Renovated Emergency & Dietary Departments Regional Hospital Expanded Services Additions Replacement Critical Access Hospital & Medical Office Buildings Public Health & Ambulance Facility Urgent Care & Outpatient Diagnostic Imaging Center Rural Hospital Patient Care Expansion Rural Hospital Replacement Surgery Addition and Energy Center Replacement Hospital/Clinics Addition & Renovation Rural Hospital Addition, Fit-out, Renovation Replacement Long-Term Care Center Community Health Center Clinic Renovation/Expansion New Health & Wellness / Assisted Living Center Medical Office Building Renovation Inpatient Geriatric Behavioral Health Unit New Acute Care Clinic Community Health Center Acute Care/Dental/Office New Behavioral Access Center New Medical Office Buildings New Orthopedic Medicine Clinic/Health Fitness Center Community Hospital Renovations/Additions Rural Community Health Center Clinic Renovated Emergency & Dietary Departments Regional Hospital Expanded Services Additions Replacement Critical Access Hospital & Medical Office Buildings Public Health & Ambulance Facility Urgent Care & Outpatient Diagnostic Imaging Center Rural Hospital Patient Care Expansion Rural Hospital Replacement Surgery Addition and Energy Center Replacement Hospital/Clinics Addition & Renovation Rural Hospital Addition, Fit-out, Renovation Replacement Long-Term Care Center Community Health Center Clinic Renovation/Expansion New Health & Wellness / Assisted Living Center Medical Office Building Renovation Inpatient Geriatric Behavioral Health Unit New Acute Care Clinic Community Health Center Acute Care/Dental/Office New Behavioral Access Center New Medical Office Buildings New Orthopedic Medicine Clinic/Health Fitness Center Community Hospital Renovations/Additions Rural Community Health Center Clinic

Renovated Emergency & Dietary Departments

Van Buren County Hospital, Keosauqua, Iowa

Project Overview

Owner Van Buren County Hospital
Location Keosauqua, Iowa
Delivery Method Construction Management Agency
Description Renovation and addition
Gross Floor Area 16,739 SF

Carl A. Nelson & Company was engaged by Van Buren County Hospital as its construction manager to lead improvements to the rural critical access hospital's Emergency and Dietary departments.

The $7.7 million project consisted of complete renovation of the dietary, including updated kitchen and cafeteria; updated HVAC to include fresh air in the 100 Patient Wing; adding fire suppression sprinklers throughout the hospital; and renovation of the Emergency Department, including the addition of a small vestibule.

Site work included relocating the mobile MRI pad, improving the front drive approach and adding parking adjacent to the ED entrance, relocating the oxygen tank and pad, and new pavement outside the dietary department.

The project was spread throughout the facility, requiring special attention to patient privacy, cleanliness (especially in areas with existing gravel parking near entrances) and coordination of activities with hospital staff to minimize disruptions.

Although the project began late due to delays in receipt of electrical switch gear, work was completed a month ahead of the shifted schedule.

CANCO has completed multiple projects for Van Buren County Hospital, and based on that past and recent performance, was awarded a $20 million Construction Manager at-Risk contract in 2025 for a surgical and patient care renovation and addition project.

80%er: Repeat client stamp.