Keelson Harbour

    2810 Aurora Ave W, Spirit Lake, IA 51360
    • Independent Living
    • Assisted Living
    • Memory Care

    Warm attentive staff, spotless apartments

    I toured and moved my mom in - the staff are warm, attentive, and communicative; the facility and apartments are spotless and beautiful; meals and plentiful activities (cards, bingo, crafts, outings) make it feel like home. Highly recommend.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Spa
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Pet friendly
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.56·(25)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.3
    • Meals

      3.3
    • Amenities

      4.3
    • Value

      2.5

    Pros

    • Caring, attentive staff
    • Clean, well-maintained environment
    • Modern, updated apartments
    • Spacious apartment layouts
    • Varied daily activities (cards, bingo, crafts, games)
    • Dedicated memory-care unit with secured access
    • On-site amenities (hair salon, theater, library, shop)
    • Accessible bathing and mobility features (accessible showers, whirlpools, scooter access)
    • Regular housekeeping services
    • Shuttle and transportation services
    • Social, engaging common spaces and events (happy hour, outings)
    • Good family communication and care planning
    • Responsive maintenance
    • Flexible a la carte care options
    • Pet-friendly accommodations
    • Life-alert/safety systems
    • Opportunities for family participation and shared meals

    Cons

    • Inconsistent meal quality and limited special-diet suitability
    • Occasional short staffing
    • Gaps in clinical-incident response and family communication
    • Large, confusing facility layout
    • Temperature-control inconsistencies
    • Billing and admission-documentation inconsistencies
    • Weekend and scheduling gaps in activities
    • Behavioral-support limitations that can affect residency status
    • Perceived institutional-style dining experience for some residents

    Summary of reviews

    Keelson Harbour presents as a large, modern senior living community with extensive amenities and an active social environment. Many reviewers praised the facility's cleanliness, updated apartments, and numerous on-site features — including a theater, library, hair salon, shop, and multiple common rooms — that support socialization and family involvement. The community offers both independent and memory-care options with a secured memory-care area and indoor/outdoor walking spaces.

    Care and staff were frequently described positively: reviewers cited caring, attentive nurses and aides, helpful maintenance, effective medication assistance, and regular housekeeping. Several families noted good communication around care planning and appreciated staff who accommodated visits and family requests. At the same time, a subset of reviewers raised serious concerns about response times and clinical-incident handling; these comments suggest potential variability in how quickly staff respond to urgent situations and in subsequent family communication. Prospective families should ask about emergency-response protocols, staffing levels, and documentation practices during tours.

    Dining experiences were mixed. Many residents and families described appealing, bright dining rooms and enjoyable meals and events (for example, happy hours and family dining opportunities). Others found food quality inconsistent or described meals that felt institutional; a few reviewers called out limitations for special-diet needs such as diabetic-friendly options. It's advisable to sample meals if possible and to inquire about accommodations for dietary restrictions.

    Activities and engagement are clear strengths: the community supports a broad schedule of programs (cards, pinochle, bingo, crafts, exercise, outings), active community rooms, and opportunities tailored to memory-care residents. Reviewers noted both large-group and smaller, resident-centered programming. Some families did, however, report quieter weekends or perceived gaps in weekend offerings; confirm typical weekly and weekend schedules if consistent daily engagement is important.

    Facility design and operations have trade-offs. The complex is described as spacious and resort-like, but several reviewers found the layout confusing or overwhelming for residents who prefer smaller, more intimate settings. Practical accessibility features are in place (elevators, scooter access, accessible showers), but temperature-control inconsistencies were mentioned. Administrative areas also showed variability: while maintenance and admissions assistance were praised, there were comments about billing issues and missing admission paperwork; families should verify billing processes and request copies of all admission documents.

    Overall pattern: many families report positive long-term experiences characterized by strong staff relationships, robust activities, and attractive facilities. However, contrasting accounts include operational weaknesses — notably episodic short staffing, variable meal suitability, and concerns about clinical-incident response and communication — that prospective residents and families should evaluate directly. Recommended next steps are an in-person visit during a weekday and a weekend, conversations with nursing leadership about staffing ratios and incident protocols, a meal sampling, and confirmation of dietary, behavioral-support, and billing policies before committing.

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    Location

    Map showing location of Keelson Harbour

    Keelson Harbour is located at 2810 Aurora Ave W, Spirit Lake, IA, 51360.

    About Keelson Harbour

    Keelson Harbour sits on a quiet hill at the end of a cul-de-sac, giving residents easy access to nearby lakes and nature, and sometimes there's even a pond with ducklings and their families out front. The community offers independent living, assisted living, memory care, and respite care, so there are options whether someone needs a little help with daily routines or more specific support for memory impairments. Staff are pleasant, compassionate, and available at all hours, although there are times they may be a bit short-staffed, but they remain dedicated to care and resident well-being. The apartments feel homey, come with private bathrooms, air conditioning, cable TV, and full-sized kitchenettes, so residents can still invite friends and family to share a meal or visit. Pets like cats and dogs are welcome, which brings extra joy for those who love animals. Inside, things are kept clean, the building is comfortable, and common areas fill with sun and offer space to relax or socialize. Safety is a focus, with an emergency response system, security for entrances and exits, grab bars, and extra supports in living spaces. The restaurant-style dining hall uses fresh ingredients, with meals made by skilled chefs in partnership with US Foods, so folks get tasty, made-to-order options daily. Life at Keelson Harbour includes a wide range of activities-board games, movie nights, dance classes, crafts, trips into town-and there are community rooms for music, bridge, and other gatherings. Residents enjoy wellness activities, like balance and mobility sessions, and can walk along outdoor trails or spend time in nature. Assisted living supports routines like taking medications, getting dressed, personal hygiene, and moving around, while memory care offers specialized attention for those who need it. Respite care gives temporary caregiving, which helps families needing a short-term break. Whirlpool baths are available twice a week for assisted living residents. Whether someone comes for permanent living or just for a short stay, Keelson Harbour does what it can to give seniors a safe, pleasant, and active environment. The facility stays connected to the local community, with involvement in events like Halloween and Pioneer Days, is linked to the Milford Commercial Club, and participates in local committees, offering a sense of belonging for residents who enjoy staying engaged outside the home. There's even a time capsule and some merchandise if someone's interested in community memorabilia.

    People often ask...

    Keelson Harbour offers competitive pricing, with rates starting at a cost of $5,382 per month.

    Keelson Harbour offers independent living, assisted living, memory care, and continuing care retirement community.

    There are 23 photos of Keelson Harbour on Mirador.

    Yes, Keelson Harbour allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 2810 Aurora Ave W, Spirit Lake, IA 51360.

    No, Keelson Harbour does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Iowa, the Department of Inspections, Appeals & Licensing licenses assisted living and long-term care programs, conducting recertification visits and complaint investigations.

    License number2633
    StatusActive
    Facility typeAssisted Living Programs for People with Dementia
    Capacity40 residents
    EffectiveJune 24th, 2025
    ExpiresJune 24th, 2027
    View the official license record

    Inspection Reports

    34

    Reports

    11

    Type A Citations

    0

    Type B Citations

    25

    Complaints

    17

    Years

    12 Aug 2025Complaint
    Found no deficiencies cited after reviewing complaints and a recertification visit.
    12 Aug 2025Incident
    Found no deficiencies. The census counted 22 tenants with cognitive impairment.
    09 Jan 2025Complaint
    Found failure to provide adequate care and services to a former tenant who eloped from the program. The resident had severe cognitive impairment.
    • Type A481-67.3(2)Tenant rights
    22 Apr 2024Complaint
    Identified deficiencies in incident reporting, tenant rights care, and updating service plans for a former tenant.
    • 67.2(3)Follow policies and procedures; incident reporting
    • 481-67.3(2)Tenant rights; adequate care and treatment
    • 481-69.26(3)Service plans updated timely with changes in condition
    22 Apr 2024Complaint
    Found no deficiencies. No regulatory insufficiencies were cited during the investigation.
    21 Sept 2023Complaint
    Found deficiencies in evaluating tenants' functional, cognitive, and health status after significant changes, with missing assessments for two tenants.
    • 481-69.22(3)Evaluation of tenant's functional, cognitive and health status
    21 Sept 2023Renewal
    Found no regulatory insufficiencies cited during the recertification visit.
    27 Sept 2022Complaint
    Found no deficiencies cited during the investigation.
    06 Apr 2022Complaint
    Investigated deficiencies in admission/retention criteria and resident safety, with documented incidents and inadequate care planning identified.
    • c69.23(1)Criteria for Admission / Retention of Tenants
    16 Dec 2021Complaint
    Found that staff training records were not maintained, including missing documentation for visual checks and door alarm procedures during a resident safety incident.
    • 481-67.9(3)Training documentation
    26 Oct 2021Complaint
    Investigated a complaint about tenant rights; regulators found a regulatory insufficiency due to delayed responses to tenants' emergency calls, affecting all residents.
    • Type A481-67.3(2)Tenant Rights
    16 Jun 2021Complaint
    Found no deficiencies during the recertification and complaint investigations.
    16 Jun 2021Renewal
    Found no deficiencies. The visit documented no regulatory insufficiencies during the dementia program recertification and infection control survey.
    09 Dec 2020Complaint
    Found no deficiencies identified during the investigation and infection control survey.
    03 Dec 2020FIC
    Found no deficiencies. No regulatory insufficiencies were cited during the on-site infection control survey.
    22 May 2019Initial
    Identified missing documentation of nurse delegations for three staff after interviews; a skills fair was held previously but the delegation records could not be located.
    • Staffing
    22 May 2019Renewal
    Found deficiencies in training documentation for nurse-delegated procedures; records for three direct care staff were not maintained.
    • 481-67.9(3)Staffing
    • 481-67.9(231B,231C,231D)Staffing
    01 Feb 2018Complaint
    Investigated failure to report suspected dependent adult abuse to the Department within the required 24 hours. Found that the required report was not submitted as required.
    • 52.2(2)Reporting suspected dependent adult abuse in facilities or programs
    21 Sept 2017Complaint
    Found that one tenant’s medical information was not kept confidential and privacy was not protected.
    • 67.3(3)Tenant Rights
    26 Apr 2017Complaint
    Found multiple regulatory insufficiencies in tenant rights, staff training, and record-keeping. The deficiencies included incomplete nurse reviews, insufficient dementia-specific training for personnel, and missing tenant documentation.
    21 Dec 2016Complaint
    Concluded there were no regulatory deficiencies cited during the investigation of an incident and a complaint.
    31 Aug 2016Complaint
    Investigated the program found deficiencies in care planning, nursing oversight, and staffing, with plans not aligned to tenants' needs and inadequate monitoring of health events.
    • 69.22(1) and 69.22(2)Service Plans
    • 69.27(1)cNurse Review
    • 69.29(2)Staffing
    29 Jun 2016Complaint
    Investigated a complaint about privacy of tenants' personal and medical information and found a failure to protect confidentiality, including tenant names visible on a tablet left on a medication cart.
    • 481-67.3(3)Tenant Rights
    17 Feb 2016Complaint
    Investigated a complaint about care practices and administration; found no deficiencies.
    22 Sept 2015Complaint
    Investigated and found regulatory insufficiencies related to involuntary transfers and lack of written discharge notices.
    • 481-69.24(1)(a)Involuntary Transfer from Program
    • 481-69.24(231C)Involuntary transfer from the program
    14 May 2015Complaint
    Investigated a tenant-rights complaint and found no substantiated violation; nonetheless assessed a civil penalty for noncompliance with regulatory requirements.
    • Type AIowa Code 231C.14(1)(a)Civil Penalty
    • Type A481 IAC 67.17(1)(a)Civil Penalty
    09 Oct 2014Revisit
    Investigated a tenant complaint and found regulatory insufficiencies related to dementia training, tenant documentation, and safety controls at exit doors.
    • Type ANot providing an operating system connected to each exit door in a dementia-specific program
    • Type ANot maintaining documentation for each tenant including nurse’s notes written by exception
    • Type ADementia-specific education and training not provided
    24 Mar 2014Complaint
    Investigated a complaint alleging tenant retaliation fears, improper handling of incident reports, and deficiencies in service plans and tenant documentation.
    • IAC r. 481-67.3(1)Regulatory Insufficiency
    • IAC 481-69.25(1)(o)Tenant Documentation
    • IAC 481-69.26(3)Service Plan Updates
    • IAC 481-69.26(4)(a)Individualized Service Plan
    24 Apr 2013Renewal
    Identified regulatory deficiencies in staffing levels and tenant evaluation and service planning processes.
    • Iowa Administrative Code 481-67.9(1)Regulatory Insufficiency - Staffing
    • Iowa Administrative Code 481-69.22(1)Service Plan Development
    • Iowa Administrative Code 481-69.22(2)Tenant Health Status Evaluation
    23 Feb 2012Complaint
    Investigated a complaint alleging neglect and sanitation concerns, including defecation incidents and questionable hygiene practices; no regulatory insufficiency was noted.
    25 Oct 2011Complaint
    Investigated a complaint alleging delayed care for a tenant with a broken leg and medication mix-ups; identified deficiencies in how medications were documented and administered.
    • Complaint Allegation
    • Complaint Allegation
    07 Jun 2011Incident
    Investigated a complaint and found regulatory insufficiencies in staffing, training, and nurse reviews, including incidents that endangered a tenant; a civil penalty was assessed.
    • Type AIAC r.481-67.9(1)Regulatory Insufficiency – Staffing adequacy
    • Type AIAC r.481-67.9(4)Regulatory Insufficiency – Training and staffing plans
    • Type AIAC r.481-67.9(3)Regulatory Insufficiency – Nurse review for changes in condition
    • Type AIAC r.481-69.30(1)Regulatory Insufficiency – Dementia-specific education
    10 Feb 2011Complaint
    Identified deficiencies in tenant screening and medication administration and assessed a $500 civil penalty.
    • IAC 481-69.22(1)Evaluation of prospective tenants before occupancy
    • IAC 481-67.5(6)(a)Nurse delegation
    • Iowa Code § 231C.11; IAC 481-67.12(3)(a)Civil penalty for regulatory violations
    07 Jul 2009Renewal
    Investigated a complaint; found several regulatory insufficiencies in service planning, health monitoring, and medication management.
    • 25.28(4)(c) & 25.28(4)(d)Service Plan
    • 25.30(1) & 25.30(3)Evaluation/Monitoring Health Status
    • 25.23(1)Tenant Initial Evaluation
    • 25.29(2)dMedication Labeling/Handling
    • 25.34Dementia-Specific Education

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    Mirador Living is not affiliated with the owner or operator(s) of Keelson Harbour. The information above has not been verified or approved by the owner or operator. For exact information, please contact Keelson Harbour directly. There is no cost for this service. We are compensated by the community you select.

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