facebook tracking River Hills Village in Keokuk, Keokuk IA: CMS Ratings
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River Hills Village in Keokuk

All states › Iowa › Keokuk › River Hills Village in Keokuk

20 Village Circle Keokuk, IA 52632 · Lee County

(319) 524-5772

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

Accepts Medicare Accepts Medicaid 84 certified beds For profit Continuing care retirement community

CMS certification number 165396 · 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 River Hills Village in Keokuk 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 River Hills Village in Keokuk 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 8 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 4 out of 5.

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 4.29 hours per resident per day at River Hills Village in Keokuk, above the Iowa median of 3.76 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 3.84 hours, 11% below its all-week average. 40% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 4.29 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.47 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.84 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 40% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 37.5% 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 beds84
Residents per day 64 About 77% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1998
Part of a chainUnlimited Development, INC.
Legal business nameUNLIMITED DEVELOPMENT, INC

Paying for care at River Hills Village in Keokuk: Medicare and Medicaid

River Hills Village in Keokuk 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 September 18, 2025 and found 5 deficiencies. In total, inspectors issued 8 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 8 citations at River Hills Village in Keokuk across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 16, 2024. The most common areas cited were resident assessment and care planning (4) and nutrition and dietary (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, July 16, 2024).

September 18, 2025 · 5 citations

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Nov 24, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 24, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 24, 2025)

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 (Nov 24, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Nov 24, 2025)

September 12, 2024 · 1 citation

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 19, 2024)

July 16, 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 (Jul 31, 2024)

March 11, 2024 · 1 citation

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Mar 20, 2024)

Questions to ask on a tour of River Hills Village in Keokuk

  1. Inspectors cited the home at the actual-harm level on July 16, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 4/5
August 2026 3/5 3/5 3/5 4/5
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Location

Hospitals near River Hills Village in Keokuk

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

  • 15.8 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 · 0.8 mi away ★★★★☆ Inspection 2/5 · Staffing 5/5 55 beds · Medicaid
Mississippi Valley Keokuk · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 83 beds · Medicaid
Montrose Health Center Montrose · 6.4 mi away ★★★★☆ Inspection 2/5 · Staffing 5/5 44 beds · Medicaid
Birkwood Village of Fort Madison Fort Madison · 13.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 80 beds · Medicaid
West Point Care Center West Point · 20.0 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 46 beds · Medicaid

More nursing homes near River Hills Village in Keokuk ›   All nursing homes in Keokuk ›

Compare River Hills Village in Keokuk 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/river-hills-village-in-keokuk/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.