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State licensedAssisted LivingSkilled Nursing

River Hills Village

(417) 864-4545

About River Hills Village

River Hills Village brings personalized assisted living to Keokuk, Iowa, where experienced caregivers support daily activities while preserving residents' independence. Our team understands that moving to assisted living is significant—we focus on comfort, dignity, and meaningful connections.

Community at a glance

Capacity

64 residents

State license

#S0053, Licensed

Location

Keokuk, IA

Status

Listed in a public registry

Care & services offered

Assisted LivingSkilled Nursing

Contact & location

20 VILLAGE CIR, Keokuk, Iowa 52632

(417) 864-4545

Medicare record for the nursing home on this campus

River Hills Village includes River Hills Village in Keokuk, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate River Hills Village's other levels of care, which the state licenses and inspects separately.

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 September 18, 2025, state inspectors cited 5 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 4 hours 17 minutes with each resident a day, above the Iowa average of 3 hours 49 minutes.

Medicare has not fined River Hills Village in Keokuk in the last three years.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 17 minutesAbove the Iowa average
Registered nurse time per resident, per day24 minutesBelow the Iowa average
Nursing staff who left in the past year40%Below the Iowa average

Inspections

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

September 18, 2025 · Standard inspection · 5 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 24, 2025
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 24, 2025
  • 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 Nov 24, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 24, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 24, 2025

September 12, 2024 · Standard inspection · 1 citation

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 19, 2024
July 16, 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 Jul 31, 2024
March 11, 2024 · Standard inspection · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 20, 2024

Fines and payment denials

No fines or Medicare payment denials in the last three years.

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Unlimited Development, Inc
Medicare-certified beds
84
Average residents per day
65
Accepts
Medicare and Medicaid
First certified
July 13, 1998
Part of a chain
Unlimited Development, Inc., 10 homes
Inside a hospital
No
Continuing care retirement community
Yes
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165396

Location

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20 VILLAGE CIRKeokuk, IA 52632

4 other communities within 10 miles

Senior living near Keokuk

Questions about River Hills Village

Does River Hills Village have a nursing home?+

Yes. River Hills Village in Keokuk is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not River Hills Village's other levels of care.

How did River Hills Village in Keokuk do on its last inspection?+

State inspectors visited on September 18, 2025 and cited 5 health deficiencies. The Iowa average is 6.5.

How much nursing care does each resident get at River Hills Village in Keokuk?+

Nurses and aides spend 4 hours 17 minutes with each resident per day, including 24 minutes from registered nurses. 40% of nursing staff left over the past year.

Has River Hills Village in Keokuk been fined by Medicare?+

Medicare's records show no fines against River Hills Village in Keokuk in the last three years.

How much does assisted living cost?+

The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.

Does Medicare pay for assisted living?+

Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.

What's the difference from a nursing home?+

Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.

Senior living in Keokuk Assisted Living in Iowa Assisted Living guide Information last updated October 2026