Overview
Mississippi Valley has a Medicare overall rating of 3 out of 5, in line with the Iowa average of 3.1. It ranks 3rd of 3 nursing homes in Keokuk. Its strongest area is health inspections (3 of 5), and its weakest is quality of care (2 of 5).
Residents receive about 5.8 hours of nursing care per day, more than at 99% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 1.5 hours come from registered nurses.
Its most recent standard inspection, on May 21, 2026, found 5 health deficiencies, fewer than the Iowa average of 6.5. 1 of them came from complaint investigations. Medicare records 2 fines totaling $19,663 in the past three years.
Mississippi Valley is a for-profit facility with 83 certified beds, caring for about 56 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1989.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 43%
Top 60%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- May 21, 2026
- Health deficiencies cited
- 5
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 2 totaling $19,663
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff5.84 hrs
- Registered nurses (RN)1.52 hrs
- Licensed practical nurses (LPN)0.81 hrs
- Nurse aides3.51 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83
- Average residents per day
- 56
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- March 25, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes