Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Keystone, Iowa
1 of 1 nursing homes in Keystone (100%) meet our strict criteria. The Iowa statewide average is 29%.
1 recommended · 0 caution · 0 avoid · data
City Average
4.0
★
+0.00 vs state
Total Beds
55
across 1 facilities
High Risk Facilities
0
0 Grade F
$0 in combined fines
Zero Fines
1
/1
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Keystone, Iowa, is limited but offers a high-quality option, with 100% of facilities recommended. Families can feel confident in choosing Keystone Nursing Care Center INC, which holds a B rating and 4 stars, with no fines reported against it.
Qualified (Grade B, Trust Score 70-79)
- 1 Keystone Nursing Care Center INC (75) — Keystone Nursing Care Center INC shines with a solid 4-star CMS rating and a commendable Trust Score of 75/100. This for-profit facility maintains a Grade B, demonstrating a commitment to quality care with zero fines. With 55 beds, it provides a personalized approach to nursing care, ensuring residents receive the attention they deserve.
Recommended
Keystone Nursing Care Center INC shines with a solid 4-star CMS rating and a commendable Trust Score of 75/100. This for-profit facility maintains a Grade B, demonstrating a commitment to quality care with zero fines. With 55 beds, it provides a personalized approach to nursing care, ensuring residents receive the attention they deserve.
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Keystone Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 4 stars | 4.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Questions Keystone Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Keystone's city average is 4.0 stars
-
2
"Have you received any fines in the past 3 years?"
0 of 1 Keystone facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Keystone avg is 0 min
-
4
"What were your most recent inspection findings?"
Keystone facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Keystone, IA are recommended?
1 of 1 nursing homes in Keystone (100%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Keystone "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Keystone?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.