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Mississippi Valley

500 Messenger Road
Keokuk, IA 52632 · 3195245321 · Lee County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds83
OwnershipFor profit - Limited Liability company
State rank#174

By the numbers

12
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$19,663
Federal fines (CMPs)
The trend: Citations are trending down — 5 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

May 21, 2026 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
May 21, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 21, 2026 · Health survey · F-tag 0641
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
May 21, 2026 · Health survey · F-tag 0552
E — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Mar 12, 2026 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Mar 23, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Jun 19, 2024 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jun 19, 2024 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jun 19, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 19, 2024 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jun 19, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Jun 20, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Standard survey
Jan 24, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Feb 16, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Dec 6, 2023 · Health survey · F-tag 0725
E — No actual harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Showing the 12 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Iowa →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.