Country Lane Manor
819 Country Lane Road · Keosauqua, IA · 52565 · 3192933761
60 certified beds For profit - Limited Liability company Chain: Cedar View Holdings
Why this verdict
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 1 · $59,150 |
Inspection citations (57 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 12, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 12, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 12, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 12, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 12, 2025
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 September 5, 2025 · Quality of Life and Care
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Potential for harm · E August 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 5, 2025 · Nutrition and Dietary
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Potential for harm · E August 12, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 5, 2025 · Administration
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Potential for harm · D August 12, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected September 5, 2025 · Administration
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Potential for harm · D August 12, 2025
Provide and implement an infection prevention and control program.
Corrected September 5, 2025 · Infection Control
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Potential for harm · D May 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 25, 2025 · Quality of Life and Care
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Potential for harm · E February 17, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 10, 2025 · Nutrition and Dietary
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Potential for harm · D November 13, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 16, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2024 · Resident Rights
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Potential for harm · D September 16, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 27, 2024 · Resident Rights
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Potential for harm · E September 16, 2024
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 September 27, 2024 · Resident Rights
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Potential for harm · D September 16, 2024
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 September 27, 2024 · Quality of Life and Care
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Potential for harm · E September 16, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 27, 2024 · Pharmacy Service
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Potential for harm · D September 16, 2024
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 September 27, 2024 · Pharmacy Service
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Potential for harm · E September 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 27, 2024 · Nutrition and Dietary
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Potential for harm · E September 16, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 27, 2024 · Administration
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Potential for harm · D September 16, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 16, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2024 · Nursing and Physician Services
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No harm found · B September 16, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 27, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $59,150 |
| May 2, 2024 | Payment Denial | 4 days |
| August 1, 2023 | Payment Denial | 78 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165204 · certified since May 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.