The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
River Hills Village in Keokuk
Keokuk, IA · Medicare-certified · 84 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
River Hills Village in Keokuk has a 3 out of 5 overall rating, with 3-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 4.28 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2767 hrs/resident/day
Quality measures
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2767.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.82
- Nurse aides
- 3.06
- Weekend nursing
- 3.99
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 29%
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
5.7%9.3%Worsening
Residents with a fall causing major injury
10.6%1.9%Improving
Residents with pressure ulcers (bedsores)
6.6%2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
16.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.9%28.6%Worsening
Residents whose ability to walk got worse
29.5%24.3%Improving
Long-stay residents on antianxiety or sleep medication
37.8%24.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.8%0%Improving
Residents with new or worsening incontinence
12%21.6%Worsening
Residents with depressive symptoms
0%0%No change
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
—50%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—51.9%—
Short-stay residents given the pneumonia vaccine
100%98.8%Worsening
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of UNLIMITED DEVELOPMENT, INC. · 10 homes · 2.4 stars avg
- Occupancy
- 64.5 residents on an average day (77% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.