Nursing homeActive
Keystone Nursing Care Center INC
250 Fifth Street, Keystone, IA 52249319442323455 certified beds · 44 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
3
● 0● 2● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-09-11
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-11 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-02-06 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-09-19 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-02-20Record 165604-20250206-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-10Record 165604-20230622-F684
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-10Record 165604-20230622-F758
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.33
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.75
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.31
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover39%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover67%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.7% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.0% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bruns, Tracy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Meeker, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bruns, Tracy Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bruns, Tracy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bruns, Tracy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bruns, Tracy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meeker, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meeker, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Benton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Belle Plaine Specialty Care Belle Plaine | 8.0 mi | 2026-01-21 | 0160 |
| The Vinton Lutheran Home Vinton | 14.0 mi | 2026-04-30 | 0112 |
| Virginia Gay Nursing & Rehab, LLC Vinton | 15.1 mi | 2025-06-05 | 020 |
| Rose Haven Nursing Home Marengo | 16.8 mi | 2026-05-07 | 1151 |
| Laporte City Specialty Care La Porte City | 20.3 mi | 2026-02-26 | 021 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |