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HomeIowaMississippi Valley

Mississippi Valley

500 Messenger Road, Keokuk, IA 526323195245321WebsiteGoogle Maps
3.4on Google(5 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
2/5
Beds
83
certified
2 fine(s) totaling $19,663

How Mississippi Valley Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
IA average
3.1/5
Close to state average
Health inspection rating
3/5
IA average
2.8/5
Close to state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
5.67 hrs/day
IA average
3.81 hrs/day
Above state average
RN hours per resident
1.57 hrs/day
IA average
0.74 hrs/day
Above state average
Staff turnover
36.8%
IA average
44.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported nursing time is 5.67 hours per resident per day, above the state average of 3.81.
Reported RN time is 1.57 hours per resident per day, above the state average of 0.74.
Staff turnover is 36.8%, lower than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
7
deficiency citations
Inspected Jun 19, 2024
Most recent cycle
1
deficiency citation
Inspected Apr 3, 2025
The most recent cycle recorded 6 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Lee County 65+
7,074
21.2% of county
County Population
33,442
Lee County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Mississippi Valley is a 3-star Medicare and Medicaid certified nursing home in Keokuk, Iowa with 83 certified beds. It has been operating since 1989. Its overall CMS rating is 3 out of 5.

Beds
83
Avg Residents/Day
57.2
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)
1
Weighted Score
31.0
Infection Citations
0

Deficiency Citations (25)

F0689Actual Harm

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

Survey: Mar 12, 2026Corrected: NoCycle: 1
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
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
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
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
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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 23, 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
F0637Potential for Harm

Assess the resident when there is a significant change in condition

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
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
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
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
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
Total Fines
$19,663
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 24, 2024
$8,824
FineJun 19, 2024
$10,839

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

Nurse Aide3.39 hrs
National avg: 2.32 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN1.57 hrs
National avg: 0.69 hrs
Total Nursing5.67 hrs
National avg: 3.86 hrs
Weekend Total4.49 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
36.8%
RN Turnover
11.8%
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 (19)

NameRoleTypeOwnership %Since
LEXINGTON SQUARE IRREVOCABLE TRUSTDIRECT OWNERSHIP INTERESTOrganizationN/AApr 7, 2017
BELL BANK ARROWHEAD OFFICE5% OR GREATER MORTGAGE INTERESTOrganizationN/AJun 15, 2022
ABELL, TERRIMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 20, 2016
ANDERSON, HALLEYMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 18, 2023
BLUME, MICHAELMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 20, 2016
HOSKINS, HEATHERMANAGING CONTROL - GOVERNING BODYIndividualN/AMar 15, 2011
ISRAEL, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 12, 2025
PETERSON, PAIGEMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 7, 2022
STANLEY, MURRAYMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 7, 2022
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
PETERSON, PAIGETRUSTEE OF THE SNFIndividualN/AApr 6, 2022
STANLEY, MURRAYTRUSTEE OF THE SNFIndividualN/AApr 1, 2017
ANDERSON, HALLEYADP OF THE SNFIndividualN/AApr 17, 2025
BLUME, MICHAELADP OF THE SNFIndividualN/AAug 20, 2024
STANLEY, MURRAYADP OF THE SNFIndividualN/AApr 1, 2017

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Mississippi Valley and nearby alternatives.

All Iowa facilities
Mississippi Valley
Keokuk, IACurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $19,663
Southeast Iowa Healthcare Center
Keokuk, IA3,168 ft
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
River Hills Village in Keokuk
Keokuk, IA1.2 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Montrose Health Center
Montrose, IA7.3 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $43,079
Birkwood Village of Fort Madison
Fort Madison, IA14.1 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $3,145
West Point Care Center Inc
West Point, IA20.9 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $13,627
Oakview Nursing and Rehabilitation
Burlington, IA28.6 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Mississippi Valley
Keokuk, IA · Current facility
—3/53/53/5$19,663
Southeast Iowa Healthcare Center
Keokuk, IA
3,168 ft5/54/55/5None recorded
River Hills Village in Keokuk
Keokuk, IA
1.2 mi3/53/53/5None recorded
Montrose Health Center
Montrose, IA
7.3 mi3/52/54/5$43,079
Birkwood Village of Fort Madison
Fort Madison, IA
14.1 mi3/53/53/5$3,145
West Point Care Center Inc
West Point, IA
20.9 mi5/54/54/5$13,627
Oakview Nursing and Rehabilitation
Burlington, IA
28.6 mi3/53/54/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Mississippi Valley?▾
Mississippi Valley has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated average.
How much does Mississippi Valley cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Mississippi Valley participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Mississippi Valley had any health inspection violations?▾
Mississippi Valley had 1 deficiency citations in its most recent health inspection (Apr 3, 2025). The current CMS dataset records 2 fine(s) totaling $19,663.
What are the staffing levels at Mississippi Valley?▾
Mississippi Valley provides 5.67 total nursing staff hours per resident per day, including 1.57 RN hours, 0.71 LPN hours, and 3.39 nurse aide hours. The total staff turnover rate is 36.8%.
How many beds does Mississippi Valley have?▾
Mississippi Valley has 83 certified beds with an average of 57.2 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Mississippi Valley?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 2 in Keokuk. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Mississippi Valley?▾
On Google Maps, Mississippi Valley has a rating of 3.4 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.