Mississippi Valley
Nursing home in Keokuk, Iowa, CMS certification number 165151
500 Messenger Road, Keokuk, IA 52632 · Lee County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 83
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 21, 2026
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $19,663 (2)
Does Mississippi Valley take Medicare and Medicaid?
Yes to both. Mississippi Valley is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Mississippi Valley reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 5.84
- Registered nurse hours
- 1.52
- Licensed practical nurse hours
- 0.81
- Nurse aide hours
- 3.51
- Weekend total hours
- 4.48
- Nursing staff turnover
- 39.4%
- Registered nurse turnover
- 17.6%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on May 21, 2026 and cited 5 deficiencies, plus 1 from complaint visits.
The visit before, on April 3, 2025, found 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Mississippi Valley 2 times in the past 3 years, for $19,663 in total.
Beds and residents
On an average day 56.1 residents live here, about 68% of its 83 certified beds.
- Certified beds
- 83
- Average residents per day
- 56.1
- Certified since
- March 25, 1989
- Resident or family council
- Resident
Who owns Mississippi Valley
- Legal business name
- Lexington Square LLC
- Ownership type
- For profit - Limited Liability company
Other nursing homes near Mississippi Valley
- Southeast Iowa Healthcare Center3140 Plank Road, Keokuk 52632
- River Hills Village in Keokuk20 Village Circle, Keokuk 52632
- Montrose Health Center400 South 7th Street, Montrose 52639
- Birkwood Village of Fort Madison1702 41st Street, Fort Madison 52627
- West Point Care Center Inc607 6th Street, West Point 52656
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Mississippi Valley, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Mississippi Valley
What is the CMS star rating of Mississippi Valley?
3 out of 5 stars overall.
Does Mississippi Valley accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Mississippi Valley?
5 cited at the last standard visit.
Who owns Mississippi Valley?
Lexington Square LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.