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Nursing HomeMedicaid Top Rated

Keystone Nursing Care Center INC

Strong Medicare quality ratings; families often praise attentive and caring nursing staff. Still worth an in-person visit.

250 Fifth Street, Keystone, IA 5224955 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 22 Google reviews

5
4
3
2
1

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What this means for your family

While many families have praised the facility for its clean environment and attentive staff, the lack of detailed recent reviews makes it difficult to gauge current operations. We recommend scheduling a tour to observe staff interactions firsthand and asking specifically about their current policies regarding resident safety and staff conduct.

Google Reviews

Google Reviews

22 reviews on Google
Keystone Nursing Care Center INC receives high praise for its attentive and caring staff, with multiple reviewers highlighting the facility's cleanliness and overall positive environment. However, the lack of detailed feedback in many reviews and recent negative reports regarding staff behavior outside the facility suggest that prospective families should conduct a thorough in-person visit to verify current standards.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Attentive and caring nursing staff
  • Clean and well-maintained facility
  • Knowledgeable care team

Concerns

  • Unprofessional conduct by staff outside the facility

Rating Trends

Tap a year to see what changed

234'17(2)'19(8)'21(1)'24(3)'26(2)

Distribution · 26 analyzed

5
18
4
4
3
0
2
0
1
4

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It is so wonderful to see how clean and well-maintained the facility looks; what are your daily protocols for ensuring the resident areas stay this pristine?
  • 2We've heard such lovely things about how attentive and caring the nursing team is here; how do you ensure that same level of personalized care is maintained across all shifts?
  • 3Since the facility is a cozy size with 55 residents, how do you foster a sense of community and what kind of daily activities are available to keep everyone engaged?
  • 4With your impressive 5-star health inspection rating, what specific clinical processes do you have in place to manage medical emergencies or sudden changes in a resident's condition?
  • 5I noticed the management team is active in responding to feedback; how does the facility incorporate family suggestions into the daily care routine?
  • 6How do you ensure that the high standards of professionalism seen within the facility are consistently reflected in all staff interactions, both inside and outside the building?

Personalized based on this facility's data


Key Review Excerpts

Very neat, clean places. Staff is friendly and helpful.

Visitor/Family member · 2019★★★★★

Staff is very knowledgeable you can see they care for the residents

Visitor/Family member · 2017★★★★★

Good place for rehab

Rehab patient · 2018★★★★
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.5%
IA
19.4%
Benton
11.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Benton
2.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
19.4%
IA
25.9%
Benton
21.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
IA
17.5%
Benton
18.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
14.4%
IA
17.6%
Benton
16.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
19.5%
IA
20.7%
Benton
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
81.8%
IA
84.1%
Benton
90.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.0%
Better than Avg
Here
87.0%
US
79.8%
IA
73.3%
Benton
84.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Mixed vs Avgs
Here
1.8%
US
1.6%
IA
2.0%
Benton
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (6.2)
2 complaint-triggered
Clean record — no deficiencies

Families have filed complaints about care quality at this facility, with deficiencies found in daily living assistance and treatment according to resident preferences. The most recurring issues involve fire safety systems (sprinkler maintenance, smoke doors, fire alarms) appearing across multiple surveys from 2023-2025, along with problems in medication management and emergency preparedness. While all deficiencies show correction dates, the repeated fire safety violations suggest ongoing maintenance challenges that families should discuss during visits.

Sep 11, 2025Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Feb 6, 2025Complaint
1
0677Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 19, 2024Routine
2
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jun 22, 2023Routine
5
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement 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.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jun 22, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Keystone Nursing Care Center INC

Organization Type

for profit

Ownership & Management

Owners

Bruns, Tracy

Owner

Key personnel

Bruns, TracyManaging Control - Governing BodyBruns, TracyOfficer / DirectorMeeker, BrianOfficer / DirectorBruns, TracyManagerMeeker, BrianManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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