All states › Iowa › Keystone › Keystone Nursing Care Center
250 Fifth Street Keystone, IA 52249 · Benton County
CMS certification number 165604 · See this home on Medicare Care Compare
Is Keystone Nursing Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Keystone Nursing Care Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
43.6% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Keystone Nursing Care Center: Medicare and Medicaid
Keystone Nursing Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 11, 2025 and found 0 deficiencies. In total, inspectors issued 3 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 3 citations at Keystone Nursing Care Center across 2 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on February 6, 2025. The most common areas cited were quality of life and care (2) and pharmacy service (1). The most serious was cited under the CMS rule to "provide care and assistance to perform activities of daily living for any resident who is unable" (tag F0677, level G, February 6, 2025).
February 6, 2025 · 1 citation · includes complaint inspection
GProvide care and assistance to perform activities of daily living for any resident who is unable.
June 22, 2023 · 2 citations
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DImplement 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.
Questions to ask on a tour of Keystone Nursing Care Center
- Inspectors cited the home at the actual-harm level on February 6, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 1/5 | 5/5 |
| August 2026 | 5/5 | 5/5 | 3/5 | 5/5 |
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Location
Hospitals near Keystone Nursing Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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15.1 mi
Virginia Gay Hospital VintonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 19m for patients treated and sent home
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15.3 mi
Compass Memorial Healthcare MarengoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 55 min for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.