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Nursing homeFAID #4454

Keystone Nursing Care Center

250 FIFTH STREET, KEYSTONE, IA, 52249
(319) 442-3234
55 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
55
CMS facility ID
165604
Care type
Nursing home
County
Benton
Facility name
Keystone Nursing Care Center
Street address
250 FIFTH STREET
City / state / ZIP
Keystone, IA 52249
Phone
(319) 442-3234

About this facility — Keystone Nursing Care Center

Keystone Nursing Care Center is a Medicare/Medicaid-certified skilled nursing facility in Keystone, Iowa. It is licensed for 55 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 2 senior care facilities in Keystone and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Keystone Nursing Care Center 13 times across 7 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Registered owners & officers

Bruns, Tracy
Direct owner · Governing body · Director · Operational control · Additional disclosable party — since 2012
Meeker, Brian
Director · Operational control · Additional disclosable party — since 2012

Regulatory standing

Licensed / certified since
2012-07-17
CMS overall rating
5 of 5 stars
Health deficiencies
0 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-11
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$253 per day (≈ $7,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
24% Medicaid · 5% Medicare · 71% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
26% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
55
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-02-06Health inspectionComplaint-triggered1 citation
F-0677
G · Actual harmFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-20
2023-06-22Health inspection2 citations
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-10
F-0758
D · No harm found
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.
Corrected 2023-07-10
3 earlier / fire-safety inspections (10 citations)
2025-09-11Fire-safety inspection4 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-22
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-22
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2025-10-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-22
2024-09-19Fire-safety inspection2 citations
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-10-03
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-03
2023-06-22Fire-safety inspection4 citations
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-06-28
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-05
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165604.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 13 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered