Country Lane Manor
Nursing Home · Keosauqua, IA
CMS certification number165204
Contact & location
819 Country Lane RoadKeosauqua, IA 52565
Van Buren County
- Phone
- (319) 293-3761
- ZIP code
- 52565 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 50.9 (85% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Country Lane Manor LLC
- Chain
- Cedar View Holdings (9 facilities, avg 1.2★)
- Medicare certified since
- May 1, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.22 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.34 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.68 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.19 (state 2.51 · U.S. 2.32)
- Weekend total
- 2.91 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 62.1 (state 44.0 · U.S. 45.8)%
- RN turnover
- 66.7 (state 42.1 · U.S. 42.9)%
Inspections
- Last standard inspection
- August 12, 2025
- Health deficiencies (last cycle)
- 11.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 57 health · 21 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-16 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-09 |
| 2025-08-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-05-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-25 |
| 2025-02-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2024-11-13 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-27 |
| 2024-09-16 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-09-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-09-27 |
| 2024-05-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-20 |
| 2024-05-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-05-20 |
| 2024-05-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-20 |
| 2024-05-02 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-20 |
| 2024-05-02 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-05-29 |
| 2024-05-02 | Assure the security of all personal funds of residents deposited with the facility. F0570 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-05-29 |
| 2024-03-25 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-25 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $59,150 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-02 | Payment Denial | 4 days payment denial |
| 2024-05-02 | Fine | $59,150 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Amaranthine Holdings LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Cedar View Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Cedar View TR (organization) | 5%+ Indirect Ownership Interest | |
| Iowa 5784 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Samara Fam TR (organization) | 5%+ Indirect Ownership Interest | |
| Samara Family Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Sebbag, Gabriel (individual) | 5%+ Indirect Ownership Interest | |
| 819 Country Lane Road Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Brecount, Dana (individual) | Administrator · NOT APPLICABLE | |
| Caresage Administrative Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Clinical Consulting Services LLC (organization) | Administrator · NOT APPLICABLE | |
| JSJ 2020 Fam TR (organization) | Administrator · NOT APPLICABLE | |
| JSJ Family Trust (organization) | Administrator · NOT APPLICABLE | |
| JSJ Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Mallett, Calla (individual) | Administrator · NOT APPLICABLE | |
| Samara Fam TR (organization) | Administrator · NOT APPLICABLE | |
| Samara Family Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Summation Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| The Bryn Mawr Trust Company of Delaware (organization) | Administrator · NOT APPLICABLE | |
| Greatorex, Tina (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Schiowitz, Marc (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Brecount, Dana (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mallett, Calla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gamzeh, David (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Country Lane Manor?
Country Lane Manor has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Country Lane Manor have?
It has 60 certified beds and cares for about 51 residents per day.
Has Country Lane Manor been fined?
Yes. CMS lists 2 penalties totaling $59,150 in the last three years.
Who owns Country Lane Manor?
It is part of Cedar View Holdings and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Country Lane Manor?
(319) 293-3761. The facility is located at 819 Country Lane Road, Keosauqua, IA 52565.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.