Nursing Homes · Medicare certified
Keystone Nursing Care Center INC
250 Fifth Street · Keystone, IA 52249 · 55 certified beds
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About Keystone Nursing Care Center INC
Keystone Nursing Care Center INC is a nursing home in Keystone, Iowa. Its capacity is 55 beds, below the Iowa median of 57 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 3 citations, the most recent on February 6, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.09 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
5.0Staffing
1.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (3)
Records from June 2023 to February 2025.
February 6, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity G: isolated, actual harm. Corrected February 20, 2025.
June 22, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2023.
June 22, 2023
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
4.09 nurse hours per resident per day in Q2 2026, up from 3.90 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Corporation
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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