CCN 165604
Keystone Nursing Care Center INC
250 Fifth Street, Keystone, IA 52249 · Benton County
- Ownership
- For profit - Corporation
- Certified beds
- 55
- Residents per day
- 44.2
- Health citations
- 3
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.76
- 2.52
- 2.32
- LPN/LVN
- 0.66
- 0.56
- 0.86
- Registered nurse
- 0.33
- 0.74
- 0.69
- Total nurse staff
- 3.75
- 3.82
- 3.86
- Weekend total
- 3.31
- 3.37
- 3.42
- Weekend RN
- 0.30
- 0.51
- 0.48
Adjusted total nurse hours: 4.72. Adjusted RN hours: 0.41. Case-mix total: 3.05. Case-mix index: 1.115.
Total nursing staff turnover: 38.6%. RN turnover: 66.7%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: September 11, 2025. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0.
Cycle 2 standard survey: September 19, 2024. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 5.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 3 citations for this home, including 0 at immediate jeopardy and 1 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
February 6, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2 | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has date of correction · February 20, 2025 |
June 22, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 10, 2023 |
| F758 | 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. Pharmacy Service Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 10, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections