Keystone Nursing Care Center is a small nursing home located in Keystone, Iowa. This nursing home was awarded an A- overall, which is a high-end score. We were so impressed with this nursing home that we ranked it in the top fifth of all nursing homes in the country. This facility also received consistently good ratings in each of the major categories. Additional information about its category grades is available below.
Keystone Nursing Care Center
- Nursing Home
- Independent Living
- Assisted Living
Updated Jun 1, 2022 by Nick Lata
- Accepts Medicare 1
- Accepts Medicaid 1
- Is CCRC
- No Resident Council
- No Family Council
- For profit - Corporation
- Offers Inpatient Rehab
- Offers Outpatient Rehab
- Personal Care
- Medication Management
- Meal Delivery
- Home Making
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
- Pain Management
- Orthopedic Rehabilitation
Registered Staff Hours
On top of being a great facility overall, it also received A+ health inspections in recent years. Its inspections are virtually perfect. Inspection ratings weigh several factors found on a facility's inspection report. One of the most important criteria we rely on is the number and severity of deficiencies. Places with better scores in this category tend to have very few severe deficiencies. While this nursing home had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This means that the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
In addition, this facility received elite marks in the category of long-term care. Consequently, it was given one of our best grades in that category with a grade of A+. Facilities that do well in long-term care typically provide patients with more supervision and stay on top of routine healthcare services. In addition to looking at the quantity of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its patients. Vaccines are vital to keeping patients out of the hospital. Lastly, this place was able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.
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Short-term Care Quality
The third category we assessed is short-term care. This facility was given a favorable short-term care score, with a grade of B+ in the area. Our short-term care grade is often used to gauge a nursing home's performance with rehabilitation To have highly graded rehabilitation services, nursing homes generally need to provide better levels of skilled nursing. These types of services include registered nurses, physical therapists, occupational therapists and other licensed professionals. We were not able to find registered nurse or physical therapy staffing data for this facility. The final metric we considered in this category is the number of residents who were able to leave the nursing home and return to the community. We discovered that 6 percent of this nursing home's residents were able to return home.
The final category we looked at proved to be this facility's poorest area. Nevertheless, even its lowest point would be a highlight for most facilities. We awarded it a strong grade of B for our nursing category. The nursing rating considers a variety of subcategories. The most heavily weighted one is the quantity of hours nurses spent with patients. This facility provided 0.3 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any place the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by offering better nursing care, such as having a protocol of turning a resident even once per day.
Rating Over Time
Compared to national and state averages across all facilities.
Keystone Nursing Care Center Quality Metrics
Minimizes Pressure Ulcers
In Keystone Nursing Care Center, 6.13% of Patients had Pressure Ulcers
This tells you the percent of residents that have had a pressure ulcer. Pressure ulcers, which are also known as bed sores, are often the result of patients not being moved frequently enough. Better nursing protocols can minimize the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Keystone Nursing Care Center, 3.72% of Patients had Serious Falls
This indicates the percentage of patients that have had a major fall. Falls leading to severe injury are considered by many experts to be an indicator of nursing care . Falls are often the result of lower levels of patient supervision.
Minimizes Urinary Tract Infections
In Keystone Nursing Care Center, 2.97% of Patients had UTIs
This indicates the percentage of patients that suffered from a urinary tract infection. Urinary tract infections are routinely the result of nursing homes with worse hygiene protocols. Additional nurse staffing can minimize the number likelihood of residents sustaining infections. Note that this metric is affected by by the fact that nursing homes have different reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Keystone Nursing Care Center, 16.77% of Patients use Anti-Psychotic Medication
This figure is a measure of the percent of long-term care residents that are given antipsychotic medication. Excessive reliance on these medications may indicate that a nursing home is using these drugs to subdue residents in scenarios where such drugs aren't medically required. However, some nursing homes may need to rely on these medications due to having more residents suffering from dementia.
Appropriately Uses Anti-Anxiety Medication
In Keystone Nursing Care Center, 18.76% of Patients use Anti-Anxiety Medication
This tells you the percent of residents prescribed antianxiety drugs. Antianxiety drugs are given to residents suffering from anxiety and depression.
Managing Depression Among Residents
In Keystone Nursing Care Center, 4.77% of Patients
This is the percent of patients who are demonstrating depressive symptoms.
Appropriate Vaccine Usage
In Keystone Nursing Care Center, 94.58% of Patients
This datapoint measures the percent of long-term residents that have received the flu and pneumonia vaccines. Respiratory viruses can be fatal for seniors, making these vaccines vital to patient safety.
Residents Maintain Autonomy
In Keystone Nursing Care Center, 16.85% Percentage of Patients
This metric measures the percent of long-term care residents that required more assistance with activities of daily living over time. ADL's include activities such as taking medications and bathing. Many in the industry believe that this is a measure of a resident's well-being.
Ability to Keep Residents Mobile
In Keystone Nursing Care Center, 20.59% Percentage of Residents
This indicates the percentage of patients who remained mobile levels over time. Optimizing mobility is usually a good sign for residents' well-being.
In Keystone Nursing Care Center, 1.17 Hospitalizations per 1,000 resident days
This datapoint measures the number of hospitalizations per 1,000 days of patient care. Avoiding the hospital is key to the physical well-being of patients.
Short-term Care: Rehospitalizations
In Keystone Nursing Care Center, 20.59 Percentage of Residents Rehospitalized
This datapoint measures the number of times residents are rehospitalized per thousand days of short-term care.
Short-term Care: Facilitates Functional Improvement
In Keystone Nursing Care Center, 79.44% Percentage of Resident
This tells you the percentage of short-term patients who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with activities of daily living generally correlates with superior rehabilitation.