Mississippi Valley

500 Messenger Road, Keokuk, IA 52632

(319) 524-5321

5Overall Rating
For profit - Limited Liability companyMedicare and Medicaid

Quality Ratings

Overall
5
Health Inspections
4
Staffing
2
Quality Measures
5
Long-stay QM
5
Short-stay QMN/A

Facility Details

Licensed Beds83
Avg Residents58
CountyLee
Sprinkler SystemYes
Ownership ChangedNo
Resident CouncilResident

Staffing (hrs/resident/day)

RN Hours1.40
LPN Hours0.85
Aide Hours3.35
Total Nurse Hours5.60
Weekend Nurse Hours4.37
Nursing Turnover43.3%
RN Turnover33.3%

State Staffing Compliance

Iowa Minimum3 hrs/resident/day
This Facility5.60 hrs/resident/day

Penalties & Enforcement

2
Total Penalties
$19,663
Total Fines
0
Payment Denials
N/A
Infection Citations

Ownership

Recent Ownership Change
Primary OwnerLEXINGTON SQUARE IRREVOCABLE TRUST
Owner TypeIndividual
Chain / OrganizationBELL BANK ARROWHEAD OFFICE
Facilities in Chain4

Cost Context: Average in Iowa

$295
Private Room/day
$8,965
Private Room/mo
$269
Semi-Private/day
$188
Medicaid Rate/day

Average cost in Iowa: $295/day private room. Source: CareScout/Genworth Cost of Care Survey 2025.

Data from CMS (Centers for Medicare & Medicaid Services), processed 2026-03-01. CMS Provider ID: 165151