39/100
Poor
819 Country Lane Road, Keosauqua, IA 52565
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$59,150 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 62%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 12, 2025 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Part of CEDAR VIEW HOLDINGS, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BRECOUNT, DANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MALLETT, CALLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| GREATOREX, TINA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| SCHIOWITZ, MARC | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| GAMZEH, DAVID | Individual | TRUSTEE OF THE SNF | — |
| 819 COUNTRY LANE ROAD PROPCO LLC | Organization | ADP OF THE SNF | — |
| CARESAGE ADMINISTRATIVE CONSULTING, LLC | Organization | ADP OF THE SNF | — |
| CLINICAL CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | — |
| JSJ 2020 FAMILY TR | Organization | ADP OF THE SNF | — |
| JSJ FAMILY TRUST | Organization | ADP OF THE SNF | — |
| JSJ PROPERTY LLC | Organization | ADP OF THE SNF | — |
| SAMARA FAM TR | Organization | ADP OF THE SNF | — |
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Country Lane Manor holds an ElderGrade of F (39 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.22 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 57 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Country Lane Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.