Senior Home Review
Home›Browse›Iowa›Keokuk›River Hills Village In Keokuk
Nursing homeFAID #4299

River Hills Village In Keokuk

20 VILLAGE CIRCLE, KEOKUK, IA, 52632
(319) 524-5772
84 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
What we can show you for free.
Bed capacity
84
CMS facility ID
165396
Care type
Nursing home
County
Lee
Facility name
River Hills Village In Keokuk
Street address
20 VILLAGE CIRCLE
City / state / ZIP
Keokuk, IA 52632
Phone
(319) 524-5772

River Hills Village In Keokuk is a Medicare/Medicaid-certified skilled nursing facility in Keokuk, Iowa. It is licensed for 84 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 River Hills Village In Keokuk 17 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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.

What the public record shows.

Ownership & operator

Parent company
Unlimited Development, Inc.
Ownership type
For profit - Limited Liability company

Registered owners & officers

Unlimited Development, Inc
Direct owner — 100% stake — since 2010
Ballew, Heather
Managing employee — since 2022
Finke, Audrey
Director — since 2010
Gilmore, Jerry
Director — since 2010
Haney, David
Director — since 2010
Wagner, Robert
Director — since 2010
Wilson, Ronald
Officer — since 2010

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1998-07-13
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-18
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$379 per day (≈ $11,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
54% Medicaid · 27% Medicare · 19% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
11% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
84
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-18Health inspection5 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-24
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 2025-11-24
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-24
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-11-24
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-24
2024-09-12Health inspection1 citation
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-19
5 earlier / fire-safety inspections (11 citations)
2024-07-16Health 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 2024-07-31
2024-03-11Health inspection1 citation
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-20
2025-09-18Fire-safety inspection1 citation
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-26
2024-09-12Fire-safety inspection5 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-10-02
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-18
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-27
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-09-27
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-27
2024-03-11Fire-safety inspection3 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-15
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-04-08
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-03-13
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 165396.
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 17 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.
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