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Country Lane Manor, Keosauqua, IA: 1 star rating, fined $59,150 across 1 fine and had 1 payment denial

Country Lane Manor in Keosauqua, IA is owned by Amaranthine Holdings LLC, is rated 1 of 5 stars by Medicare, and was fined $59,150 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 54 health citations from inspections in that time, the latest survey on April 16, 2026, and 4 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
819 Country Lane Road, Keosauqua, IA 52565
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
60
Residents per day
48 on average
Ownership type
For profit, limited liability company
Legal business name
Country Lane Manor LLC
Chain
Cedar View Holdings, 9 facilities
Fines
$59,150 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
54, of which 4 with actual harm or immediate jeopardy
Latest survey
April 16, 2026
CMS Certification Number
165204
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 2, 2024Fine$59,150Not listeddata.cms.gov
May 2, 2024Payment denialNot listedJune 4, 20244data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 16, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2026data.cms.gov
August 12, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 12, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
May 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 25, 2025data.cms.gov
February 17, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2025data.cms.gov
November 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2024data.cms.gov
September 16, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
September 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
September 16, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
September 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.B: pattern, minimal harm potentialCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2024data.cms.gov
September 16, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
September 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
May 2, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedMay 20, 2024data.cms.gov
May 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 20, 2024data.cms.gov
May 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMay 20, 2024data.cms.gov
May 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMay 20, 2024data.cms.gov
May 2, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.C: widespread, minimal harm potentialCorrectedMay 29, 2024data.cms.gov
May 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F809Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F570Assure the security of all personal funds of residents deposited with the facility.B: pattern, minimal harm potentialCorrectedMay 29, 2024data.cms.gov
May 2, 2024F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
May 2, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2024data.cms.gov
March 25, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
March 25, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
March 25, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
October 11, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.C: widespread, minimal harm potentialCorrectedNovember 10, 2023data.cms.gov
October 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 11, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 11, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (3 owners, 2 managers, 3 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Amaranthine Holdings LLCDirect owner100%January 1, 2025data.cms.gov
Cedar View Holdings LLCIndirect ownerNot listedJanuary 1, 2025data.cms.gov
Iowa 5784 LLCIndirect ownerNot listedJanuary 1, 2025data.cms.gov
Samara Family Holdings LLCIndirect ownerNot listedJanuary 1, 2025data.cms.gov
819 Country Lane Road PROPCO LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Caresage Administrative Consulting, LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Clinical Consulting Services LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
JSJ Property LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Samara Family Holdings LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Summation Financial Services LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
The Bryn Mawr Trust Company of DelawareAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.