Keystone Nursing Care Center Inc
250 Fifth Street, Keystone, IA, 52249
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 55 · avg 42 residents/day
- Total nursing staff turnover
- 41.7% — near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 165604
- Certified beds
- 55 beds · avg 42 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Keystone Nursing Care Center Inc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (2 on record)
- Brian w Meeker
Adp of The Snf · since 2025
- Tracy l Bruns
Direct Ownership Interest · 100% · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 3 of 3)
- G0677·Feb 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0684·Jun 22, 2023Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0758·Jun 22, 2023
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 li…
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Sep 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Keystone Nursing Care Center Incinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.