B-
72/100

Mississippi Valley Inspection Report, Violations & Safety Grade (Keokuk, Iowa)

500 Messenger Road, Keokuk, Iowa 52632

Phone: 3195245321

CMS Overall:3/5

Overview & Bed Count

Certified Beds
83
Avg Residents/Day
56.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lee
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityIowa AvgDifference
RN Hours per Resident per Day1.520.74+0.78
Total Nurse Hours per Resident per Day5.843.86+1.98
CMS Staffing Rating3/53.8/5-
Nursing Staff Turnover39.4%44.1%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-05-21Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.E – Moderate Harm Potential
2026-05-21Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2026-05-21Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-05-21Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-03-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-06-19Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-06-19Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-06-19Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-06-19Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-06-19Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-01-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2023-12-06Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-21Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-05-21Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-04-03Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2025-04-03Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-06-19Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.E – Moderate Harm Potential
2024-06-19Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential

Total Penalties & Fines

$19,663
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-06-19Fine$10,839-
2024-01-24Fine$8,824-

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