Iowa › Lee County › Keokuk
Mississippi Valley
500 Messenger Road, Keokuk, IA 52632
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Mississippi Valley, in Keokuk, Iowa, is certified for 83 beds under for-profit, limited liability company ownership.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 3, staffing 3 and quality measures 2.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (5, 0, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 14.5 per 100 beds, fewer than the state median of 27.5.
CMS lists 2 penalties in the period covered: fines totalling $20K.
Reported nurse staffing is 5.7 hours per resident per day (1.6 RN), above the Iowa median of 3.7; nursing staff turnover is 36.8%.
Compared with county, state and nation
| Measure | This facility | Lee Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 12 | 16 | 28.7 |
| Citations per 100 beds | 14.5 | 19.6 | 27.5 | 26.8 |
| Total nurse hours per resident day | 5.7 | 4.3 | 3.7 | 3.9 |
| RN hours per resident day | 1.6 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 36.8% | 43.6% | 41.9% | 45.8% |
| Fines listed | $19,663 | $19,663 | $0 | — |
County and state figures are medians across facilities (6 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 3 Apr 2025.
Severity mix: G ×3 D ×6 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 20 Jun 2026 |
| 21 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 20 Jun 2026 |
| 21 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 20 Jun 2026 |
| 21 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Jun 2026 |
| 12 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Mar 2026 |
| 19 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 20 Jun 2024 |
| 19 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Jun 2024 |
| 19 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jun 2024 |
| 19 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Jun 2024 |
| 19 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Jun 2024 |
| 24 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 16 Feb 2024 |
| 6 Dec 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Jun 2024 | Fine | $10,839 | |
| 24 Jan 2024 | Fine | $8,824 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 36.8%, RNs 11.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 10.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.8% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lexington Square Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bell Bank Arrowhead Office | 5% or greater mortgage interest | NOT APPLICABLE | 06/15/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| West Point Care Center Inc | West Point | 46 | 5 | 4 | 4 | 9 | 19.6 | $14K | 7 May 2026 |
| Southeast Iowa Healthcare Center | Keokuk | 55 | 4 | 2 | 5 | 7 | 12.7 | $25K | 1 Jul 2026 |
| Birkwood Village of Fort Madison | Fort Madison | 80 | 3 | 3 | 3 | 25 | 31.3 | $3K | 16 Apr 2026 |
| Montrose Health Center | Montrose | 44 | 3 | 2 | 4 | 15 | 34.1 | $43K | 26 Mar 2026 |
| River Hills Village In Keokuk | Keokuk | 84 | 3 | 3 | 3 | 8 | 9.5 | — | 18 Sep 2025 |
All 6 facilities in Lee County
Questions and answers
How many deficiencies has Mississippi Valley been cited for?
12 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Mississippi Valley been fined?
Yes. CMS lists fines totalling $20K in the period covered.
How does staffing at Mississippi Valley compare?
Reported total nurse staffing is 5.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Mississippi Valley?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Mississippi Valley last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.