Mississippi Valley
500 Messenger Road, Keokuk, IA 52632 · (319) 524-5321
For profit - Limited Liability company · 83 certified beds
Mississippi Valley has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 4 citations (the Iowa average is 6.5). It was fined 2 times in the last three years, $19,663 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 21, 2026 found 4 citations. What an inspection citation means
- Ensure that residents are fully informed and understand their health status, care and treatments.May 21, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.May 21, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.May 21, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.May 21, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 3 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 12, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 24, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 6, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $10,839June 19, 2024
- Fine of $8,824January 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.67 | 3.82 | 3.86 |
| Registered nurses (RN) | 1.57 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.71 | 0.56 | 0.86 |
| Nurse aides | 3.39 | 2.52 | 2.32 |
| Total nursing staff turnover | 36.8% | 44% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 83 |
| Average residents per day | 57.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Southeast Iowa Healthcare Center Keokuk · ★★★★★ 4 out of 5 stars
- River Hills Village in Keokuk Keokuk · ★★★★★ 3 out of 5 stars
- Birkwood Village of Fort Madison Fort Madison · ★★★★★ 3 out of 5 stars
- Montrose Health Center Montrose · ★★★★★ 3 out of 5 stars
- West Point Care Center Inc West Point · ★★★★★ 5 out of 5 stars
Compare every nursing home in Keokuk, IA · Nursing homes in Iowa
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Data from Medicare (CMS), updated October 2026, from Mississippi Valley on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.