nursing home in Keokuk, IA
Mississippi Valley
500 Messenger Road, Keokuk, IA 52632 · (319) 524-5321
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mississippi Valley at a glance
Mississippi Valley is a 83-bed for-profit nursing home in Keokuk, Iowa (Lee County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 5.7 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 21, 2026) found 5 health citations. The Iowa average is 6.5.
Federal regulators fined it 2 times in the past three years, totaling $19,663.
Nursing staff turnover is 36.8% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 25, 1989
- Resident/family council
- Resident
- County
- Lee County
- CMS Certification Number
- 165151
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.67 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.57 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.39 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.49 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 36.8% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 11.8% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 40 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,663 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 65 | 107 | |
| Average residents per day | 57 | 52 | 86 | |
| Occupancy | 68.9% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.4% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8.3% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.8% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 10.6% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.7% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.2% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.1% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.4% | 0.2% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.6% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 12.7% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.8% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 22, 2026 |
| May 21, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 22, 2026 |
| May 21, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected June 20, 2026 |
| May 21, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected June 20, 2026 |
| May 21, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 20, 2026 |
| May 21, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 20, 2026 |
| March 12, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 23, 2026 |
| April 3, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 3, 2025 |
| April 3, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 3, 2025 |
| June 19, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected June 7, 2024 |
| June 19, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected June 7, 2024 |
| June 19, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 20, 2024 |
| June 19, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 19, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 19, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 19, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 20, 2024 |
| January 24, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 16, 2024 |
| December 6, 2023 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected December 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $19,663 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 19, 2024 | Fine | $10,839 |
| January 24, 2024 | Fine | $8,824 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BELL BANK ARROWHEAD OFFICE Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/15/2022 |
| ANDERSON, HALLEY Individual | adp of the snf | NOT APPLICABLE | 04/17/2025 |
| BLUME, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 08/20/2024 |
| STANLEY, MURRAY Individual | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| LEXINGTON SQUARE IRREVOCABLE TRUST Organization | direct ownership interest | NOT APPLICABLE | 04/07/2017 |
| ABELL, TERRI Individual | managing control - governing body | NOT APPLICABLE | 01/20/2016 |
| ANDERSON, HALLEY Individual | managing control - governing body | NOT APPLICABLE | 10/18/2023 |
| BLUME, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 01/20/2016 |
| HOSKINS, HEATHER Individual | managing control - governing body | NOT APPLICABLE | 03/15/2011 |
| ISRAEL, DAVID Individual | managing control - governing body | NOT APPLICABLE | 08/12/2025 |
| PETERSON, PAIGE Individual | managing control - governing body | NOT APPLICABLE | 04/07/2022 |
| STANLEY, MURRAY Individual | managing control - governing body | NOT APPLICABLE | 04/07/2022 |
| ABELL, TERRI Individual | operational/managerial control | NOT APPLICABLE | 03/03/2022 |
| BLUME, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 04/01/2023 |
| HOSKINS, HEATHER Individual | operational/managerial control | NOT APPLICABLE | 03/20/2024 |
| LEXINGTON SQUARE IRREVOCABLE TRUST Organization | operational/managerial control | NOT APPLICABLE | 04/07/2017 |
| STANLEY, MURRAY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| PETERSON, PAIGE Individual | trustee of the snf | NOT APPLICABLE | 04/06/2022 |
| STANLEY, MURRAY Individual | trustee of the snf | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Mississippi Valley
- ★★★★★4Above average
River Hills Village in Keokuk
20 Village Circle, Keokuk, IA 52632 · 1.2 mi
For-profit · 84 beds · Part of Unlimited Development, INC.
★★★★★3Average- ★★★★★3Average
Birkwood Village of Fort Madison
1702 41st Street, Fort Madison, IA 52627 · 14.1 mi
For-profit · 80 beds
★★★★★3Average- ★★★★★2Below average
Lewis County Nursing Home District
17528 State Highway 81, Canton, MO 63435 · 20.9 mi
Government · 118 beds
★★★★★1Much below average
Frequently asked questions
What is Mississippi Valley's rating?
Mississippi Valley has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Mississippi Valley receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Mississippi Valley accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Mississippi Valley?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mississippi Valley and how do I contact it?
Mississippi Valley is at 500 Messenger Road, Keokuk, IA 52632. Phone: (319) 524-5321.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.