Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Keystone Nursing Care Center Inc during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and a history of osteoarthritis was improperly transferred by a CNA without the required mechanical lift, resulting in a fall and fractured femur. The CNA, aware of the resident's transfer requirements, attempted a quick transfer, leading to the incident. The resident was sent to the ER and later returned to the facility under hospice care. The CNA was suspended and terminated for not following the Care Plan.
Improper Transfer Leads to Resident Injury
Penalty
Summary
The facility failed to properly transfer a resident who was dependent on staff for transfers, as per her Care Plan, which required the use of a mechanical lift and assistance from two staff members. Instead, the resident was transferred by a single CNA without the mechanical lift, resulting in a fall that caused a fractured femur. The resident, who had moderate cognitive impairment and a history of osteoarthritis and knee pain, was found on the floor of the whirlpool room after the fall, with a large skin tear on her left shin and complaints of pain in her upper leg and knee area. The incident occurred when a CNA decided to transfer the resident quickly without the mechanical lift, despite knowing the resident's transfer requirements. The CNA's foot slipped during the transfer, causing both the CNA and the resident to fall. The resident's leg hit either the whirlpool chair or the wheelchair during the fall, leading to significant injuries. The CNA admitted to not following the Care Plan and acknowledged the mistake, stating that she thought she could manage the transfer quickly due to the resident's small size. Following the fall, the resident was sent to the emergency room, where she was diagnosed with a hip dislocation, femur fractures, and a patellar dislocation. The family opted for hospice care instead of surgery, and the resident was returned to the facility with comfort medications. The facility's internal investigation revealed that the CNA had not used the mechanical lift as required and had misled a new CNA about the resident's transfer status. The incident was reported to the state, and the CNA involved was suspended and subsequently terminated for not adhering to the Care Plan.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Keystone
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belle Plaine Specialty Care | 8 mi | ★★★★★ | 6 | 0 |
| The Vinton Lutheran Home | 14 mi | ★★★★★ | 4 | 1 |
| Virginia Gay Nursing & Rehab, Llc | 15.1 mi | ★★★★★ | 0 | 0 |
| Rose Haven Nursing Home | 16.8 mi | ★★★★★ | 11 | 0 |
| Sunrise Hill Care Center | 18.5 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.