Nursing homes in Keokuk County, Iowa
Keokuk County, Iowa, has 3 Medicare-certified nursing homes with 131 certified beds.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 134 health deficiencies over three cycles, 102.3 per 100 beds against 31.7 statewide.
Fines in the period covered total $155K across 2 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Keokuk County | Iowa | US |
|---|---|---|---|
| Facilities | 3 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 1 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 102.3 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.6 | 3.7 | 3.7 |
| Fines listed | $155K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Manor House Care Center | Sigourney | 55 | 2 | 2 | 2 | 15 | 27.3 | — | 25 Jun 2026 |
| Harvest Acres Nursing and Rehab | Keota | 35 | 1 | 1 | 2 | 50 | 142.9 | $137K | 19 May 2026 |
| Stone Cottage Care Center | Sigourney | 41 | 1 | 1 | 3 | 69 | 168.3 | $19K | 28 May 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 9 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 7 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 6 |
| F0880 | Provide and implement an infection prevention and control program. | 5 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 5 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
Chains present: Cedar View Holdings (2), Legacy Healthcare (1).
Questions and answers
How many nursing homes are in Keokuk County, Iowa?
3 Medicare-certified nursing homes with 131 certified beds.
Which nursing homes in Keokuk County have the highest CMS ratings?
Manor House Care Center (2 stars), Harvest Acres Nursing and Rehab (1 stars), Stone Cottage Care Center (1 stars)
How do Keokuk County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 102.3 per 100 beds against 31.7 statewide.