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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaMississippi Valley

Mississippi Valley

500 Messenger Road, Keokuk, IA 526323195245321
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
2/5
Quality
5/5
Beds
83
certified
3 fine(s) totaling $29,413

Key Findings

• CMS rates this facility 5/5 stars (above average)

• Has 83 certified beds with an average of 57.7 residents per day (70% occupancy)

• Last health inspection found 0 deficiencies (inspected Apr 3, 2025)

• Has been fined a total of $29,413 across 3 fine(s)

• Total nursing staff: 5.60 hours per resident per day

• Staff turnover rate: 43.3%

Mississippi Valley is a 5-star Medicare and Medicaid certified nursing home in Keokuk, Iowa with 83 certified beds. It has been operating since 1989. The facility scored above average compared to Iowa facilities.

Beds
83
Avg Residents/Day
57.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 25, 1989
Sprinklers
Yes
Council
Resident
County
Lee
Last Inspection
Apr 3, 2025
Deficiencies (Cycle 1)
0
Weighted Score
22.0
Infection Citations
0

Deficiency Citations (24)

F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Jun 19, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 24, 2024Corrected: NoCycle: 3
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0550Actual Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 23, 2023Corrected: NoCycle: 3
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Feb 23, 2023Corrected: NoCycle: 3
Total Fines
$29,413
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineJan 24, 2024
$8,824
FineFeb 23, 2023
$9,750
FineJun 19, 2024
$10,839

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.35 hrs
National avg: 2.35 hrs
LPN0.85 hrs
National avg: 0.86 hrs
RN1.40 hrs
National avg: 0.68 hrs
Total Nursing5.60 hrs
National avg: 3.89 hrs
Weekend Total4.37 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
43.3%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
LEXINGTON SQUARE IRREVOCABLE TRUSTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 7, 2017
ABELL, TERRIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 3, 2022
BLUME, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2023
HOSKINS, HEATHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 20, 2024
STANLEY, MURRAYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
BELL BANK ARROWHEAD OFFICE5% OR GREATER MORTGAGE INTERESTOrganizationN/AJun 15, 2022

Nearby Nursing Homes

All Iowa facilities

Southeast Iowa Healthcare Center

Keokuk, IA · 55 beds

For profit
Health
Staffing
Quality
3334 ft

River Hills Village in Keokuk

Keokuk, IA · 84 beds

For profit
Health
Staffing
Quality
1.2 mi

Frequently Asked Questions

What is the CMS rating for Mississippi Valley?▾
Mississippi Valley has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Mississippi Valley had any health inspection violations?▾
Mississippi Valley had 0 deficiency citations in its most recent health inspection (Apr 3, 2025). The facility has been fined a total of $29,413 across 3 fine(s).
What are the staffing levels at Mississippi Valley?▾
Mississippi Valley provides 5.60 total nursing staff hours per resident per day, including 1.40 RN hours, 0.85 LPN hours, and 3.35 nurse aide hours. The total staff turnover rate is 43.3%.
How many beds does Mississippi Valley have?▾
Mississippi Valley has 83 certified beds with an average of 57.7 residents per day, resulting in approximately 70% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Mississippi Valley?▾
Yes, there are 2 other nursing homes in Keokuk, Iowa with an average rating of 4.3/5. You can compare all facilities on the Keokuk nursing homes page.