Country Lane Manor is a 60-bed skilled nursing facility located at 819 Country Lane Road in Keosauqua, Iowa. Administered by Ashley Ames and operated by Campbell Street Services, the center provides short-term rehabilitation, long-term care, and memory care for Van Buren County residents. The campus serves as a localized clinical hub for southeast Iowa, offering 24-hour medical monitoring and a resident council for community engagement.
State and federal oversight currently assigns the facility a 1-star overall rating, which signifies performance categorized as “Much Below Average”. Between 2024 and 2026, the community has undergone several inspections, with the August 2025 standard report identifying 11 deficiencies, nearly double the Iowa state average of 6.1. While recent complaint investigations in early 2025 resulted in single citations regarding nutrition and dietary temperatures, the facility has recorded zero infection control deficiencies over the last three years. To date, the center has incurred $59,150 in federal fines and one payment suspension.
Daily nursing time is guided by a staffing model that delivers approximately 3 hours 18 minutes per resident, performing 13% below the state average. Registered Nurse (RN) presence is currently 15 minutes per resident day, which is half of the Iowa mean, while weekend RN coverage drops further to a lower tier. Despite these staffing gaps, the center reports that 83% of its rehabilitation residents successfully return home, and long-stay quality measures hold a 4-star rating for outcomes in pain management and physical function.
The campus environment provides a residential setting focused on “Senior Life Solutions” that coordinate clinical care with social wellness. On-site amenities include physical, occupational, and speech therapy, as well as specialized programs for cardiac care and respiratory support. The facility provides respite care for family caregivers and facilitates community activities to promote a social lifestyle for long-term residents. Medicare, Medicaid, and private pay are accepted to support varied financial needs.
Families should check the current bedside care standards and staffing levels during an on-site visit. It is advisable to ask the administrator for documented proof of corrective actions following the 2024 and 2025 citations regarding dietary safety and nursing staff levels to ensure that clinical coverage meets the resident’s specific recovery or long-term care goals.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 43% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 24m per day | ▼ 29% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 30m per day | ■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 17% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 150% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 47% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.18
20% better than State averageState average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.32
11% worse than State averageState average: 2.09
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
58.5%
16% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Historical financial and operational data for Country Lane Manor from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 10/2023.
Based on CMS SNF Cost Report for fiscal year ending in 10/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #226 / 246Payroll — State benchmarkedThis home is ranked 226th out of 246 homes in Iowa for Payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #22 / 246Payroll % — State benchmarkedThis home is ranked 22nd out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 8 - 9 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Keosauqua's city center to Country Lane Manor's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | - | 66 | - | 69 | 1 Bed / 2 Bed |
| Friendship Village | NH AL IL MC SNF | Waterloo | - | 72 | - | 52 | 2 Bed / 3 Bed |
| Prairie Vista Village | NH AL IL SNF | South Altoona | - | 68 | A | 29 | - |
| St Francis Manor | NH AL HOS SNF | Grinnell | - | 78 | - | 82 | - |
| Country Lane Manor | NH HOS MC PC RC SNF | Keosauqua | - | 46 | - | 52 | - |
Country Lane Manor has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Country Lane Manor's occupancy is 60.7%.
Country Lane Manor is registered as a for-profit.
Yes — there are 4 photos of Country Lane Manor in the photo gallery on this page.
Country Lane Manor is located at 819 Country Lane Road, Keosauqua, Ia 525651001.
(319) 293-3761 will put you in contact with the team at Country Lane Manor.
Yes — Country Lane Manor is a CMS-certified provider of Medicare and Medicaid.
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