Keystone Nursing Care Center INC
250 Fifth Street, Keystone, IA, 52249
No. Federal inspectors recorded no deficiencies against Keystone Nursing Care Center INC in Keystone, Iowa at its most recent standard inspection on 2025-09-11. 1 finding has been recorded at the actual-harm level. Medicare rates it 5 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 3 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-02-06 · from a complaint · Actual harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2023-06-22 · standard survey · No actual harm, potential for more than minimal 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 · F0758 · 2023-06-22 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Keystone Nursing Care Center INC
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| BRUNS, TRACY | Individual | NOT APPLICABLE | since 03/26/2012 |
| BRUNS, TRACY | Individual | NOT APPLICABLE | since 03/06/2012 |
| BRUNS, TRACY | Individual | NOT APPLICABLE | since 03/16/2012 |
| MEEKER, BRIAN | Individual | NOT APPLICABLE | since 03/16/2012 |
| BRUNS, TRACY | Individual | NOT APPLICABLE | since 03/16/2012 |
| MEEKER, BRIAN | Individual | NOT APPLICABLE | since 03/16/2012 |
| BRUNS, TRACY | Individual | NOT APPLICABLE | since 03/26/2012 |
| MEEKER, BRIAN | Individual | NOT APPLICABLE | since 04/02/2025 |
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165604.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction