hours per resident per day on the weekend
0.29888

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for registered-nurse staffing during this period.

CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported total nurse staff hours per resident per day on the weekend
3.30876

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for total nurse staffing during this period.

CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Workforce stability

Historical measures give context and do not predict an individual’s experience.

Administrators who left is a count, not a turnover rate.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Total nursing staff turnover
38.6

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported nursing staff turnover for this period, as staffing-stability context.

Turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

RN turnover
66.7

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported RN turnover for this period, as staffing-stability context.

RN turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Administrators who left
0

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

How many administrators CMS counted as having left during the turnover period.

Count of administrators CMS reports as having left the nursing home. This is not a turnover rate.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Regulatory history

Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.

A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.

Inspections

Survey dates and survey types reported by CMS. An inspection date is not a deficiency.

  • Fire Safety Standard · 2025-09-11

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2025-09-11

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Complaint · 2025-02-06

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2024-09-19

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2024-09-19

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2023-06-22

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2023-06-22

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

Health deficiencies

Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.

  • Tag 0677 · 2025-02-06

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    • Survey type: Health
    • Scope and severity code: G
    • Complaint survey: Yes
    • Standard survey: No
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-02-20

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0684 · 2023-06-22

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-07-10

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0758 · 2023-06-22

    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.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-07-10

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

Fire-safety findings

Fire-safety citations. These are not health deficiencies.

  • Tag 0353 · 2025-09-11

    Inspect, test, and maintain automatic sprinkler systems.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0363 · 2025-09-11

    Install corridor and hallway doors that block smoke.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0711 · 2025-09-11

    Provide a written emergency evacuation plan.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-10-11

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0712 · 2025-09-11

    Have simulated fire drills held at unexpected times.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0351 · 2024-09-19

    Install an approved automatic sprinkler system.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2024-10-03

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0353 · 2024-09-19

    Inspect, test, and maintain automatic sprinkler systems.

    • Survey type: Fire Safety
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2024-10-03

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0346 · 2023-06-22

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-06-28

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0521 · 2023-06-22

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    • Survey type: Fire Safety
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-06-30

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 10 rows are indexed.

Survey summary

Category totals from the CMS survey summary. These counts are not the citation list.

  • Inspection cycle 1

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2025-09-11
    • Fire-safety survey date: 2025-09-11
    • Health deficiencies in this survey summary: 0
    • Fire-safety deficiencies in this survey summary: 4
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 2

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2024-09-19
    • Fire-safety survey date: 2024-09-19
    • Health deficiencies in this survey summary: 1
    • Fire-safety deficiencies in this survey summary: 2
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 3

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2023-06-22
    • Fire-safety survey date: 2023-06-22
    • Health deficiencies in this survey summary: 2
    • Fire-safety deficiencies in this survey summary: 4
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.

At a glance

Ownership category reported by CMS
For profit - Corporation

Capacity and workload

Cost-report capacity and historical utilization are not currently available. A cost-report period is not a current census.

Pay and market context

Facility pay is not currently available. A BLS wage, when shown, is local market context and is not what this facility pays.

Contract labor / agencies

Contract labor is not currently available. Dollars, when shown, do not identify an agency. No staffing agency is named for this facility from a facility-specific public source. An unverified name can be submitted through the community.

Workplace safety

No OSHA inspection or severe-injury report is attached. An inspection would not mean the workplace is unsafe.

Legal matters

No federal court record is attached. No federal docket is attached. That does not mean the facility has no lawsuits. Coverage of federal court records is incomplete. A CourtListener authentication failure is not an empty docket. A filed lawsuit would be an allegation, not a finding that the facility violated the law.

Ownership

Ownership category reported by CMS

For profit - Corporation

View basis
  • Why it may matter. This is the Care Compare category. It is not the enrolled legal business name.
  • How current: Current for this source
  • Where it came from: CMS Care Compare
  • How sure: Recorded in this CMS source.
  • Care Compare ownership category. Not the enrolled legal name.
View source details
  • Exact value: For profit - Corporation

Community reviews

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Community-added information

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Photos and video

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Sources

No additional professional sources are attached beyond the CMS facility record.

Add what you know

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Where this data came from

Source
CMS
Dataset
Provider Information
Last verified
2026-09-30
CMS dataset modified
2026-08-01

Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”

About the data

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