Senior Home Review
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Nursing homeFAID #4111

Mississippi Valley

500 Messenger Road, KEOKUK, IA, 52632
(319) 524-5321
83 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
83
CMS facility ID
165151
Care type
Nursing home
County
Lee
Facility name
Mississippi Valley
Street address
500 Messenger Road
City / state / ZIP
Keokuk, IA 52632
Phone
(319) 524-5321

About this facility — Mississippi Valley

Mississippi Valley is a Medicare/Medicaid-certified skilled nursing facility in Keokuk, Iowa. It is licensed for 83 beds — above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 5 senior care facilities in Keokuk and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mississippi Valley 18 times across 9 inspections in the last three years, and CMS has imposed $19,663 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Abell, Terri
Governing body · Operational control — since 2016
Anderson, Halley
Governing body · Additional disclosable party — since 2023
Bell Bank Arrowhead Office
Mortgage holder — since 2022
Blume, Michael
Governing body · Operational control · Additional disclosable party — since 2016
Hoskins, Heather
Governing body · Operational control — since 2011
Israel, David
Governing body — since 2025
Lexington Square Irrevocable Trust
Direct owner · Operational control — since 2017
Peterson, Paige
Governing body · Trustee — since 2022
Stanley, Murray
Governing body · Operational control · Trustee · Additional disclosable party — since 2017

Regulatory standing

Federal court records
2 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-03-25
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$19,663 total
Last standard inspection
2026-05-21
Nurse staffing
5.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$582 per day (≈ $17,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
87% Medicaid · 6% Medicare · 7% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
70% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
83
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-21Health inspection4 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-06-20
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-06-20
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-06-20
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-06-20
2026-03-12Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-23
6 earlier / fire-safety inspections (13 citations)
2024-06-19Health inspection5 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-20
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-20
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-20
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-20
2024-01-24Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
2023-12-06Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-29
2026-05-21Fire-safety inspection2 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-05-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-05-22
2025-04-03Fire-safety inspection2 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-05-03
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-03
2024-06-19Fire-safety inspection2 citations
K-0325
E · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-06-07
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-07

Federal penalties

2024-06-19Fine$10,839
2024-01-24Fine$8,824
Total fines$19,663
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165151.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 18 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered