River Hills Village in Keokuk

20 Village Circle, Keokuk, IA 52632 · CCN 165396 · 84 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 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 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-07-16 — 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.

Staffing, from payroll records

Nursing hours / resident / day

4.02

state median 3.10

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.24

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

40%

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

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the UNLIMITED DEVELOPMENT, INC. chain.

Other facilities under the same ownership, with their CMS overall ratings:

SHELBYVILLE MANOR (SHELBYVILLE, IL) — CMS overall1 of 5
PEKIN MANOR (PEKIN, IL) — CMS overall4 of 5
SEMINARY MANOR (GALESBURG, IL) — CMS overall2 of 5
CENTRALIA MANOR (CENTRALIA, IL) — CMS overall1 of 5
MANOR COURT OF MARYVILLE (MARYVILLE, IL) — CMS overall4 of 5
JERSEYVILLE MANOR (JERSEYVILLE, IL) — CMS overall2 of 5
PITTSFIELD MANOR (PITTSFIELD, IL) — CMS overall1 of 5
PARKWAY MANOR (MARION, IL) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 7

Survey date	Tag	Category	Severity	Corrected
2025-09-18	F0550	Resident Rights Deficiencies	D	not recorded
2025-09-18	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-18	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-18	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-12	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-16	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-03-11	F0842	Resident Assessment and Care Planning Deficiencies	D	not 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 “River Hills Village in Keokuk, Keokuk” at medicare.gov/care-compare.