Mississippi Valley
Nursing Home · Keokuk, IA
CMS certification number165151
Contact & location
500 Messenger RoadKeokuk, IA 52632
Lee County
- Phone
- (319) 524-5321
- ZIP code
- 52632 – all care providers
Facility details
- Certified beds
- 83
- Residents per day
- 57.2 (69% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Lexington Square LLC
- Medicare certified since
- March 25, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 5.67 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 1.57 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.56 · U.S. 0.86)
- Nurse aides
- 3.39 (state 2.51 · U.S. 2.32)
- Weekend total
- 4.49 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 36.8 (state 44.0 · U.S. 45.8)%
- RN turnover
- 11.8 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 21, 2026
- Health deficiencies (last cycle)
- 5.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 12 health · 6 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-21 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-20 |
| 2026-05-21 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-20 |
| 2026-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-20 |
| 2026-05-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-20 |
| 2026-03-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-23 |
| 2024-06-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-20 |
| 2024-06-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-06-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-06-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-06-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-01-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-02-16 |
| 2023-12-06 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-29 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $19,663 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-06-19 | Fine | $10,839 |
| 2024-01-24 | Fine | $8,824 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bell Bank Arrowhead Office (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Anderson, Halley (individual) | Administrator · NOT APPLICABLE | |
| Blume, Michael (individual) | Administrator · NOT APPLICABLE | |
| Stanley, Murray (individual) | Administrator · NOT APPLICABLE | |
| Lexington Square Irrevocable Trust (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Abell, Terri (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Anderson, Halley (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Blume, Michael (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hoskins, Heather (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Israel, David (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Peterson, Paige (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Stanley, Murray (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Abell, Terri (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blume, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hoskins, Heather (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lexington Square Irrevocable Trust (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Stanley, Murray (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Peterson, Paige (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Stanley, Murray (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Mississippi Valley?
Mississippi Valley has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Mississippi Valley have?
It has 83 certified beds and cares for about 57 residents per day.
Has Mississippi Valley been fined?
Yes. CMS lists 2 penalties totaling $19,663 in the last three years.
What is the phone number of Mississippi Valley?
(319) 524-5321. The facility is located at 500 Messenger Road, Keokuk, IA 52632.
Other nursing homes in Keokuk
-
Southeast Iowa Healthcare Center
Nursing Home · Keokuk, IA · 55 beds
★★★★ -
River Hills Village in Keokuk
Nursing Home · Keokuk, IA · 84 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.