Nursing Homes · Keokuk, IA
Nursing Homes · Medicare certified
Mississippi Valley
500 Messenger Road · Keokuk, IA 52632 · 83 certified beds
Are you the operator? Claim this profile.
About Mississippi Valley
Mississippi Valley is a nursing home in Keokuk, Iowa. Its capacity is 83 beds, above the Lee County median of 55 for nursing homes. It is run by a for-profit operator and is part of Lexington Square Irrevocable Trust. It is Medicare certified. Its public inspection record shows 25 citations, the most recent on March 12, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 5.84 hours per resident per day. It is one of 3 nursing homes listed in Keokuk. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
3.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (25)
Records from February 2023 to March 2026.
March 12, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected March 23, 2026.
June 19, 2024
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
June 19, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
June 19, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
June 19, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
June 19, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected June 20, 2024.
January 24, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected February 16, 2024.
December 6, 2023
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 29, 2023.
February 23, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0758Implement 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….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
Penalties (2)
Total fines: $19,663
June 19, 2024 · Fine
CMS recorded a civil money penalty of $10,839 against this nursing home on June 19, 2024.
January 24, 2024 · Fine
CMS recorded a civil money penalty of $8,824 against this nursing home on January 24, 2024.
Staffing
5.84 nurse hours per resident per day in Q2 2026, up from 5.38 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
- Parent company: Lexington Square Irrevocable Trust
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Keokuk.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Advertisement
Check availability and pricing at Mississippi Valley
We'll email you Mississippi Valley and similar options nearby, with local costs. You can also ask them to contact you, or call (319) 524-5321.
Sponsored
Talk to an advisor at no cost