Skilled nursing facility · CMS certification number 165604
Keystone Nursing Care Center INC
Keystone, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 55
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 November 2023 to 31 October 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,138,757 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,138,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,047,006 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $91,751 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,163 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,914 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,914 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,986 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 987 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,312 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,961 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 758.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 377.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420180, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 October 2023
Cost report for 1 November 2022 to 31 October 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,069,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,069,622 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,163,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$94,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$25,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$25,524 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 383.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389106, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 October 2022
Cost report for 1 November 2021 to 31 October 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,565,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,565,171 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,531,686 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $33,485 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,226 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $66,711 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $66,711 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1357862, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 October 2021
Cost report for 1 November 2020 to 31 October 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,986,109 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,986,109 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,217,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$231,374 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$200,258 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$200,258 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,846 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 594.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 288.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315879, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 October 2020
Cost report for 1 November 2019 to 31 October 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,954,287 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,954,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,353,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $600,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,681 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $630,284 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $630,284 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,973 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 851.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 345.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1292317, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 October 2019
Cost report for 1 November 2018 to 31 October 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,843,103 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,843,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,807,816 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $35,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,085 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,372 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,372 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,723 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,275.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 327.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253715, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 October 2018
Cost report for 1 November 2017 to 31 October 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,217,000 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,217,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,045,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $171,067 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,198 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,729 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,156.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 413.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1228072, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 October 2017
Cost report for 1 November 2016 to 31 October 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,804,999 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,804,999 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,798,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,535 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,662 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,977 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,496.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 591.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188593, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 October 2016
Cost report for 1 November 2015 to 31 October 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,679,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,679,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,602,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $77,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,977 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $99,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $96,979 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 92.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 691 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 617.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157203, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 October 2015
Cost report for 1 November 2014 to 31 October 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,030,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,030,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,026,703 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,749 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,838 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $14,658 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 357 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122690, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 October 2014
Cost report for 1 November 2013 to 31 October 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,997,247 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,997,247 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,890,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $106,582 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $112,641 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $100,373 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 106.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 419.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089263, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 October 2013
Cost report for 1 November 2012 to 31 October 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,537,217 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,537,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,401,714 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $135,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,286 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $144,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,357 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057561, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 October 2012
Cost report for 1 November 2011 to 31 October 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,128,318 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,128,318 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,076,469 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $51,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $60,039 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $52,536 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 101.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028062, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 October 2011
Cost report for 1 July 2011 to 31 October 2011 — a reporting period of 122 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 4 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $687,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $722,515 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$35,209 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,291 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,296 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$34,214 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428654, read from the public cost report file SNFFY2011.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BRUNS, TRACY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/26/2012 |
| MEEKER, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| BRUNS, TRACY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/16/2012 |
| MEEKER, BRIAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/16/2012 |
| BRUNS, TRACY | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/26/2012 |
| BRUNS, TRACY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/06/2012 |
| BRUNS, TRACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2012 |
| MEEKER, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2012 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of KEYSTONE NURSING CARE CENTER INC (enrollment ID O20110617000544).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BRIAN W MEEKER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/2/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRACY L BRUNS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/26/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRIAN W MEEKER | Individual | CORPORATE DIRECTOR | 100 | 3/16/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRACY L BRUNS | Individual | CORPORATE DIRECTOR | 100 | 3/16/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRACY L BRUNS | Individual | DIRECT OWNERSHIP INTEREST | 100 | 3/26/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRACY L BRUNS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/6/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRIAN W MEEKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/16/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRACY L BRUNS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/16/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 June 2025: TRACY L HANSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L HANSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BRIAN MEEKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 July 2024: RONALD LAWRENCE GARBERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: RONALD LAWRENCE GARBERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: TRACY L HANSON appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: BRIAN MEEKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: BRIAN MEEKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- 1 June 2025: TRACY L HANSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L HANSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TRACY L BRUNS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BRIAN MEEKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 25 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2024: RONALD LAWRENCE GARBERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: RONALD LAWRENCE GARBERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: TRACY L HANSON appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: BRIAN MEEKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: BRIAN MEEKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 12 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 9 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 12 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 15 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 April 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 28 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 26 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 26 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 4 May 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 September 2025 | 11 September 2025 | 0 | 4 |
| 2 | 19 September 2024 | 19 September 2024 | 1 | 2 |
| 3 | 22 June 2023 | 22 June 2023 | 2 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
3 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 6 February 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Yes | Deficient, Provider has date of correction | 20 February 2025 |
| 22 June 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 10 July 2023 |
| 22 June 2023 | Health | F 0758 | 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 limited. | D | No | Deficient, Provider has date of correction | 10 July 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | KEYSTONE NURSING CARE CENTER INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-07-17 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Benton |
| Telephone Number | 3194423234 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 55 |
| Average Number of Residents per Day | 44.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Keystone Nursing Care Center INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 June 2025: TRACY L HANSON no longer appears as OTHER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Keystone Nursing Care Center INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165604.