Keokuk, IA · Lee County
★★★★☆CMS 4/555 bedsFor-profitMedicaid
- Nurse hours
- 2.94 /day
- Staff turnover
- 36%
- Serious cites
- 0
Southeast Iowa Healthcare Center runs lean on daily nurse coverage, 2.94 hours per resident, roughly a quarter below the national figure, and weekends dip about 14% under its own weekday levels, so families should ask how that gap gets covered. What offsets it: turnover sits at 35.9%, well under the 45.8% national rate, meaning the aides and nurses who are there tend to stay. The inspection record is clean where it counts, six deficiencies with none causing harm and nothing abuse-related, and the most recent survey was in January 2026. A for-profit LLC with 55 beds, this is a stable, recently inspected home that runs thin on hours rather than on care quality.
West Point, IA · Lee County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 54%
- Serious cites
- 0
West Point Care Center runs 46 beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend coverage drops roughly 16% below the home's own weekday level, and annual turnover hits 53.7% against a national 45.8%. The inspection record shows 9 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $13,627. CMS gives strong marks on quality measures and solid ones on health inspections, with a recent survey date. The staffing picture is where the tension sits.
Keokuk, IA · Lee County
★★★☆☆CMS 3/584 bedsFor-profitMedicaid
- Nurse hours
- 4.28 /day
- Staff turnover
- 40%
- Serious cites
- 0
River Hills Village sits at 84 certified beds under for-profit LLC ownership in Keokuk, and the staffing picture is its clearest strength: 4.28 nurse hours per resident day, roughly 11% above the national average. Turnover runs 40%, better than the 45.8% norm, though weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 8 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent survey in September 2025. Quality measures score well; the health inspection side is more middle-of-the-road.
Montrose, IA · Lee County
★★★☆☆CMS 3/544 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 44%
- Serious cites
- 0
Montrose Health Center runs 44 certified beds under corporate ownership, and its roughly 3.32 nurse staffing hours per resident day sit about 14 percent under the national average. Weekends are thinner still, dropping around 19 percent below the home's own weekday numbers, so coverage varies depending on when you visit. The inspection record is the harder read: 15 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $43,079 in fines across two penalties. Last inspection was October 2025, so that picture is current. Turnover at 43.6 percent is slightly better than the national rate, and resident care measures score well, but staffing shortfalls and a heavy deficiency count are what hold this one back.
Fort Madison, IA · Lee County
★★★☆☆CMS 3/580 bedsFor-profitMedicaid
- Nurse hours
- 4.52 /day
- Staff turnover
- 53%
- Serious cites
- 0
Birkwood Village of Fort Madison runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real strength. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and annual turnover runs 52.5% against a national average of 45.8%. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $3,145. Its last inspection was in April 2026, so the record is current, not stale.
Keokuk, IA · Lee County
★★★☆☆CMS 3/583 bedsFor-profitMedicaid
- Nurse hours
- 5.67 /day
- Staff turnover
- 37%
- Serious cites
- 0
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.