Keystone Nursing Care Center INC

250 Fifth Street, Keystone, IA 52249 · CCN 165604 · 55 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections5 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-02-06 — ACTUAL HARM (tag F0677, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide care and assistance to perform activities of daily living for any resident who is unable.

Staffing, from payroll records

Nursing hours / resident / day

3.06

state median 3.10

Weekend staffing gap

−12%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.23

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

39%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation.

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 2

Survey date	Tag	Category	Severity	Corrected
2025-02-06	F0677	Quality of Life and Care Deficiencies	G	not recorded
2023-06-22	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-06-22	F0758	Pharmacy Service Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Keystone Nursing Care Center INC, Keystone” at medicare.gov/care-compare.