What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Resident interviews at our senior living facilities

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Keystone Nursing Care Center | Iowa | Photos & Videos

Overview of Keystone Nursing Care Center

Keystone Nursing Care Center is a nursing care facility. It offers various services to support residents' needs. For more information, please visit the website.

(319) 449-6827

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.27/day Iowa avg: 4.30/day

Overall rating

4/5

Iowa avg: 3.1/5

Health Inspection

4/5

Iowa avg: 2.9/5

Staffing

4/5

Iowa avg: 3.5/5

Quality Measures

4/5

Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 55

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

90.2%

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

36% of new residents, often for short stays.

Typical stay 2 years

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Home revenue

$6.1M

Operating loss

-$25.5K

Proprietary home Corporation

Home revenue

$6,138,170.00

Operating loss

$-25,524.00

Payroll costs

$3.3M

53.7% of revenue

Other operating costs

$2.9M

Total costs $6.2M

55-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy Rate

71%

Occupied Beds

39 of 55

Percentage of available beds currently in use by residents.

License Status

Active

Facility Type

Free Standing NF/SNF

Additional licensing details

License number: 60263

CMS Certification Number: 165604

Certification type: FALSE

County: Benton

Ownership & operating entity

Keystone Nursing Care Center is administrated by Tracy Bruns.

Contact Information

Email: [email protected]

Fax: 3194423550

Amenities & Lifestyle

Programs & Activities

Specific Programs

About Us, Our Team, Our Services, activities, Contact Us, Employment

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Show Inspection Reports

Latest inspection

Date:September 11, 2025

4 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Iowa

Akron Care Center, INC

SNF

IA 510017716

CITY OF AKRON

98.1%

$4,650,730.00

$2,144,112.00

46.1%

42.00

4/5

4.7098

4/5

5/5

1/5

+10%

+30%

Keystone Nursing Care Center

SNF

IA 522499521

HANSON, TRACY

90.2%

$6,069,622.00

$3,298,387.00

54.3%

41.50

4/5

5.2738

4/5

+23%

+20%

Accura HealthCare of Carlisle

SNF

IA 500478733

AMERICAN HEALTHCARE ASSOCIATES INC

80.5%

$4,098,046.00

$2,453,646.00

59.9%

38.90

4/5

5.8515

3/5

5/5

4/5

+36%

+7%

Accura Healthcare of Spirit Lake

SNF

IA 513601000

66.6%

$7,053,735.00

$3,009,392.00

42.7%

65.20

1/5

4.2922

1/5

4/5

3/5

-12%

Accura Healthcare of Lake City, LLC

SNF

IA 514499701

ACCURA HEALTHCARE OF THE HEARTLAND LLC

70.4%

$2,045,587.00

$969,532.00

47.4%

39.80

1/5

5.1665

1/5

4/5

1/5

+20%

-7%

Akron Care Center, INC

Type of care: SNF AL

Community: IA 510017716

Bed Count: 45

Pets Allowed: No

Operator: CITY OF AKRON

CCN: 165595

Occupancy: 98.1%

Home Revenue: $4,650,730.00

Payroll Costs: $2,144,112.00

Payroll %: 46.1%

Avg Residents/Day: 42.00

Overall Rating: 4/5

Adj Nurse Hours: 4.7098

Health Insp Rating: 4/5

Staffing Rating: 5/5

QM Rating: 1/5

Citations: 4

RN share vs State Avg:

+15%

Staffing vs State Avg:

+10%

Occupancy vs State Avg:

+30%

Keystone Nursing Care Center

Type of care: SNF AL

Community: IA 522499521

Bed Count: 71

Pets Allowed: No

Operator: HANSON, TRACY

CCN: 165604

Occupancy: 90.2%

Home Revenue: $6,069,622.00

Payroll Costs: $3,298,387.00

Payroll %: 54.3%

Avg Residents/Day: 41.50

Overall Rating: 4/5

Adj Nurse Hours: 5.2738

Health Insp Rating: 4/5

Staffing Rating: 4/5

QM Rating: 4/5

Citations: 3

Severe Citations: 1

RN share vs State Avg:

-46%

Staffing vs State Avg:

+23%

Occupancy vs State Avg:

+20%

Accura HealthCare of Carlisle

Type of care: SNF AL

Community: IA 500478733

Bed Count: 46

Pets Allowed: No

Operator: AMERICAN HEALTHCARE ASSOCIATES INC

CCN: 165311

Occupancy: 80.5%

Home Revenue: $4,098,046.00

Payroll Costs: $2,453,646.00

Payroll %: 59.9%

Avg Residents/Day: 38.90

Overall Rating: 4/5

Adj Nurse Hours: 5.8515

Health Insp Rating: 3/5

Staffing Rating: 5/5

QM Rating: 4/5

Citations: 17

Severe Citations: 2

RN share vs State Avg:

-40%

Staffing vs State Avg:

+36%

Occupancy vs State Avg:

+7%

Accura Healthcare of Spirit Lake

Type of care: SNF AL

Community: IA 513601000

Bed Count: 85

Pets Allowed: No

CCN: 165528

Occupancy: 66.6%

Home Revenue: $7,053,735.00

Payroll Costs: $3,009,392.00

Payroll %: 42.7%

Avg Residents/Day: 65.20

Overall Rating: 1/5

Adj Nurse Hours: 4.2922

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 3/5

Number of Fines: 1

Citations: 21

Severe Citations: 1

RN share vs State Avg:

-8%

Staffing vs State Avg: 0%

Occupancy vs State Avg:

-12%

Accura Healthcare of Lake City, LLC

Type of care: SNF AL

Community: IA 514499701

Bed Count: 46

Pets Allowed: No

Operator: ACCURA HEALTHCARE OF THE HEARTLAND LLC

CCN: 165082

Occupancy: 70.4%

Home Revenue: $2,045,587.00

Payroll Costs: $969,532.00

Payroll %: 47.4%

Avg Residents/Day: 39.80

Overall Rating: 1/5

Adj Nurse Hours: 5.1665

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 1/5

Number of Fines: 4

Citations: 39

Severe Citations: 4

RN share vs State Avg:

-33%

Staffing vs State Avg:

+20%

Occupancy vs State Avg:

-7%

Keystone, IA 522499521

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Total Staff

Employees

Contractors

18,405

Total Hours (Quarter)

Avg Staff/Day

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	6	8	No
Licensed Practical Nurse	8	7.8	No
Certified Nursing Assistant	42	7.5	Yes

Staff by Category

Administration

2 staff

6.9hs shift avg

Nursing Staff

66 staff

7.6hs shift avg

Physicians & Practitioners

4 staff

7.7hs shift avg

Therapy Services

19 staff

2.4hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

3 staff

1.1hs shift avg

Dietary Services

2 staff

7.2hs shift avg

Other Services

1 staff

7.8hs shift avg

Contractor Analysis

2.7%

of total hours from contractors

493 contractor hours this quarter

Speech Language Pathologist: 7 Occupational Therapy Assistant: 1 Certified Nursing Assistant: 2 Physical Therapy Assistant: 4 Qualified Social Worker: 3 Respiratory Therapy Technician: 4 Physical Therapy Aide: 2 Other Physician: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	40	2	42	9,866	91	100%	7.5
Licensed Practical Nurse	8	0	8	2,300	91	100%	7.8
Medication Aide/Technician	9	0	9	2,210	90	99%	7.6
Registered Nurse	6	0	6	855	79	87%	8
Administrator	2	0	2	773	62	68%	6.9
Nurse Practitioner	3	0	3	477	59	65%	8.1
Mental Health Service Worker	1	0	1	453	58	64%	7.8
Dietitian	1	0	1	446	59	65%	7.6
Other Dietary Services Staff	1	0	1	334	49	54%	6.8
Speech Language Pathologist	0	7	7	179	57	63%	2.1
Physical Therapy Assistant	0	4	4	159	54	59%	2.6
Nurse Aide in Training	1	0	1	140	19	21%	7.4
Respiratory Therapy Technician	0	4	4	82	40	44%	1.9
Occupational Therapy Aide	1	0	1	72	12	13%	6
Qualified Social Worker	0	3	3	25	22	24%	1.1
Occupational Therapy Assistant	0	1	1	20	4	4%	5.1
Physical Therapy Aide	0	2	2	14	10	11%	1.4
Other Physician	0	1	1	2	3	3%	0.5

View All Staffing Data

Total Health inspections 2

59% below Iowa average

Iowa average: 4.9

Last Health inspection on Feb 2025

Total Health citations 3

86% below Iowa average

Iowa average: 21.7

1.5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 2 citations

Complaint investigations 2 citations

Breakdown of citations

Critical Health citations 0

100% below Iowa average

Iowa average: 0.6

Serious Health citations 1

11% above Iowa average

Iowa average: 0.9

Moderate Health citations 2

Minor Health citations 0

Citations history (last 3 years)

Quality of Care serious citation Feb 06, 2025

Corrected

Pharmacy moderate citation Jun 22, 2023

Corrected

Quality of Care moderate citation Jun 22, 2023

Corrected

Ownership: For-Profit Corporation

Resident Census by Payment Source

45 Total Residents

Medicare 6 (13.3%)

Medicaid 13 (28.9%)

Private Pay/Other 26 (57.8%)

Programs & Services

Residents' Group

Nurse Aide Training

CCRC

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 10.3

Near Iowa average

Iowa average: 10.2

Functional decline score 23.9

11% worse than Iowa average

Iowa average: 21.6

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 21.0%

12% above Iowa average.

Walking Ability Worsened 15.9%

19% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 34.9%

33% above Iowa average.

Falls with Major Injury 5.2%

43% above Iowa average.

High Risk Residents with Pressure Ulcers 5.1%

16% above Iowa average.

Urinary Tract Infection 0.7%

74% below Iowa average.

Depressive Symptoms 0.0%

100% below Iowa average.

Antipsychotic Use 6.5%

66% below Iowa average.

Pneumococcal Vaccine 100.0%

6% above Iowa average.

Influenza Vaccine 100.0%

5% above Iowa average.

Lost Too Much Weight 4.2%

17% below Iowa average.

Short-stay resident measures

Pneumococcal Vaccine 100.0%

18% better than Iowa average

Antipsychotic medication increase 0.0%

100% better than Iowa average

Influenza Vaccine 87.0%

19% better than Iowa average

Financial Trends

Historical financial and operational data for Keystone Nursing Care Center based on CMS SNF Cost Reports.

Occupancy Rate 90.2% ↑ 11.6pp vs 2022

Net Income -$25,524 ↓ ~$92K vs 2022

Total Payroll $3,903,483 ↑ ~$441K vs 2022

Profit Margin -0.4% ↓ 1.6pp vs 2022

Loading trend charts...

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	69.6%	82.9%	94.3%	86.7%	97.6%	97.0%	95.5%	88.6%	89.5%	69.0%	78.5%	90.2%
Beds	45	45	45	45	45	45	45	55	55	55	55	71
Net Income	$52,536	$134,357	$100,373	$14,658	$96,979	$27,662	$188,198	$57,372	$630,284	-$200,258	$66,711	-$25,524
Gross Revenue	$2,128,318	$2,537,217	$2,997,247	$3,030,452	$3,679,137	$3,804,999	$4,217,000	$4,843,103	$5,954,287	$4,986,109	$5,565,171	$6,069,622
Operating Expenses	$2,076,469	$2,401,714	$2,890,665	$3,026,703	$3,602,030	$3,798,464	$4,045,933	$4,807,816	$5,353,684	$5,217,483	$5,531,686	$6,163,694
Net Patient Revenue	$2,128,318	$2,537,217	$2,997,247	$3,030,452	$3,679,137	$3,804,999	$4,217,000	$4,843,103	$5,954,287	$4,986,109	$5,565,171	$6,069,622
Total Payroll	$1,317,396	$1,519,046	$1,834,399	$2,035,507	$2,280,410	$2,452,890	$2,541,677	$2,811,479	$3,251,592	$3,240,387	$3,462,696	$3,903,483
Profit Margin %	2.5%	5.3%	3.4%	0.5%	2.6%	0.7%	4.5%	1.2%	10.6%	-4.0%	1.2%	-0.4%
Medicare %	9.8%	5.5%	5.5%	3.1%	2.3%	1.8%	4.9%	8.1%	4.0%	9.5%	8.7%	4.5%
Medicaid %	36.6%	27.2%	13.2%	16.5%	8.6%	28.1%	36.8%	40.8%	37.9%	25.8%	28.9%	24.2%
Private %	53.7%	67.3%	81.3%	80.4%	89.1%	70.1%	58.4%	51.1%	58.0%	64.7%	62.4%	71.2%
Revenue/Day	$186	$186	$193	$212	$229	$238	$268	$290	$331	$360	$353	$260
Cost/Day	$181	$176	$186	$212	$224	$238	$257	$288	$298	$377	$351	$264
Avg Length of Stay	161.4 days	272.9 days	419.8 days	357.0 days	617.9 days	591.7 days	413.9 days	327.9 days	345.6 days	288.5 days	228.5 days	339.4 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Elderly Waiver

Iowa Medicaid Elderly Waiver

General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

General: Caregiver of someone 60+, Iowa resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

IA Specifics: Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

IA Specifics: Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

General: Age 55+, unemployed, low-income, Iowa resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

IA Specifics: Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

IA Specifics: High veteran demand in rural areas.

Able Up Iowa

General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

Income Limits (2025): No strict limit; must demonstrate repayment capacity.

Asset Limits: Not specified; credit-based.

IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.

Keystone Nursing Care Center

Keystone Nursing Care Center is a Nursing Home in Iowa

Keystone Nursing Care Center is a Nursing Home in Iowa

Keystone Nursing Care Center

Keystone Nursing Care Center is a Nursing Home in Iowa

Keystone Nursing Care Center is a Nursing Home in Iowa

Quality ratings

Capacity and availability

Smaller home

This home usually has limited availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Contact Information

Amenities & Lifestyle

Programs & Activities

Inspection History

14 visits/inspections

Latest inspection

4 deficiencies

Inspection Reports

Compare Nursing Homes around Iowa

Places of interest near Keystone Nursing Care Center

Calculate Travel Distance to Keystone Nursing Care Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Iowa Seniors

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

Program of All-Inclusive Care for the Elderly (PACE)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Able Up Iowa

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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