facebook tracking Mississippi Valley, Keokuk IA: CMS Ratings & Inspections
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Mississippi Valley

All states › Iowa › Keokuk › Mississippi Valley

500 Messenger Road Keokuk, IA 52632 · Lee County

(319) 524-5321

All 3 nursing homes in Keokuk, IA (3 take Medicaid)

Accepts Medicare Accepts Medicaid 83 certified beds For profit

CMS certification number 165151 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Mississippi Valley a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Mississippi Valley as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1. Inspectors issued 12 citations in the last three years. CMS imposed 2 penalties, including $19,663 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 5.84 hours per resident per day at Mississippi Valley, above the Iowa median of 3.76 (US median: 3.72). About 1.52 of those hours are from registered nurses. On weekends it falls to 4.48 hours, 23% below its all-week average. Ask how weekends are staffed. 39.4% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 5.84 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.52 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.48 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 17.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds83
Residents per day 56 About 68% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1989
Legal business nameLEXINGTON SQUARE LLC

Paying for care at Mississippi Valley: Medicare and Medicaid

Mississippi Valley is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 21, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 12 citations at Mississippi Valley across 5 inspection dates, 3 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on March 12, 2026. The most common areas cited were quality of life and care (5) and pharmacy service (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, March 12, 2026).

May 21, 2026 · 4 citations

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jun 20, 2026)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 20, 2026)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Jun 20, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jun 20, 2026)

March 12, 2026 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 23, 2026)

June 19, 2024 · 5 citations, includes actual harm

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 20, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 20, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jun 20, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jun 20, 2024)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jun 20, 2024)

January 24, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2024)

December 6, 2023 · 1 citation · includes complaint inspection

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Dec 29, 2023)

Questions to ask on a tour of Mississippi Valley

  1. Inspectors cited the home at the actual-harm level on March 12, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Weekend staffing is 23% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $19,663 in fines.

DateTypeAmount or length
Jun 19, 2024 Fine $10,839
Jan 24, 2024 Fine $8,824

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 2/5
August 2026 3/5 3/5 3/5 2/5
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Location

Hospitals near Mississippi Valley

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 14.8 mi
    Memorial Hospital Carthage
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 22m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Southeast Iowa Healthcare Center Keokuk · 0.6 mi away ★★★★☆ Inspection 2/5 · Staffing 5/5 55 beds · Medicaid
River Hills Village in Keokuk Keokuk · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 84 beds · Medicaid
Montrose Health Center Montrose · 7.3 mi away ★★★★☆ Inspection 2/5 · Staffing 5/5 44 beds · Medicaid
Birkwood Village of Fort Madison Fort Madison · 14.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 80 beds · Medicaid
West Point Care Center West Point · 20.9 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 46 beds · Medicaid

More nursing homes near Mississippi Valley ›   All nursing homes in Keokuk ›

Compare Mississippi Valley with the 3 closest homes side by side ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/keokuk/mississippi-valley/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.