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Nursing homesIowa › Mississippi Valley

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632 · 3195245321 · 83 certified beds

Overall★★★☆☆ 3/5
Health inspections★★★☆☆ 3/5
Staffing★★★☆☆ 3/5
Quality measures★★☆☆☆ 2/5

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.

Staffing (hours per resident per day)

Total nurse staffing: 5.67 (Iowa median: 3.69). RN hours: 1.57. Weekend total: 4.49. Nursing staff turnover: 37%.

Inspection deficiencies

All-time on record: 25 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-12Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2026-03-23
2024-06-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. GHealthcorrected 2024-06-20
2024-06-19Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2024-06-20
2024-06-19Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2024-06-20
2024-06-19Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-06-20
2024-06-19Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2024-06-20
2024-01-24Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-02-16
2023-12-06Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Ecomplaintcorrected 2023-12-29
2023-02-23Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. GHealthcorrected 2023-03-24
2023-02-23Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. EHealthcorrected 2023-03-24
2023-02-23Ensure each resident receives an accurate assessment. EHealthcorrected 2023-03-24
2023-02-23Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2023-03-24
2023-02-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-03-24
2023-02-23Provide and implement an infection prevention and control program. EHealthcorrected 2023-03-24
2023-02-23Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2023-03-24
2023-02-23Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2023-03-24
2023-02-23Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2023-03-24
2023-02-23Respond appropriately to all alleged violations. DHealthcorrected 2023-03-24
2023-02-23Assess the resident when there is a significant change in condition DHealthcorrected 2023-03-24
2023-02-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-03-24
2023-02-23Provide 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. DHealthcorrected 2023-03-24
2023-02-23Ensure each resident must receive and the facility must provide necessary behavioral health care and services. DHealthcorrected 2023-03-24
2023-02-23Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2023-03-24
2023-02-23Implement 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 limited. DHealthcorrected 2023-03-24
2023-02-23Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. DHealthcorrected 2023-03-24

Federal penalties

DateTypeAmount
2024-06-19Fine$10,839
2024-01-24Fine$8,824

Ownership & control records (CMS filings)

NameRoleType%Since
LEXINGTON SQUARE IRREVOCABLE TRUSTDirect Ownership InterestOrganizationNOT APPLICABLEsince 04/07/2017
ABELL, TERRIManaging Control - Governing BodyIndividualNOT APPLICABLEsince 01/20/2016
ANDERSON, HALLEYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/18/2023
BLUME, MICHAELManaging Control - Governing BodyIndividualNOT APPLICABLEsince 01/20/2016
HOSKINS, HEATHERManaging Control - Governing BodyIndividualNOT APPLICABLEsince 03/15/2011
ISRAEL, DAVIDManaging Control - Governing BodyIndividualNOT APPLICABLEsince 08/12/2025
PETERSON, PAIGEManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/07/2022
STANLEY, MURRAYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/07/2022
LEXINGTON SQUARE IRREVOCABLE TRUSTOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/07/2017
ABELL, TERRIOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/03/2022
BLUME, MICHAELOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2023
HOSKINS, HEATHEROperational/Managerial ControlIndividualNOT APPLICABLEsince 03/20/2024
STANLEY, MURRAYOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2017

Compare nearby (Lee County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165151. Corrections: data@carerecords.org.