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C
Below Standard

Country Lane Manor

819 Country Lane Road · Keosauqua, IA 52565

3192933761 · For profit - Limited Liability company

60 beds51.8 residents74 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Country Lane Manor receives an overall staffing grade of C (Below Standard). With 3.335 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4225 HPRD, below the recommended 0.75. It is 0.56 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.48% compared to weekdays. The facility has low agency staff usage (0.3% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.335 HPRD — needs 0.15 more hours per resident per day.
⚠️RN staffing (0.4225 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.3%) — mostly permanent, familiar staff
Total Nurse HPRD
3.335hrs/resident/day▼ 0.56
CMS benchmark: 3.48
RN HPRD
0.4225hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
22.48%
3.5613 weekday → 2.7605 weekend
⚠ Significant weekend reduction
Agency Staff
0.3%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7792hrs/resident/day
Direct care aides
LPN HPRD
0.4046hrs/resident/day
Licensed practical nurses
Consistency
0.4511std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Van Buren County Average+0.00 HPRD
3.33
03.33 HPRD
vs. Iowa State Average-0.48 HPRD
3.82
03.33 HPRD
vs. National Average-0.56 HPRD
3.90
03.33 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Country Lane Manor ★
Keosauqua · This facility
—
C
3.3350.4225★☆☆☆☆
Parkview Care Center
FAIRFIELD
18.6 mi
C
3.27670.5951★★☆☆☆
Bloomfield Care Center
Bloomfield
23.6 mi
B
3.97260.936★★★★★
Park Place
Mount Pleasant
26.5 mi
A
4.95511.3369★★★★★
Good Samaritan Society - Ottumwa
Ottumwa
31.6 mi
B
3.69910.9041★★★★☆
Ridgewood Specialty Care
OTTUMWA
31.8 mi
C
3.19590.6603★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
56
Total Deficiencies
$59,150
Fines Assessed
Aug 12, 2025Health
10 deficiencies cited
▼
May 14, 2025Health
1 deficiency cited
▼
Feb 17, 2025Health
1 deficiency cited
▼
Nov 13, 2024Health
1 deficiency cited
▼
Sep 16, 2024Health
11 deficiencies cited
▼
May 2, 2024Health
22 deficiencies cited· Includes actual harm
▼
Mar 25, 2024Health
3 deficiencies cited
▼
Oct 11, 2023Health
4 deficiencies cited
▼
Aug 2, 2023Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

May 2, 2024Fine
$59,150
May 2, 2024Payment Denial
Aug 1, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.