Keystone Nursing Care Center

Q: Is Keystone Nursing Care Center in a walkable area?

Keystone Nursing Care Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the license number of Keystone Nursing Care Center?

According to IA state health department records, Keystone Nursing Care Center's license number is 60263.

Q: What is the occupancy rate at Keystone Nursing Care Center?

Keystone Nursing Care Center's occupancy is 71%.

Q: What is the best email address for Keystone Nursing Care Center?

The team at Keystone Nursing Care Center can be reached at tbruns@keystonecare.org.

Q: Who is the administrator of Keystone Nursing Care Center?

Tracy Bruns is the administrator of Keystone Nursing Care Center.

Q: How many beds does Keystone Nursing Care Center have?

Keystone Nursing Care Center has 55 beds.

Q: What is the address of Keystone Nursing Care Center?

Keystone Nursing Care Center is located at 250 Fifth Street, Keystone, Ia 522499521.

Nursing Home & Assisted Living · Iowa, IA

CMS overall rating

250 Fifth Street, Keystone, Ia 522499521 View map

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Keystone Nursing Care Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Keystone Nursing Care Center accepts Medicare, Medicaid, and private pay.

Overview of Keystone Nursing Care Center

Privately owned by Tracy Hanson, Keystone Nursing Care Center is a skilled nursing facility in Keystone, Iowa, part of a Continuing Care Retirement Community. The 55-bed community serves short-term rehabilitation and long-term care residents in Benton County. It accepts Medicare, Medicaid, and private pay.

The facility was rated 4 stars overall by the CMS, largely driven by a Health Inspection record about 35.6% above Iowa averages. Since 2020, inspectors have identified 8 total deficiencies, about 70% below Iowa’s average rate. The most recent standard survey from September 2025 found that the facility was fully compliant with no citations.

A substantiated complaint in early 2025 involved a care plan transfer protocol failure, which resulted in a resident’s fall and injury. The facility terminated the staff member and achieved verified compliance by February 2025. No federal fines or enforcement actions were recorded.

Nurse staffing averages 5 hours and 16 minutes per resident daily, which is 20% above the Iowa average, placing the facility 24th out of 241 Iowa skilled nursing homes. The CCRC structure provides a pathway through multiple levels of care within one setting. The facility also operates an on-site Nurse Aide Training and Competency Evaluation Program and maintains an active resident council.

Keystone Nursing Care Center is best suited for residents seeking skilled nursing care in a small, community-based setting, including those entering for post-acute rehabilitation or longer-term placement within a continuing care framework in rural Benton County.

(319) 449-6827

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident

5h 16m per day

This facility Iowa avg (4h 18m per day)

vs Iowa avg

+23%

2 of 6 metrics below state avg

Standout metric Physical Therapist is +35% above state avg

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.	20m per day	▼ 54% 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.	34m per day	■ Avg 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 59m per day	▲ 18% 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.	3h 32m per day	▲ 5% 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.	3m per day	▲ 35% 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.	17m per day	▼ 43% State avg: 30m per day · National avg: 28m per day

Capacity and availability

339 days

55-bed community

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

Walk Score: 22 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

71%

Lower than the Iowa average: 75.4%

Occupied beds

39 / 55

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nf/snf

StatusActive

CountyBenton

License Number60263

CMS Certification Number165604

Certification TypeFALSE

Keystone Nursing Care Center is administered by Tracy Bruns.

Email [email protected]

Fax3194423550

Since 2020 · 6 years of data 8 deficiencies 14 inspections

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection September 11, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	8	27	This facility has 70% fewer total deficiencies than a typical Iowa nursing home (8 vs. IA avg 27).↓ 70% better
Deficiencies per year Average deficiencies per year since 2020.	1.3	4.5	This facility has 71% fewer deficiencies per year than a typical Iowa nursing home (1.3 vs. IA avg 4.5).↓ 71% better
Deficiencies per inspection Average deficiencies per inspection.	0.6	1.8	This facility has 67% fewer deficiencies per inspection than a typical Iowa nursing home (0.6 vs. IA avg 1.8).↓ 67% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	14	15	This facility has 7% fewer total inspections than a typical Iowa nursing home (14 vs. IA avg 15).↓ 7% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on September 11, 2025 found no health deficiencies and the facility was in substantial compliance.
A February 6, 2025 complaint investigation substantiated failure to use a mechanical lift and two staff during resident transfer, causing a fall with fractured femur and resident death.
In June 2023, the facility failed to notify a physician of elevated blood sugars above 400 mg/dL and failed to document non-pharmacological interventions before PRN anxiolytic use.

Show Inspection Reports

Inspections since 2023

Total health inspections 2

Iowa average 4.9

Last Health inspection on Feb 2025

Total health citations

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

100% better than Iowa average

Iowa average: 0.6

Serious health citations

11% worse than Iowa average

Iowa average: 0.9

0 critical citations Iowa average: 0.6

1 serious citation Iowa average: 0.9

2 moderate citations Iowa average: 19.7

0 minor citations Iowa average: 0.5

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

Total staff 90

Employees 72

Contractors 18

Staff to resident ratio 2.00 : 1

0% compared with Iowa average

Avg staff/day 27

Average shift 7.2 hours

0% compared with Iowa average

Total staff hours (quarter) 17,906

Nursing staff breakdown

8.8 hours

8.2 hours

7.5 hours

Contractor staffing

878 contractor hours this quarter

Speech Language Pathologist: 5 Respiratory Therapy Technician: 5 Qualified Social Worker: 3 Physical Therapy Aide: 3 Occupational Therapy Assistant: 1 Physical Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	37	0	37	9,072	92	100%	7.5
Medication Aide/Technician	13	0	13	2,311	92	100%	8
Licensed Practical Nurse	6	0	6	2,202	92	100%	8.2
Administrator	2	0	2	868	65	71%	7.2
Registered Nurse	6	0	6	821	78	85%	8.8
Nurse Practitioner	1	0	1	492	60	65%	8.2
Dietitian	1	0	1	475	63	68%	7.5
Mental Health Service Worker	1	0	1	434	55	60%	7.9
Speech Language Pathologist	0	5	5	228	63	68%	2.5
Physical Therapy Aide	0	3	3	220	63	68%	3.4
Nurse Aide in Training	3	0	3	175	25	27%	7
Respiratory Therapy Technician	0	5	5	173	58	63%	2.9
Physical Therapy Assistant	0	1	1	148	45	49%	3.3
Other Dietary Services Staff	1	0	1	93	8	9%	11.6
Qualified Social Worker	0	3	3	92	33	36%	2.7
Occupational Therapy Aide	1	0	1	86	19	21%	4.5
Occupational Therapy Assistant	0	1	1	17	3	3%	5.6

37 Certified Nursing Assistant

% of Days 100%

13 Medication Aide/Technician

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

2 Administrator

% of Days 71%

6 Registered Nurse

% of Days 85%

1 Nurse Practitioner

% of Days 65%

1 Dietitian

% of Days 68%

1 Mental Health Service Worker

% of Days 60%

5 Speech Language Pathologist

% of Days 68%

3 Physical Therapy Aide

% of Days 68%

3 Nurse Aide in Training

% of Days 27%

5 Respiratory Therapy Technician

% of Days 63%

1 Physical Therapy Assistant

% of Days 49%

1 Other Dietary Services Staff

% of Days 9%

3 Qualified Social Worker

% of Days 36%

1 Occupational Therapy Aide

% of Days 21%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.3

In line with Iowa average

Iowa average: 10.2

Functional decline score 23.9

11% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures

Above average Iowa avg: 3.3

Need for Help with Daily Activities Increased 21.0%

12% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened 15.9%

19% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 34.9%

33% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury 5.2%

43% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 5.1%

16% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 0.7%

74% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 4.2%

17% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms 0.0%

100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use 6.5%

66% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine 100.0%

5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 0.82

45% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 1.22

42% better than Iowa average

Iowa average: 2.09

Short-stay resident measures

Significantly above average Iowa avg: 2.6

Pneumococcal Vaccine 100.0%

18% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 0.0%

100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine 87.0%

19% better than Iowa average

Iowa average: 73.3%

Falls with major injury 0.0%

100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge 57.1%

6% better than Iowa average

Iowa average: 53.7%

Successful return to home or community 51.0%

In line with Iowa average

Iowa average: 50.6%

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

Total residents 45

Medicare

13.3% of residents

Medicaid

28.9% of residents

Private pay or other

57.8% of residents

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.

Financial Trends

Historical financial and operational data for Keystone Nursing Care Center from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 116.4% ↑ 37.9pp vs 2022

Net Patient Income -$94.1K ↓ ~$127.6K vs 2022

Payroll Costs $3.7M ↑ ~$204.9K vs 2022

Operating Margin -1.6% ↓ 2.2pp vs 2022

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%	116.4%
Beds	45	45	45	45	45	45	45	55	55	55	55	55
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 Income	$51,849	$135,503	$106,582	$3,749	$77,107	$6,535	$171,067	$35,287	$600,603	-$231,374	$33,485	-$94,072
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
Payroll Costs	$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	$3,667,591
Operating Margin %	2.4%	5.3%	3.6%	0.1%	2.1%	0.2%	4.1%	0.7%	10.1%	-4.6%	0.6%	-1.6%
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%
Net Patient 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

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 10/2023.

Net patient revenue

$6.1M

Net patient income

-$94.1K

Voluntary non-profit community Operated by a church.

Net patient revenue

$6.1M

Net patient income

-$94.1K

Other income

$68.5K

Payroll costs

$3.7M 60.4% of net patient revenue

Other operating costs

$2.5M

Total costs

$6.2M

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.

New residents most often arrive under private pay (36% of admissions), and a typical private pay stay runs around 2 years.

Coverage residents most often arrive under.

Medicare 30%

Private pay 36%

Medicaid 34%

Coverage residents most often leave under.

Medicare 50%

Private pay 25%

Medicaid 25%

0.0 miles from city center Estimated distance in miles from Keystone's city center to Keystone Nursing Care Center's address, calculated via Google Maps.

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Compare Nursing Homes around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data


Keystone Nursing Care Center	NH AL	Keystone	55 Facility 55 IA AVG 71 Rank #240 / 407	70.9% Facility 70.9% IA AVG 75.4% Rank #184 / 407	-6%	5.27 Facility 5.27 IA AVG 4.30 Rank #24 / 249	-43%	+23%	$0 Facility $0 IA AVG $53.4k Rank #1 / 255	3 Facility 3 IA AVG 21.7 Rank #9 / 250	1.5 Facility 1.5 IA AVG 4.1 Rank #14 / 250	1	42	-	22 Facility 22 IA AVG 45 Rank #411 / 528	Tracy Hanson	$6.1M Facility $6.1M IA AVG $7.0M Rank #150 / 251	$3.7M Facility $3.7M IA AVG $3.1M Rank #121 / 251	60.4% Facility 60.4% IA AVG 46.3% Rank #55 / 251	165604
Mill Pond	NH AL IL MC	Ankeny	60 Facility 60 IA AVG 71 Rank #214 / 407	98.3% Facility 98.3% IA AVG 75.4% Rank #14 / 407	+30%	4.91 Facility 4.91 IA AVG 4.30 Rank #52 / 249	-16%	+14%	$0 Facility $0 IA AVG $53.4k Rank #1 / 255	9 Facility 9 IA AVG 21.7 Rank #62 / 250	3.0 Facility 3.0 IA AVG 4.1 Rank #81 / 250	-	57	-	16 Facility 16 IA AVG 45 Rank #439 / 528	Phs Management, LLC	$6.8M Facility $6.8M IA AVG $7.0M Rank #32 / 251	$6.5M Facility $6.5M IA AVG $3.1M Rank #34 / 251	96.3% Facility 96.3% IA AVG 46.3% Rank #182 / 251	165261
Valley View Village	NH AL HC IL MC RC	Des Moines (Fairmont Park)	79 Facility 79 IA AVG 71 Rank #117 / 407	100.0% Facility 100.0% IA AVG 75.4% Rank #1 / 407	+33%	5.52 Facility 5.52 IA AVG 4.30 Rank #22 / 249	+29%	+29%	$9.1k Facility $9.1k IA AVG $53.4k Rank #162 / 255	19 Facility 19 IA AVG 21.7 Rank #140 / 250	3.2 Facility 3.2 IA AVG 4.1 Rank #95 / 250	2	75	-	38 Facility 38 IA AVG 45 Rank #305 / 528	Elim Care Inc	$8.7M Facility $8.7M IA AVG $7.0M Rank #72 / 251	$6.2M Facility $6.2M IA AVG $3.1M Rank #32 / 251	70.5% Facility 70.5% IA AVG 46.3% Rank #13 / 251	165507
Ramsey Village Continuing Care	NH AL IL MC RC	Des Moines (Drake)	78 Facility 78 IA AVG 71 Rank #119 / 407	85.8% Facility 85.8% IA AVG 75.4% Rank #94 / 407	+14%	4.04 Facility 4.04 IA AVG 4.30 Rank #148 / 249	-46%	-6%	$0 Facility $0 IA AVG $53.4k Rank #1 / 255	31 Facility 31 IA AVG 21.7 Rank #190 / 250	4.4 Facility 4.4 IA AVG 4.1 Rank #158 / 250	1	70	-	38 Facility 38 IA AVG 45 Rank #305 / 528	Claremont House Inc	$9.4M Facility $9.4M IA AVG $7.0M Rank #44 / 251	$7.3M Facility $7.3M IA AVG $3.1M Rank #20 / 251	78.4% Facility 78.4% IA AVG 46.3% Rank #29 / 251	165514
Ridgecrest Village	NH AL IL MC	Davenport (Northwest Boulevard)	82 Facility 82 IA AVG 71 Rank #100 / 407	67.1% Facility 67.1% IA AVG 75.4% Rank #208 / 407	-11%	3.98 Facility 3.98 IA AVG 4.30 Rank #148 / 249	+31%	-7%	$118.9k Facility $118.9k IA AVG $53.4k Rank #236 / 255	43 Facility 43 IA AVG 21.7 Rank #218 / 250	7.2 Facility 7.2 IA AVG 4.1 Rank #227 / 250	3	55	-	41 Facility 41 IA AVG 45 Rank #287 / 528	Michael Beaderstadt	$13.3M Facility $13.3M IA AVG $7.0M Rank #20 / 251	$8.1M Facility $8.1M IA AVG $3.1M Rank #23 / 251	60.7% Facility 60.7% IA AVG 46.3% Rank #160 / 251	165049

Nursing Home Explorer

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+

General 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).

Rural focus; waitlists possible.

Benefits

In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+

General Iowa resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Limited slots; rural emphasis.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled

General 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).

Three tiers; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

Iowa PACE

Age 55+

General 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).

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

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Age 65+ or disabled

General 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.

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

Benefits

Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Is Keystone Nursing Care Center in a walkable area?

Keystone Nursing Care Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Keystone Nursing Care Center?

According to IA state health department records, Keystone Nursing Care Center's license number is 60263.

What is the occupancy rate at Keystone Nursing Care Center?

Keystone Nursing Care Center's occupancy is 71%.

What is the best email address for Keystone Nursing Care Center?

The team at Keystone Nursing Care Center can be reached at [email protected].

Who is the administrator of Keystone Nursing Care Center?

Tracy Bruns is the administrator of Keystone Nursing Care Center.

How many beds does Keystone Nursing Care Center have?

Keystone Nursing Care Center has 55 beds.

What is the address of Keystone Nursing Care Center?

Keystone Nursing Care Center is located at 250 Fifth Street, Keystone, Ia 522499521.

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Keystone Nursing Care Center

Overview of Keystone Nursing Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Information

Contact Keystone Nursing Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

37 Certified Nursing Assistant

13 Medication Aide/Technician

6 Licensed Practical Nurse

2 Administrator

6 Registered Nurse

1 Nurse Practitioner

1 Dietitian

1 Mental Health Service Worker

5 Speech Language Pathologist

3 Physical Therapy Aide

3 Nurse Aide in Training

5 Respiratory Therapy Technician

1 Physical Therapy Assistant

1 Other Dietary Services Staff

3 Qualified Social Worker

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Keystone Nursing Care Center

Calculate Travel Distance to Keystone Nursing Care Center

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Financial Assistance for Nursing Home in Iowa

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

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

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

Able Up Iowa

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Iowa