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Medicare-certifiedSkilled Nursing

Mississippi Valley

(319) 524-5321

About Mississippi Valley

Mississippi Valley provides skilled nursing and rehabilitation services to Keokuk, Iowa residents who need specialized medical care and recovery support. Our team focuses on personalized treatment plans and compassionate nursing to help patients regain independence and return home.

Community at a glance

Capacity

83 residents

Location

Keokuk, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

500 Messenger Road, Keokuk, Iowa 52632

(319) 524-5321

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 21, 2026, state inspectors cited 5 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 5 hours 40 minutes with each resident a day, above the Iowa average of 3 hours 49 minutes.

Medicare fined Mississippi Valley 2 times in the last three years, $19,663 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day5 hours 40 minutesAbove the Iowa average
Registered nurse time per resident, per day1 hour 34 minutesAbove the Iowa average
Nursing staff who left in the past year37%Below the Iowa average

Inspections

12 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 21, 2026 · Standard inspection · 4 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 20, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 20, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 20, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 20, 2026

March 12, 2026 · Complaint investigation · 1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 23, 2026
June 19, 2024 · Standard inspection · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jun 20, 2024
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 20, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 20, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 20, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 20, 2024
January 24, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 16, 2024
December 6, 2023 · Complaint investigation · 1 citation+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Dec 29, 2023

Fines and payment denials

2 fines totaling $19,663 in the last three years.

  • June 19, 2024Fine: $10,839
  • January 24, 2024Fine: $8,824

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Lexington Square LLC
Medicare-certified beds
83
Average residents per day
57
Accepts
Medicare and Medicaid
First certified
March 25, 1989
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165151

Location

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500 Messenger RoadKeokuk, IA 52632

4 other communities within 10 miles

Senior living near Keokuk

Questions about Mississippi Valley

How did Mississippi Valley do on its last inspection?+

State inspectors visited on May 21, 2026 and cited 5 health deficiencies, 1 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Mississippi Valley?+

Nurses and aides spend 5 hours 40 minutes with each resident per day, including 1 hour 34 minutes from registered nurses. 37% of nursing staff left over the past year.

Has Mississippi Valley been fined by Medicare?+

Yes. Medicare fined Mississippi Valley 2 times in the last three years, totaling $19,663.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Keokuk Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026