Nursing home · Top rated by CMS
Keystone Nursing Care Center
250 Fifth Street, Keystone, IA 52249 · Map
For profit - Corporation · 55 certified beds
Keystone Nursing Care Center is a Medicare-certified nursing home in Keystone, Iowa. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.33 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Sep 11, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Keystone Nursing Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.33 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.32 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 53.7% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (September 2025)
- Every deficiency from the February 6, 2025 inspection was corrected by February 20, 2025
What inspectors found at Keystone Nursing Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 22, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 22, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 250 Fifth Street
Keystone, IA 52249 - CMS certification #
- 165604
- Ownership
- For profit - Corporation
- Certified beds
- 55
- Avg residents/day
- 39.7
- Provider type
- Medicare and Medicaid
- First certified
- 2012-07-17
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Keystone Nursing Care Center using Google Maps.
Other public records
- Programs Medicare-certified home health agency at this address
Full public records, with dates and sources
Care and services
Medicare agencies at this address
- Medicare-certified home health agency at this address. Medicare-certified home health agency KEYSTONE HOME HEALTH (Medicare CCN 167427) lists this same street address. Ownership type: PROPRIETARY. Medicare certified since 01/20/2015. (CMS Home Health Care Agencies, as of May 27, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- Virginia Gay Hospital, Vinton. 15.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Belle Plaine Specialty Care, Belle Plaine. 8.0 miles away, straight line.
- Nearest home health agency office
- Keystone Home Health, Keystone. 0.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicap. 19.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52249 as metropolitan (metropolitan high commuting).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 52249.
Essence Of Life Hospice, office in Amana, 21.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 37.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | See above |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Keystone Nursing Care Center a good nursing home?
CMS gives Keystone Nursing Care Center an overall rating of 5 out of 5 stars, including 4/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Keystone Nursing Care Center staffed?
Keystone Nursing Care Center reports 4.33 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Keystone Nursing Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Keystone Nursing Care Center have?
Keystone Nursing Care Center is certified for 55 beds.