Inspection Reports for Keystone Senior Suites
251 6th St, Keystone, IA 52249, IA, 52249
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 16, 2025, found no deficiencies during the essential recertification visit. Earlier inspections showed a generally positive compliance history with occasional deficiencies related mainly to staff training and service plan updates, such as nurse delegation training delays and untimely service plan revisions noted in August 2023. Complaint investigations in 2010 and 2011 were unsubstantiated, with no regulatory insufficiencies identified. Prior monitoring visits cited issues with tenant evaluations, service plan updates, and driver licensing, but no enforcement actions or fines were listed in the available reports. The facility’s inspection record suggests improvement over time, with the most recent visit showing full compliance after some earlier isolated issues.
Deficiencies (last 11 years)
Deficiencies (over 11 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
9 residents
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 9
Deficiencies: 0
Dec 16, 2025
Visit Reason
The visit was an essential recertification to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the essential recertification visit.
Inspection Report
Renewal
Census: 11
Deficiencies: 2
Aug 30, 2023
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
The inspection found regulatory insufficiencies related to nurse delegation training not being provided within 30 days of employment for two staff members, and failure to complete an updated service plan within 30 days of tenant occupancy for one tenant.
Deficiencies (2)
| Description |
|---|
| Nurse delegation training was not provided within 30 days of staff employment for two staff members. |
| Service plan was not updated within 30 days of tenant occupancy for one tenant. |
Report Facts
Number of tenants without cognitive disorder: 11
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 11
Number of staff reviewed for nurse delegation training: 2
Number of tenants reviewed for service plan update: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Bruns | RN BSN Admin | Signed the plan of correction and is referenced as Nurse Manager and Administrator in monitoring performance. |
Inspection Report
Renewal
Census: 14
Deficiencies: 0
Sep 3, 2019
Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification for the Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 12
Number of tenants with cognitive disorder: 2
Total census: 14
Inspection Report
Renewal
Census: 12
Deficiencies: 0
Aug 31, 2017
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
There were no regulatory insufficiencies cited during the recertification visit, indicating full compliance with certification requirements for the Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 12
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 12
TOTAL census of Assisted Living Program: 12
Inspection Report
Monitoring
Census: 13
Deficiencies: 0
Sep 1, 2015
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, including the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans.
Report Facts
Number of tenants without cognitive disorder: 13
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 13
Inspection Report
Monitoring
Census: 10
Deficiencies: 0
May 2, 2013
Visit Reason
The visit was a final recertification monitoring evaluation conducted to review the assisted living program's compliance with Iowa Code and administrative rules, including review of submitted recertification documents and fire marshal inspection.
Findings
No regulatory insufficiencies were found during the onsite recertification monitoring evaluation. Tenant satisfaction was generally positive, and the program did not receive any regulatory insufficiencies during the certification period.
Report Facts
Number of tenants without cognitive disorder: 10
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 10
Total census of Assisted Living Program: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Hanson | RN BSN, Administrator | Administrator of Keystone Senior Suites |
| Margaret Kaltefleiter | RN MS | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Signed the final recertification monitoring evaluation report |
Inspection Report
Complaint Investigation
Census: 12
Deficiencies: 0
May 24, 2011
Visit Reason
A complaint investigation was conducted at Keystone Senior Suites on May 24, 2011, to investigate allegations related to tenant service plans, food temperatures, staff pre-employment physicals and training, dementia training, and fire drills.
Findings
No regulatory insufficiencies were found during the complaint investigation and recertification survey. Observations noted that service plans were individualized, food temperatures were addressed, staff training and physicals met requirements, dementia training was not required due to no tenants with cognitive dysfunction, and fire drills had issues but a plan of correction would be provided.
Complaint Details
The complaint investigation addressed allegations that tenant service plans were not individualized, food temperatures were not hot enough, staff lacked pre-employment physicals and mandatory abuse training, staff did not have appropriate dementia training, and fire drills were not completed as required. All allegations were found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 12
Number of tenants with cognitive disorder: 0
Total population of program: 12
Tenant meeting attendance: 10
Food temperature: 170
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Kix | RN | Monitor for the complaint investigation |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 0
Oct 7, 2010
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to tenant care and staff actions at Keystone Senior Suites.
Findings
No regulatory insufficiencies were identified during the investigation. The complaint allegations were reviewed, including tenant falls, medication handling, and wound care, but no deficiencies were found.
Complaint Details
The complaint alleged a tenant fell and hit their head without family notification, unassessed hip pain, untreated wounds on tenants, improper medication handling, and neglect of promised care. The investigation found no current tenants or staff matching the complaint, no incident reports from June 2010 to the complaint date, and no regulatory insufficiencies.
Report Facts
Current number of tenants without cognitive disorder: 9
Current number of tenants with cognitive disorder: 0
Total Population: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | Monitor | Conducted the complaint investigation |
Inspection Report
Monitoring
Census: 8
Deficiencies: 1
Jun 10, 2009
Visit Reason
The visit was a recertification monitoring evaluation conducted to review the facility's Plan of Correction in response to previously identified regulatory insufficiencies.
Findings
The monitoring evaluation found that there were no substantiated regulatory insufficiencies in the past certification period, but the program did not consistently complete annual health evaluations for tenants as required.
Deficiencies (1)
| Description |
|---|
| The program did not consistently evaluate each tenant’s health status not less than annually to determine continued eligibility and needed service modifications. |
Report Facts
Current number of tenants without cognitive disorder: 8
Current number of tenants with cognitive disorder: 0
Total Population: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sue Meyer | Administrator | Administrator of Keystone Senior Suites, named in the report |
| Stephanie Cummins | MA | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 8
Deficiencies: 3
May 5, 2005
Visit Reason
An on-site monitoring evaluation was conducted at Keystone Senior Suites to assess compliance with assisted living program regulations and to evaluate tenant functional and cognitive abilities, service plans, and overall program operations.
Findings
The program had regulatory insufficiencies related to inconsistent evaluation of tenants' cognitive and functional abilities within required timeframes and failure to update service plans as needed. Tenant and family satisfaction was generally positive, with some suggestions for food quality improvements.
Deficiencies (3)
| Description |
|---|
| The program did not consistently evaluate tenant’s cognitive abilities prior to taking occupancy and did not evaluate cognitive and health status within 30 days of occupancy. |
| The program did not evaluate tenant’s functional and cognitive abilities and health status as needed. |
| The program did not update service plans as needed. |
Report Facts
Current number of tenants without cognitive disorder: 7
Current number of tenants with cognitive disorder: 1
Total Population: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Meyer | Administrator | Administrator of Keystone Senior Suites named in report and plan of correction |
Inspection Report
Monitoring
Census: 40
Deficiencies: 1
Sep 22, 2004
Visit Reason
An on-site monitoring evaluation was conducted at Keystone Cedars to assess compliance with assisted living program regulations and certification requirements.
Findings
The tenants expressed overall satisfaction with the program, including activities, staff responsiveness, safety, and food quality. However, a regulatory insufficiency was found regarding transportation: the program did not have an appropriately licensed driver for the 12-passenger van used for tenant outings.
Severity Breakdown
Regulatory Insufficiency: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The program did not have an appropriately licensed driver to drive the program’s van, which requires a Class D chauffeur’s license or a Commercial Driver’s License if handicapped accessible. | Regulatory Insufficiency |
Report Facts
Current number of tenants without cognitive disorder: 31
Current number of tenants with cognitive disorder: 6
Total General Population: 37
Current number of tenants in Dementia Specific Program: 3
Van passenger capacity: 12
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