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Mississippi Valley

Keokuk, IA · Medicare and Medicaid-certified nursing home (CCN 165151) · 83 certified beds

CMS overall rating: 3★ (state average 3.07★ — at state average)
Health inspection: 3 · Quality measures: 2 · Staffing: 3
Federal fines: 2 totaling $19,663
Phone: (319) 524-5321 · Verify on Medicare Care Compare ↗

Mississippi Valley in Keokuk, IA has a CMS overall star rating of 3 out of 5, which is at the Iowa state average of 3.07. Its health inspection rating is 3 stars and its staffing rating is 3 stars.

Mississippi Valley reports total nurse staffing of 5.67 hours per resident per day, including 1.57 RN hours per resident per day, with a staffing star rating of 3. Nursing staff turnover is reported at 36.8%.

Mississippi Valley has 2 federal fines on record totaling $19,663.00, with 0 payment denials reported. CMS data provided does not indicate an abuse icon or Special Focus status for this facility.

Overall rating vs. benchmarks
Mississippi Valley Mississippi Valley: 3★ 3★ IA average IA average: 3.07★ 3.07★

About this facility

Mississippi Valley is a for-profit (Limited Liability Company) skilled nursing facility in Keokuk, Lee County, Iowa, certified for both Medicare and Medicaid since March 25, 1989. The facility is certified for 83 beds and reports an average daily census of 57.2 residents.

According to CMS Care Compare, Mississippi Valley holds an overall star rating of 3 out of 5, which is at the Iowa state average of 3.07. Its component ratings are: Health Inspection rating of 3 stars, Quality Measures rating of 2 stars, and Staffing rating of 3 stars.

Nurse staffing data show total nurse hours of 5.67 per resident per day, including 1.57 RN hours per resident per day. Nursing staff turnover is reported at 36.8%.

On the penalty record, CMS lists 2 federal fines totaling $19,663.00 for this facility. There are 0 payment denials on record. No abuse icon or Special Focus status was reported in this dataset for Mississippi Valley.

No chain affiliation or recent change of ownership was indicated in the provided data.

Families are encouraged to review the full inspection history and quality measure detail directly on Medicare Care Compare, as this profile reflects only the specific data fields provided and current as of the CMS data vintage referenced by the source. This summary does not include cost, room type, or admissions information; those details should be confirmed directly with the facility.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Mississippi Valley has an overall rating of 3 out of 5 stars, which is at the Iowa state average of 3.07.

Does this facility accept Medicare, Medicaid, or both?

Mississippi Valley is certified to accept both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 5.67 hours per resident per day with a staffing rating of 3 stars, and nursing staff turnover is 36.8%.

Does this facility have federal fines or penalties on record?

Yes, CMS lists 2 fines totaling $19,663.00, and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided does not indicate an abuse icon or Special Focus status for this facility.

How large is this facility and how many residents live there?

Mississippi Valley is certified for 83 beds with an average daily census of 57.2 residents.

Who owns this facility — and is it part of a chain?

It is owned as a for-profit Limited Liability Company; no chain affiliation is indicated in the data provided.

How long has this facility been Medicare/Medicaid certified?

The facility was first approved for Medicare/Medicaid certification on March 25, 1989.

What do the four different CMS star ratings mean?

CMS rates facilities on Overall (3 stars), Health Inspection (3 stars), Quality Measures (2 stars), and Staffing (3 stars), which combine into the overall score.

Does this facility offer short-term rehabilitation as well as long-term care?

This detail is not included in the provided data; please contact the facility at 3195245321 and verify on Medicare Care Compare.

What should I look for when touring this facility?

This information is not part of the CMS dataset; contact the facility directly at 3195245321 to arrange a visit.

How do I verify this facility's current record on Medicare Care Compare?

You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/165151?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.