CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
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.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LEXINGTON SQUARE IRREVOCABLE TRUST | DIRECT OWNERSHIP INTEREST | Organization | N/A | Apr 7, 2017 |
| BELL BANK ARROWHEAD OFFICE | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jun 15, 2022 |
| ABELL, TERRI | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 20, 2016 |
| ANDERSON, HALLEY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 18, 2023 |
| BLUME, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 20, 2016 |
| HOSKINS, HEATHER | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Mar 15, 2011 |
| ISRAEL, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 12, 2025 |
| PETERSON, PAIGE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Apr 7, 2022 |
| STANLEY, MURRAY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Apr 7, 2022 |
| LEXINGTON SQUARE IRREVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 7, 2017 |
| ABELL, TERRI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 3, 2022 |
| BLUME, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2023 |
| HOSKINS, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 20, 2024 |
| STANLEY, MURRAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2017 |
| PETERSON, PAIGE | TRUSTEE OF THE SNF | Individual | N/A | Apr 6, 2022 |
| STANLEY, MURRAY | TRUSTEE OF THE SNF | Individual | N/A | Apr 1, 2017 |
| ANDERSON, HALLEY | ADP OF THE SNF | Individual | N/A | Apr 17, 2025 |
| BLUME, MICHAEL | ADP OF THE SNF | Individual | N/A | Aug 20, 2024 |
| STANLEY, MURRAY | ADP OF THE SNF | Individual | N/A | Apr 1, 2017 |
Compare CMS ratings and recorded fines for Mississippi Valley and nearby alternatives.
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.