Nursing home · Top rated by CMS
Mississippi Valley
500 Messenger Road, Keokuk, IA 52632 · Map
For profit - Limited Liability company · 83 certified beds
Mississippi Valley is a Medicare-certified nursing home in Keokuk, Iowa. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.60 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Apr 3, 2025 cited 0 deficiencies.
- 2 fines totaling $19,663In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Mississippi Valley compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.60 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.40 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.35 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 43.3% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $19,663, 2 total penalties.
What inspectors found at Mississippi Valley
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 12, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 19, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jun 19, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 24, 2024 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Dec 6, 2023 · Full report (PDF) - Actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 23, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 23, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 23, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Feb 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 500 Messenger Road
Keokuk, IA 52632 - CMS certification #
- 165151
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83
- Avg residents/day
- 57.7
- Provider type
- Medicare and Medicaid
- First certified
- 1989-03-25
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mississippi Valley using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Hospital, Carthage. 14.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Southeast Iowa Healthcare Center, Keokuk. 0.6 miles away, straight line.
- Nearest home health agency office
- Hancock County Health Department, Carthage. 13.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52632 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Southeastern Renal Dialysis, L.C. - Lee County, Keokuk, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Southeastern Renal Dialysis, Lc - Ft Madison, Fort Madison, 14.2 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 52632.
Lee County Health Department, office in Fort Madison, 14.0 miles away, straight line - Nearest geriatric medicine practice
- Quincy Physicians And Surgeons Clinic, PLLC, Keokuk. 1.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Mississippi Valley a good nursing home?
CMS gives Mississippi Valley an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mississippi Valley staffed?
Mississippi Valley reports 5.60 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Mississippi Valley had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Mississippi Valley have?
Mississippi Valley is certified for 83 beds.