The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Mississippi Valley Healthcare & Rehabilitation Center
Registered name: Mississippi Valley
Keokuk, IA · Medicare-certified · 83 beds
In good standing
For-profit
Data as of September 1, 2026
3 of 5 overall
Mississippi Valley Healthcare & Rehabilitation Center has an overall 3 out of 5 stars, with 3-star health inspection and staffing ratings and a 2-star quality measures rating. It reports 5.67 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months; recent inspection citations included accident hazards/supervision, resident information about care, and accurate assessments.
Facility ratings
Health inspections
Staffing
5.6718 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6718.
Staffing detail
- Registered nurses
- 1.57
- Licensed practical nurses
- 0.71
- Nurse aides
- 3.39
- Weekend nursing
- 4.49
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 12%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%12%No change
Residents with a fall causing major injury
1.7%5.2%Worsening
Residents with pressure ulcers (bedsores)
7.3%11%Worsening
Residents with a urinary tract infection
12.5%7.3%Improving
Residents who lost too much weight
0%7.3%Worsening
Residents who were physically restrained
0%1.7%Worsening
Residents needing more help with daily activities
6.7%16.7%Worsening
Residents whose ability to walk got worse
—11%—
Long-stay residents on antianxiety or sleep medication
34.5%22.4%Improving
Residents with a long-term catheter
0%9.7%Worsening
Residents with new or worsening incontinence
14.3%13.5%Improving
Residents with depressive symptoms
0%2.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—84.8%—
What the inspectors found
The home failed to make sure residents fully understood their health status, care, and treatments. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $10,839 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $19,663 in total fines.
- $10,839
Federal fine
Jun 19, 2024
- $8,824
Federal fine
Jan 24, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 57.2 residents on an average day (69% of 83 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.