Keystone Nursing Care Center INC: Staffing, Turnover, and Inspection Record
Keystone Nursing Care Center INC is a 55-bed for-profit nursing home in Keystone, Iowa. In the CMS August 2026 release it reported 2.76 nurse aide hours per resident per day, 10% above the Iowa average of 2.51, and 38.6% nursing staff turnover (Iowa average 44.0%).
Keystone Nursing Care Center INC
250 Fifth StreetKeystone, IA 52249
Benton County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Keystone Nursing Care Center INC, nurse aides logged 2.76 hours per resident per day, 10% above the Iowa average. With about 44 residents a day, that works out to roughly 122 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.76 | 2.51 | 2.32 |
| Licensed practical nurses | 0.66 | 0.56 | 0.86 |
| Registered nurses | 0.33 | 0.74 | 0.69 |
| All nursing staff | 3.75 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.31 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.6% of nursing staff at Keystone Nursing Care Center INC left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Keystone Nursing Care Center INC holds 5 of 5 overall; the Iowa average is 3.1.
About Keystone Nursing Care Center INC
- Ownership: For profit - Corporation
- Medicare and Medicaid certified since: Jul 17, 2012
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Keystone Nursing Care Center INC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Belle Plaine Specialty Care Belle Plaine | 8.0 | 46 | 2.07 | 3.02 | 54.8% | 4 | None |
| The Vinton Lutheran Home Vinton | 14.0 | 61 | 2.97 | 4.12 | 40.0% | 2 | None |
| Virginia Gay Nursing & Rehab, LLC Vinton · many days without an RN | 15.1 | 40 | 3.25 | 4.37 | 65.9% | 5 | None |
| Rose Haven Nursing Home Marengo | 16.8 | 58 | 2.48 | 3.29 | 52.1% | 3 | $10,062 |
| Sunrise Hill Care Center Traer | 18.5 | 76 | 2.29 | 3.26 | 10.3% | 4 | None |
| Sunny Hill Care Center Tama | 19.8 | 57 | 2.11 | 3.00 | — | 1 | $24,756 |
| Accura Healthcare of Toledo Toledo | 20.0 | 55 | 2.31 | 2.89 | 56.5% | 3 | None |
| Laporte City Specialty Care La Porte City | 20.3 | 46 | 1.94 | 3.24 | 25.7% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.