Country Lane Manor

Van Buren · IA · For profit - Limited Liability company · CEDAR VIEW HOLDINGS chain · 60 certified beds · CCN 165204 · COUNTRY LANE MANOR LLC


Country Lane Manor operates 60 certified beds in Keosauqua, Iowa. Its Medicare and Medicaid certification dates to 1994-05-01. It averages 50.9 residents a day.

What harm was found in the violations cited at Country Lane Manor?

CMS lists 57 health-inspection deficiencies for Country Lane Manor, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-16.

Survey dateTagDeficiencySeverity
2026-04-16F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2025-08-12F0812, F0865Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2025-08-12F0552, F0554, F0561, F0580, F0656, F0690, F0868, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program.D
2025-05-14F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-02-17F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-11-13F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-09-16F0578, F0725, F0756, F0812, F0865Honor 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2024-09-16F0550, F0558, F0658, F0690, F0758Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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.D
2024-09-16F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.B
2024-05-02F0684, F0686, F0689, F0692Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2024-05-02F0567, F0725, F0803, F0812Honor the resident's right to manage his or her financial affairs. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-02F0550, F0558, F0561, F0582, F0607, F0641, F0658, F0677, F0690, F0757, F0758, F0809Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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.D
2024-05-02F0865Have a plan that describes the process for conducting QAPI and QAA activities.C
2024-05-02F0570Assure the security of all personal funds of residents deposited with the facility.B
2024-03-25F0835, F0880Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program.E
2024-03-25F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2023-10-11F0550, F0657, F0689Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-10-11F0865Have a plan that describes the process for conducting QAPI and QAA activities.C
2023-08-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-08-02F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-08-02F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.B

Why was Country Lane Manor fined?

DateTypeAmount
2024-05-02Fine$59,150

Has Country Lane Manor had payment denied by Medicare?

Payment denial startLength in days
2024-06-044

How is Country Lane Manor staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.220613.81506
Total nursing staff turnover (%)62.144.0
Average number of residents per day50.952.4

Who owns Country Lane Manor, and what chain is it in?

Country Lane Manor is registered with CMS as For profit - Limited Liability company, operates under the legal business name COUNTRY LANE MANOR LLC and belongs to the CEDAR VIEW HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTAMARANTHINE HOLDINGS LLCsince 01/01/2025
5% OR GREATER INDIRECT OWNERSHIP INTERESTCEDAR VIEW HOLDINGS LLC, CEDAR VIEW TR, IOWA 5784 LLC, SAMARA FAM TR, SAMARA FAMILY HOLDINGS LLC, SEBBAG, GABRIELsince 01/01/2025
OPERATIONAL/MANAGERIAL CONTROLBRECOUNT, DANA, MALLETT, CALLAsince 01/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFGREATOREX, TINA, SCHIOWITZ, MARCsince 01/28/2026
TRUSTEE OF THE SNFGAMZEH, DAVIDsince 01/01/2025
ADP OF THE SNF819 COUNTRY LANE ROAD PROPCO LLC, CARESAGE ADMINISTRATIVE CONSULTING, LLC, CLINICAL CONSULTING SERVICES LLC, JSJ 2020 FAM TR, JSJ FAMILY TRUST, JSJ PROPERTY LLC, SAMARA FAM TR, SAMARA FAMILY HOLDINGS LLC, SUMMATION FINANCIAL SERVICES LLC, THE BRYN MAWR TRUST COMPANY OF DELAWARE, BRECOUNT, DANA, MALLETT, CALLAsince 01/01/2025

Were you or a family member harmed at Country Lane Manor?