Nursing home
River Hills Village in Keokuk
20 Village Circle, Keokuk, IA 52632 · Map
For profit - Limited Liability company · Part of Unlimited Development, Inc. (10 facilities) · 84 certified beds
River Hills Village in Keokuk is a Medicare-certified nursing home in Keokuk, Iowa. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.14 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Sep 18, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Hills Village in Keokuk 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) | 4.14 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.90 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 43.8% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 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.
- Every deficiency from the September 18, 2025 inspection was corrected by November 24, 2025
What inspectors found at River Hills Village in Keokuk
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- 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 · Sep 18, 2025 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 18, 2025 · Full report (PDF) - 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 · Sep 18, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 18, 2025 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 12, 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 · Jul 16, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 11, 2024 · Full report (PDF)
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
- 20 Village Circle
Keokuk, IA 52632 - CMS certification #
- 165396
- Ownership
- For profit - Limited Liability company
- Certified beds
- 84
- Avg residents/day
- 63.2
- Provider type
- Medicare and Medicaid
- First certified
- 1998-07-13
- Chain
- Unlimited Development, Inc. (10 facilities)
- Setting
- Rural
Part of Unlimited Development, Inc.
Unlimited Development, Inc. operates 10 nursing facilities across the United States. View all Unlimited Development, Inc. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Hills Village in Keokuk 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. 15.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Southeast Iowa Healthcare Center, Keokuk. 0.8 miles away, straight line.
- Nearest home health agency office
- Lee County Health Department, Fort Madison. 13.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 1.2 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, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
Southeastern Renal Dialysis, Lc - Ft Madison, Fort Madison, 13.5 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, 13.4 miles away, straight line - Nearest geriatric medicine practice
- Quincy Physicians And Surgeons Clinic, PLLC, Keokuk. 2.2 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 River Hills Village in Keokuk a good nursing home?
CMS gives River Hills Village in Keokuk an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Hills Village in Keokuk staffed?
River Hills Village in Keokuk reports 4.14 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has River Hills Village in Keokuk had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does River Hills Village in Keokuk have?
River Hills Village in Keokuk is certified for 84 beds.