65.5/100
Average
Mississippi Valley
500 Messenger Road, Keokuk, IA 52632
- Certified beds
- 83
- Occupancy
- 69%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$19,663 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Mississippi Valley
Mississippi Valley runs 5.67 nurse hours per resident day, roughly 47% above the national average of 3.86, and its 36.8% turnover sits below the national 45.8%. Those are real strengths. The rest of the record is harder to read. State inspectors cited 25 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $19,663 in fines across two penalties. Quality measures score 2 out of 5, and weekends run about 21% thinner than weekdays, so the staffing cushion doesn't hold steady across the week. The last inspection was April 2025. A for-profit LLC operates the 83-bed home. Strong hours, but a deficiency record that includes harm and abuse findings is what families should weigh hardest.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
10.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.93 total nurse hours per resident per day (national median 3.77)
- →1.57 RN hours per resident per day
- →Weekend staffing drops 21% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →37% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$19,663 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 21, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Mississippi Valley
What is the ElderGrade for Mississippi Valley? +
Mississippi Valley holds an ElderGrade of C (65.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Mississippi Valley? +
Residents receive an average of 5.67 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Mississippi Valley been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Mississippi Valley accept Medicaid? +
Yes, Mississippi Valley is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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