Among nursing homes in Iowa, Keystone Nursing Care Center Inc stands out with an A grade and a score of 96 out of 100. It ranks in the 97th percentile statewide, reflecting consistently high performance across CMS quality metrics.
Staffing levels at Keystone Nursing Care Center Inc exceed national averages, with 4.33 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.38 hours per resident per day is near the national average of 0.7 hours.
Keystone Nursing Care Center Inc shows a strong inspection record, with just 3 deficiencies noted in recent CMS surveys, none of which were classified as serious.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.33 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.38 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.62 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.32 | 2.4 | Above Average |
| Weekend Total Nursing | 3.72 | 3.8 | Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (3 shown)
- Tag 0677 Severity GProvide care and assistance to perform activities of daily living for any resident who is unable.Feb 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyJun 21, 2023 · Pharmacy Service Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jun 21, 2023 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.8% | 4.5% | Worse |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 7.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 24.2% | 14.0% | Worse |
| Excessive weight loss | 5.1% | 7.5% | Better |
| New/worsened incontinence | 31.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 96 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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