Country Lane Manor

Keosauqua, IA · 60 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 5 citation(s) where residents suffered actual harm
  • $59,150 in fines
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
12
1.9x state avg
Deficiencies
$59,150
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 11, 2025

20 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0865 Potential Harm Scope/Severity: E

Administration Deficiencies

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

F0868 Potential Harm Scope/Severity: D

Administration Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

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

F0865 Potential Harm Scope/Severity: E

Administration Deficiencies

Show details

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

F0868 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.46
RN hrs/res/day
0.44
LPN hrs/res/day
2.76
CNA hrs/res/day
3.04
Weekend hrs/res/day
48%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine May 1, 2024
    $59,150
  • Payment Denial May 1, 2024
    Payment Denial
  • Payment Denial Jul 31, 2023
    Payment Denial
Total $59,150

Ownership

For profit - Limited Liability company Chain: CAMPBELL STREET SERVICES
  • Ownership Data Not Available