Keosauqua, IA

Country Lane Manor

1-star overall rating with 1-star inspections with $59,150 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

819 Country Lane Road, Keosauqua, IA

(319) 293-3761

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Campbell Street Services

Operator or chain grouping

Approved since

1994-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.40

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.51

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.83

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.76

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 44% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.28%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 55 · Observed rate 9.09% · Lower 95% interval 6.47%
Discharge to community	58.49%	50.57% 7.9 pts better	No Different than the National Rate · Eligible stays 31 · Observed rate 58.06% · Lower 95% interval 43.07%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 26 · Denominator 26
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 26
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 1 · Denominator 26 · Adjusted rate 3.94%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 71
Staff flu vaccination coverage	71.95%	42% 30 pts better	Numerator 59 · Denominator 82
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	2.1 0.2 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.8%	94.0% 8.2 pts worse	93.4% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.7% · Q2 90.4% · Q3 79.6% · Q4 84.0% · 4Q avg 85.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.0%	95.2% 2.2 pts worse	95.5% 2.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.7% 1.2 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 2.0% · Q4 2.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.5%	4.0% 3.5 pts worse	11.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 13.3% · Q4 18.2% · 4Q avg 7.5%
Percentage of long-stay residents who lose too much weight	4.8%	4.9% 0.1 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 7.3% · Q4 4.8% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.3%	20.6% 0.7 pts worse	19.6% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 24.4% · Q3 18.6% · Q4 16.7% · 4Q avg 21.3%
Percentage of long-stay residents who received an antipsychotic medication	18.2%	19.8% 1.6 pts better	16.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 18.5% · Q3 18.8% · Q4 16.1% · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.8%	18.5% 1.3 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 27.7% · Q3 27.7% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.7%	18.3% 0.4 pts worse	14.9% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 21.4% · Q3 26.2% · Q4 5.0% · 4Q avg 18.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	2.5% 1 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 2.1% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.7%	26.0% 3.7 pts worse	19.8% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 23.6% · Q3 32.6% · Q4 27.9% · 4Q avg 29.7%
Percentage of long-stay residents with pressure ulcers	0.6%	4.3% 3.7 pts better	5.1% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	60.2%	84.3% 24.1 pts worse	81.7% 21.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.7% · Q2 55.0% · Q3 54.2% · Q4 71.4% · 4Q avg 60.2%
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	1.9% 2 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	47.6%	73.3% 25.7 pts worse	79.7% 32.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-12 · Fire 2025-08-12

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-09-16 · Fire 2024-09-16

16 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2024-05-02 · Fire 2024-05-02

29 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-08-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-15

F · Potential for more than minimal harm 2025-08-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-08-12

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-08-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-08-12

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-08-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-08-06

E · Potential for more than minimal harm 2025-08-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-08-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-08-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-08-14

F · Potential for more than minimal harm 2024-09-16

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-09

F · Potential for more than minimal harm 2024-09-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-09-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-03

F · Potential for more than minimal harm 2024-05-02

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-05-02

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-14

F · Potential for more than minimal harm 2024-05-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-05-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-11

F · Potential for more than minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-08

E · Potential for more than minimal harm 2024-05-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-12

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-05-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-02-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-10

D · Potential for more than minimal harm 2024-11-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-09-16

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-16

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-16

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-16

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-16

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-09-16

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-27

B · Minimal harm 2024-09-16

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-27

G · Actual harm 2024-05-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-20

G · Actual harm 2024-05-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-20

G · Actual harm 2024-05-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-20

G · Actual harm 2024-05-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-05-02

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-02

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-02

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-29