Occupancy rate
71%
In line with Iowa averageMix 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.
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Nursing Home
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
55
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.9%
Residents per day (avg)
42
Occupancy rate
70.9%
Residents per day (avg)
42
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Operated by a business corporation.
Home revenue
$6.1M
Operating loss
-$25.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$6,138,170.00
Operating loss
$-25,524.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
In line with Iowa averageOccupied beds
39 / 55
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Benton
Additional licensing details
License number:
60263
CMS Certification Number:
165604
Certification type:
FALSE
Ownership & operating entity
Keystone Nursing Care Center is administrated by Tracy Bruns.
Contact Information
Email:
[email protected]
Fax:
3194423550
Programs & Activities
Specific Programs
About Us, Our Team, Our Services, activities, Contact Us, Employment
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
14 visits/inspections
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.
Inspection Report Summary for Keystone Nursing Care Center
The most recent inspection on September 11, 2025 found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed record, with some deficiencies related mainly to resident care issues such as failure to follow care plans during transfers, medication documentation, and food labeling. A substantiated complaint in February 2025 involved a resident fall due to improper use of a mechanical lift, resulting in injury, and prior complaints related to care and documentation were also substantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed prior deficiencies effectively, with the most recent inspections showing compliance and correction of earlier issues.
Health Inspection History
Inspections
Total health inspections
2
Iowa average 4.9
Last Health inspection on Feb 2025
Total health citations
3
Iowa average 21.7
Citations per inspection
1.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 3 citations resulted from standard inspections; 1 of 3 resulted from complaint investigations; and 1 of 3 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
2 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 06, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 22, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 22, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 22, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 22, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Keystone Nursing Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Keystone
71
90.2%
+20%
5.27
+23%
0
3
1
42
Hanson, Tracy
$6,1M
$3,3M
54.3%
165604
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Keystone Nursing Care Center
Keystone, IA 522499521
Keystone, IA 522499521
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
97
Employees
73
Contractors
24
Staff to resident ratio
2.16:1
8% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
29
Average shift
7 hours
5% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
18,405
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
2.7%
493 contractor hours this quarter
Speech Language Pathologist: 7
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 4
Qualified Social Worker: 3
Certified Nursing Assistant: 2
Physical Therapy Aide: 2
Occupational Therapy Assistant: 1
Other Physician: 1
Staff by category
| 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 |
42 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
99%
6 Registered Nurse
% of Days
87%
2 Administrator
% of Days
68%
3 Nurse Practitioner
% of Days
65%
1 Mental Health Service Worker
% of Days
64%
1 Dietitian
% of Days
65%
1 Other Dietary Services Staff
% of Days
54%
7 Speech Language Pathologist
% of Days
63%
4 Physical Therapy Assistant
% of Days
59%
1 Nurse Aide in Training
% of Days
21%
4 Respiratory Therapy Technician
% of Days
44%
1 Occupational Therapy Aide
% of Days
13%
3 Qualified Social Worker
% of Days
24%
1 Occupational Therapy Assistant
% of Days
4%
2 Physical Therapy Aide
% of Days
11%
1 Other Physician
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
45 residents
Residents by payment source
Medicare
6 residents (13.3%)
Medicaid
13 residents (28.9%)
Private pay or other
26 residents (57.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.9
11% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.0%
Percent of long-stay residents whose need for help with daily activities has increased
21.0%
12% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.9%
Percent of long-stay residents whose ability to move independently worsened
15.9%
19% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.9%
33% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
43% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
16% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
74% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
17% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
66% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
19% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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