Nursing Homes · Keokuk, IA
Nursing Homes · Medicare certified
Mississippi Valley
500 Messenger Road · Keokuk, IA 52632 · 83 certified beds
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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.
February 23, 2023
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2023.
February 23, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity G: isolated, actual harm. Corrected March 24, 2023.
February 23, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, 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
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