Southeast Iowa Healthcare Center
Keokuk · 0.7 mi · 55 beds
Citations0Substantiated0
Mississippi Valley
500 Messenger Road, Keokuk, IA, 52632
Nursing home83 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 1 deficiency against Mississippi Valley in Keokuk, Iowa at its most recent standard inspection on 2025-04-03, 1 of them arising from complaints. 4 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $19,663. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
83certified beds
1deficiencies at the last inspection
0immediate-jeopardy findings on record
4actual-harm findings on record
2federal fines, $19,663
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.4
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.21
Potential for minimal harmThe least serious band.0
Most recentGGDDDDGEGEEEEEDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-03-12 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-06-19 · standard survey · Actual harm to a resident
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 · F0657 · 2024-06-19 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-06-19 · standard survey · No actual harm, potential for more than minimal 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 · F0690 · 2024-06-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-06-19 · standard survey · No actual harm, potential for more than minimal 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 · F0689 · 2024-01-24 · from a complaint · Actual harm to a resident
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 · F0725 · 2023-12-06 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2023-02-23 · standard survey · Actual harm to a resident
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal 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 · F0657 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal 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 · F0812 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2023-02-23 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS5.67182
Nursing staff turnoverShare of nursing staff who left in a year36.8%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$19,663
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Mississippi Valley
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| LEXINGTON SQUARE IRREVOCABLE TRUST | Organization | NOT APPLICABLE | since 04/07/2017 |
| BELL BANK ARROWHEAD OFFICE | Organization | NOT APPLICABLE | since 06/15/2022 |
| ABELL, TERRI | Individual | NOT APPLICABLE | since 01/20/2016 |
| ANDERSON, HALLEY | Individual | NOT APPLICABLE | since 10/18/2023 |
| BLUME, MICHAEL | Individual | NOT APPLICABLE | since 01/20/2016 |
| HOSKINS, HEATHER | Individual | NOT APPLICABLE | since 03/15/2011 |
| ISRAEL, DAVID | Individual | NOT APPLICABLE | since 08/12/2025 |
| PETERSON, PAIGE | Individual | NOT APPLICABLE | since 04/07/2022 |
| STANLEY, MURRAY | Individual | NOT APPLICABLE | since 04/07/2022 |
| LEXINGTON SQUARE IRREVOCABLE TRUST | Organization | NOT APPLICABLE | since 04/07/2017 |
| ABELL, TERRI | Individual | NOT APPLICABLE | since 03/03/2022 |
| BLUME, MICHAEL | Individual | NOT APPLICABLE | since 04/01/2023 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
River Hills Village in Keokuk
Keokuk · 1.1 mi · 84 beds
Citations0Substantiated0
Contact
Ask Mississippi Valley a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165151.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction