Mississippi Valley

500 Messenger Road, Keokuk, IA 52632 · CCN 165151 · 83 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2026-03-12 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-19 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-24 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-02-23 ACTUAL HARM (tag F0550, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Staffing, from payroll records

Nursing hours / resident / day

5.39

state median 3.10

Weekend staffing gap

−25%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

1.39

registered nurses only

Contract (agency) staff

4%

share of all nursing hours

Nursing staff turnover

37%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $19,663 in fines.

DateTypeAmount
2024-06-19Fine$10,839
2024-01-24Fine$8,824

Ownership

Ownership type: For profit - Limited Liability company.

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 21

Survey dateTagCategorySeverityCorrected
2026-03-12F0689Quality of Life and Care DeficienciesGnot recorded
2024-06-19F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-19F0677Quality of Life and Care DeficienciesDnot recorded
2024-06-19F0689Quality of Life and Care DeficienciesGnot recorded
2024-06-19F0690Quality of Life and Care DeficienciesDnot recorded
2024-06-19F0757Pharmacy Service DeficienciesDnot recorded
2024-01-24F0689Quality of Life and Care DeficienciesGnot recorded
2023-12-06F0725Nursing and Physician Services DeficienciesEnot recorded
2023-02-23F0550Resident Rights DeficienciesGnot recorded
2023-02-23F0554Resident Rights DeficienciesDnot recorded
2023-02-23F0561Resident Rights DeficienciesDnot recorded
2023-02-23F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-02-23F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-02-23F0623Resident Rights DeficienciesEnot recorded
2023-02-23F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2023-02-23F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2023-02-23F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-02-23F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-02-23F0688Quality of Life and Care DeficienciesDnot recorded
2023-02-23F0740Quality of Life and Care DeficienciesDnot recorded
2023-02-23F0756Pharmacy Service DeficienciesDnot recorded
2023-02-23F0758Pharmacy Service DeficienciesDnot recorded
2023-02-23F0812Nutrition and Dietary DeficienciesEnot recorded
2023-02-23F0849Administration DeficienciesDnot recorded
2023-02-23F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Mississippi Valley, Keokuk” at medicare.gov/care-compare.