River Hills Village in Keokuk
Cost data not yet available
Nursing Homes · Medicare certified
500 Messenger Road · Keokuk, IA 52632 · 83 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1790772341. Look this up in the CMS NPPES registry (opens in a new tab)
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In Keokuk, Iowa, Mississippi Valley is listed as a nursing home. Public records list 83 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Lexington Square Irrevocable Trust. We hold 25 inspection citations for this listing, the most recent dated 12 March 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 5.67 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
8
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
7
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
8
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Records from February 2023 to March 2026.
March 12, 2026 · G
Citation F0689Federal surveyors cited this nursing home on 2026-03-12 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-03-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 19, 2024 · D
Citation F0757Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 19, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 19, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 19, 2024 · D
Citation F0657Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 19, 2024 · G
Citation F0689Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 24, 2024 · G
Citation F0689Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-02-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 6, 2023 · E
Citation F0725Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2023-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · E
Citation F0880Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0609Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0688Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0740Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0610Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · E
Citation F0657Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · E
Citation F0623Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0623 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0758Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0849Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 23, 2023 · D
Citation F0561Federal surveyors cited this nursing home on 2023-02-23 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2023-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $19,663
June 19, 2024 · Fine
Citation FINE-79463CMS recorded a civil money penalty of $10,839 against this nursing home on 2024-06-19 (Fine ID: 79463). Source: CMS Care Compare Penalties (as of 2026-07-01).
January 24, 2024 · Fine
Citation FINE-79388CMS recorded a civil money penalty of $8,824 against this nursing home on 2024-01-24 (Fine ID: 79388). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 5.67 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.30 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
Parent organization: Lexington Square Irrevocable Trust
parent · PAC 2466848601
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moIowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Other licensed providers in Keokuk, with their own public records.
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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