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Country Lane Manor

⌖ Keosauqua, IA · Van Buren County
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Medicare overall rating 1 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About Country Lane Manor

Country Lane Manor is a 60-bed for-profit nursing home in Keosauqua, IA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Iowa is 3.1. At its last full inspection (Aug 2025), inspectors found 11 problems, more than the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 13 min a day with each resident, less than the Iowa average of 3 hr 49 min. About 62% of its nursing staff left in the past year. Medicare fined it $59,150 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameCountry Lane Manor
LocationVan Buren County, Iowa
Address819 Country Lane Road, Keosauqua, IA 52565 · Van Buren County
CMS provider number165204
Ownership typeFor-profit (limited liability company)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 1, 1994 (32 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures4 of 5Above average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 5 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Aug 2025.
    Strength

Things to ask about

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  • Fines and penalties1 fine totaling $59,150; 1 Medicare payment denialFederal penalties from the last three years, most recently in May 2024 (about 2 years ago). The national average is $30,972 per home.
    Ask about this
  • Health citations at last inspection11 (Aug 2025)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    Worse than state average
  • Nurse staffing per resident3 hr 13 min a dayIowa average: 3 hr 49 min
    Worse than state average
  • Registered nurse time per resident21 min a dayIowa average: 45 min
    Worse than state average
  • Nursing staff turnover62% a yearIowa average: 44%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs3.7%State average: 2.1%
    Worse than average

Physical therapist time: about 7 minutes per resident a day. That is more than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury3.1%State average: 3.8%
    About average
  • Pressure sores (bedsores)0.6%State average: 4.2%
    Better than average
  • Given antipsychotic drugs19.0%State average: 19.5%
    About average
  • Hospital stays per 1,000 resident days1.6State average: 1.5
    About average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 56% Medicaid
  • 6% Medicare
  • 38% Private pay, insurance and other
Beds in use, on average94%Iowa typical: 79%
Cost of care per resident day$306Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 13 times.

Overall rating1★
Health inspections1★
Staffing1★
Quality of care4★
Nurse hours per resident per day3.2
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201943443.6
Jan 202033243.1
Jan 202144242.9
Jan 202244232.0
Jan 202323123.0
Jan 202422233.7
Feb 202511132.9
Feb 202611243.3
Sep 202611143.2

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.