nursing home in Keokuk, IA
River Hills Village in Keokuk
20 Village Circle, Keokuk, IA 52632 · (319) 524-5772
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
River Hills Village in Keokuk at a glance
River Hills Village in Keokuk is a 84-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 4.3 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (September 18, 2025) found 5 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 84
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Unlimited Development, INC.
- Medicare-certified since
- July 13, 1998
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Lee County
- CMS Certification Number
- 165396
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) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.28 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.06 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.99 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 40% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 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) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 84 | 65 | 107 | |
| Average residents per day | 65 | 52 | 86 | |
| Occupancy | 76.8% | 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) | 5.1% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.2% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.5% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.9% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.7% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 32.9% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.9% | 25.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 50% | 95.3% | 95.5% | Worse |
| 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 newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 51.9% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 8 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 18, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected September 26, 2025 |
| September 18, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 24, 2025 |
| September 18, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected November 24, 2025 |
| September 18, 2025 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 November 24, 2025 |
| September 18, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 24, 2025 |
| September 18, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 24, 2025 |
| September 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected September 27, 2024 |
| September 12, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 2, 2024 |
| September 12, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected September 18, 2024 |
| September 12, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 19, 2024 |
| July 16, 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 July 31, 2024 |
| March 11, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected April 8, 2024 |
| March 11, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 15, 2024 |
| March 11, 2024 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected March 13, 2024 |
| March 11, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 20, 2024 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| UNLIMITED DEVELOPMENT, INC Organization | 5% or greater direct ownership interest | 100% | 06/01/2010 |
| FINKE, AUDREY Individual | corporate director | NOT APPLICABLE | 06/01/2010 |
| GILMORE, JERRY Individual | corporate director | NOT APPLICABLE | 06/01/2010 |
| HANEY, DAVID Individual | corporate director | NOT APPLICABLE | 06/01/2010 |
| WAGNER, ROBERT Individual | corporate director | NOT APPLICABLE | 06/01/2010 |
| WILSON, RONALD Individual | corporate officer | NOT APPLICABLE | 06/01/2010 |
| BALLEW, HEATHER Individual | w-2 managing employee | NOT APPLICABLE | 04/27/2022 |
Other nursing homes near River Hills Village in Keokuk
- ★★★★★4Above average
- ★★★★★3Average
- ★★★★★3Average
Birkwood Village of Fort Madison
1702 41st Street, Fort Madison, IA 52627 · 13.4 mi
For-profit · 80 beds
★★★★★3Average- ★★★★★2Below average
West Point Care Center INC
607 6th Street, West Point, IA 52656 · 20 mi
For-profit · 46 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is River Hills Village in Keokuk's rating?
River Hills Village in Keokuk 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 River Hills Village in Keokuk 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 River Hills Village in Keokuk 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 River Hills Village in Keokuk?
It is for profit - limited liability company and part of Unlimited Development, INC.. The ownership section on this page lists the owners and managers reported to CMS.
Where is River Hills Village in Keokuk and how do I contact it?
River Hills Village in Keokuk is at 20 Village Circle, Keokuk, IA 52632. Phone: (319) 524-5772.
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.