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
Keokuk, IA · Medicare-certified · 83 beds
Needs attention
For-profit
3 of 5 overall
Mississippi Valley in Keokuk, IA has a 3-star overall rating, with 3 stars for health inspection and staffing and 4 stars for quality measures. It has a recent federal penalty, $10,839 in fines over the last 24 months, and reported nurse staffing of 5.38 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
5.376 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $10,839recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.376.
Staffing detail
- Registered nurses
- 1.43
- Licensed practical nurses
- 0.70
- Nurse aides
- 3.24
- Weekend nursing
- 4.15
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 25%
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
10.9%12.5%Worsening
Residents with a fall causing major injury
0%3.5%Worsening
Residents with pressure ulcers (bedsores)
12.1%8.3%Improving
Residents with a urinary tract infection
9.4%14%Worsening
Residents who lost too much weight
3.8%3.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.7%30%Worsening
Residents whose ability to walk got worse
—11.5%—
Long-stay residents on antianxiety or sleep medication
29.8%26.3%Improving
Short-stay residents newly given an antipsychotic
—9.5%—
Residents with a long-term catheter
0%8.2%Worsening
Residents with new or worsening incontinence
20.5%16%Improving
Residents with depressive symptoms
6.1%0%Improving
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
—82.9%—
What the inspectors found
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
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 home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
Recent history
- 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
- 58.8 residents on an average day (71% 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.