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CAverage · score 53/100 · #179 of 386 in Iowa

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632 · 83 certified beds · For profit - Limited Liability company

Staffing 5.7 nurse hours per resident-daytop 10% in Iowa
5 health deficiencies at the last standard survey (CMS severity score 44)below median
$19,663 in fines in 3 years

Why Mississippi Valley is graded C

Each metric below is percentile-ranked against Iowa nursing homes in the same size band (medium, 83 beds), then weighted. The score is the weighted sum; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Nothing here can be edited or paid for.

Mississippi Valley at a Glance

C 53/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 5.67 h.
99<small style="font-size:12px;color:var(--muted)">th pct</small>
Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 44.
41<small style="font-size:12px;color:var(--muted)">th pct</small>
Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 2.
18<small style="font-size:12px;color:var(--muted)">th pct</small>
Penalties · weight 15Fines and payment denials in the last three years. Raw: $19,663 fines, 0 denials.
40<small style="font-size:12px;color:var(--muted)">th pct</small>
CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
3/5

Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Iowa, medium facilities · CMS record 165151 · How we grade.

Facility details

Address500 Messenger Road, Keokuk, IA 52632
Phone3195245321
CountyLee
OwnershipFor profit - Limited Liability company
Certified beds83
AcceptsMedicare Medicaid
Special Focus FacilityNo

Higher-graded nursing homes nearby

1

River Hills Village In Keokuk - Keokuk, IA · 84 beds

  • Staffing 4.3 nurse hours per resident-day — top quarter in Iowa
  • 5 health deficiencies at the last standard survey (CMS severity score 28) — above median
1

Meth-Wick Health Center - Cedar Rapids, IA · 69 beds

  • Staffing 4.9 nurse hours per resident-day — top 10% in Iowa
  • No health deficiencies at the last standard survey — top 10%
1

Iowa Veterans Home - Marshalltown, IA · 702 beds

  • Staffing 4.7 nurse hours per resident-day — top 10% in Iowa
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%

A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.