Keystone, IA · Benton County
★★★★★CMS 5/555 bedsFor-profitMedicaid
- Nurse hours
- 3.75 /day
- Staff turnover
- 39%
- Serious cites
- 0
Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.
Vinton, IA · Benton County
★★☆☆☆CMS 2/561 bedsNon-profitMedicaid
- Nurse hours
- 4.12 /day
- Staff turnover
- 40%
- Serious cites
- 0
The Vinton Lutheran Home runs a strong floor: 4.12 nurse staffing hours per resident day, roughly 7% above the national average, with turnover at 40% against a national 45.8%. Those are the numbers behind the top staffing rating. The problem sits in the inspection record. Thirteen deficiencies on file, two of them at harm or jeopardy level and one abuse-related, earned a 1 out of 5 inspection rating, and the most recent survey closed April 30, 2026. Weekend staffing also drops about 17% below its weekday level, so coverage thins exactly when families visit and issues tend to surface. Good people, thin margins on compliance. Ask about the plan to fix it.
Vinton, IA · Benton County
★★★☆☆CMS 3/540 bedsNon-profitMedicaid
- Nurse hours
- 4.37 /day
- Staff turnover
- 66%
- Serious cites
- 0
Virginia Gay Nursing & Rehab in Vinton runs a tight ship on the clinical side. Inspectors found just two deficiencies on its last survey in June 2025, none causing harm or involving abuse, and its quality measures hold a top rating. The problem sits in the workforce: nurse staffing averages 4.37 hours per resident day, comfortably above the national figure, but that number comes with 65.9% annual turnover, well above the 45.8% norm. High turnover at a small 40-bed nonprofit means aides and nurses are constantly relearning residents' routines, and the staffing rating reflects that instability even though the raw hours look generous.
Belle Plaine, IA · Benton County
★★★★☆CMS 4/546 bedsNon-profitMedicaid
- Nurse hours
- 3.02 /day
- Staff turnover
- 55%
- Serious cites
- 0
Belle Plaine Specialty Care runs 46 certified beds under nonprofit ownership, and its staffing sits about 22% under the national average at 3.02 nurse hours per resident day. Weekends drop roughly 11% below the home's own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, so the people who stay are stretched thinner, and not many stay long.
The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025, so the record is current and free of serious findings. Quality measures score well. Where this home lands depends on how much weight you put on thin, churning staffing versus a clean inspection sheet.