Show Inspection Reports
Total health inspections
4
Iowa average 4.9
Last Health inspection on Jun 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Mississippi Valley Healthcare and Rehabilitation Center
Nursing Home
Mississippi Valley Healthcare and Rehabilitation Center
Nursing Home
Mississippi Valley Healthcare & Rehabilitation Center is a skilled nursing facility located in Keokuk, Iowa. It specializes in respiratory and complex medical care, providing a compassionate environment for individuals to achieve their highest level of well-being. The facility offers personalized rehabilitation programs and has a professional staff dedicated to patient care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
83
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59.9%
Residents per day (avg)
60
Occupancy rate
59.9%
Residents per day (avg)
60
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
16% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
53% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Proprietary home
Partnership
Home revenue
$13.8M
Profit
$2.2M
Proprietary home
Partnership
Home revenue
$13,841,095.00
Profit
$2,170,850.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.6M
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy Rate
76%
Occupied Beds
63 of 83
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
Additional licensing details
License number:
560133
CMS Certification Number:
165151
Certification type:
FALSE
County:
Lee
Ownership & operating entity
Mississippi Valley Healthcare and Rehabilitation Center is administrated by Michael Blume.
Owner name:
Southeast Iowa Behavioral Health Care Center(ICF/PMI) | 560181 Southeast Iowa Health Care Center (Free Standing NF/SNF) | 560181
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
3195248642
Additional Policies & Features
Minimum Age:
18
Programs & Activities
Specific Programs
Programs & Services, Respiratory Therapy, Testimonials, Calendar, Careers, Contact Us
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
23 visits/inspections
Latest inspection
Date:April 3, 2025
38 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Mississippi Valley Healthcare and Rehabilitation Center
-2%
-36%
-21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 526322911
83
No
LEXINGTON SQUARE IRREVOCABLE TRUST
59.9%
$13,743,273.00
$6,226,621.00
45.3%
59.50
2.7288
3
24
3
-2%-36%-21%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Mississippi Valley Healthcare and Rehabilitation Center
Type of care:
SNF
AL
Community:
IA 526322911
Bed Count:
83
Pets Allowed:
No
Operator:
LEXINGTON SQUARE IRREVOCABLE TRUST
CCN:
165151
Occupancy:
59.9%
Home Revenue:
$13,743,273.00
Payroll Costs:
$6,226,621.00
Payroll %:
45.3%
Avg Residents/Day:
59.50
Overall Rating:
Adj Nurse Hours:
2.7288
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
24
Severe Citations:
3
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-21%
-21%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Mississippi Valley Healthcare and Rehabilitation Center
Keokuk, IA 526322911
Keokuk, IA 526322911
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
142
Total Staff
119
Employees
23
Contractors
39,281
Total Hours (Quarter)
55
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 16 | 9.4 | No |
| Licensed Practical Nurse | 14 | 8.8 | Yes |
| Certified Nursing Assistant | 58 | 7.5 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.5hs shift avg
Nursing Staff ⓘ
89 staff
8.1hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
15 staff
3.1hs shift avg
Activities & Recreation ⓘ
24 staff
8.5hs shift avg
Social Services ⓘ
2 staff
1.8hs shift avg
Dietary Services ⓘ
5 staff
7.8hs shift avg
Other Services ⓘ
2 staff
7.5hs shift avg
Contractor Analysis
3.4%
of total hours from contractors
1,327 contractor hours this quarter
Certified Nursing Assistant: 3
Licensed Practical Nurse: 1
Respiratory Therapy Technician: 2
Physical Therapy Aide: 3
Occupational Therapy Aide: 1
Speech Language Pathologist: 4
Qualified Social Worker: 2
Physical Therapy Assistant: 3
Occupational Therapist: 1
Occupational Therapy Assistant: 1
Diagnostic X-ray Services Staff: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 55 | 3 | 58 | 16,942 | 91 | 100% | 7.5 |
| Qualified Activities Professional | 21 | 0 | 21 | 6,934 | 91 | 100% | 8.6 |
| Registered Nurse | 16 | 0 | 16 | 6,382 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 13 | 1 | 14 | 3,779 | 91 | 100% | 8.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,798 | 91 | 100% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 477 | 59 | 65% | 8.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 468 | 59 | 65% | 7.9 |
| Medication Aide/Technician | 1 | 0 | 1 | 462 | 41 | 45% | 11.3 |
| Dietitian | 1 | 0 | 1 | 458 | 59 | 65% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 445 | 56 | 62% | 7.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 274 | 65 | 71% | 4.2 |
| Administrator | 1 | 0 | 1 | 260 | 39 | 43% | 6.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 163 | 44 | 48% | 3.7 |
| Other Activities Staff | 3 | 0 | 3 | 143 | 22 | 24% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 71 | 40 | 44% | 1.8 |
| Qualified Social Worker | 0 | 2 | 2 | 64 | 33 | 36% | 1.8 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 58 | 11 | 12% | 5.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 39 | 20 | 22% | 1.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 31 | 19 | 21% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.4 |
| Occupational Therapist | 0 | 1 | 1 | 12 | 3 | 3% | 3.9 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 0.5 |
Health Inspection History
Inspections
Total health citations
24
Citations per inspection
6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 24 citations resulted from standard inspections; 2 of 24 resulted from complaint investigations; and 2 of 24 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
3
3
233% worse than Iowa averageIowa average: 0.9
0 critical citations
3 serious citations
21 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Jun 19, 2024
Corrected
Quality of Care moderate citation
Jun 19, 2024
Corrected
Quality of Care serious citation
Jun 19, 2024
Corrected
Quality of Care moderate citation
Jun 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
62
Total Residents
Medicare
7
(11.3%)
ⓘ
Medicaid
54
(87.1%)
ⓘ
Private Pay/Other
1
(1.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
52% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
48% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
54% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.2%
Percent of long-stay residents whose ability to move independently worsened
3.2%
84% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.6%
18% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
88% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.9%
Percent of long-stay high risk residents with pressure ulcers
8.9%
103% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
9.5%
Percent of long-stay residents with a urinary tract infection
9.5%
284% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
30% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
61% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.9%
Percent of long-stay residents who received an antipsychotic medication
11.9%
37% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.9%
15% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
158% worse than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$29K
39% lower than Iowa averageIowa average: $48K
Number of fines
3
77% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$29K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 19, 2024
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 24, 2024
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Mississippi Valley Healthcare and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
59.9%
↑ 11.0pp vs 2022
Net Income
$2,170,850
↑ ~$364K vs 2022
Total Payroll
$7,521,999
↑ ~$937K vs 2022
Profit Margin
15.8%
↑ 1.0pp vs 2022
Loading trend charts...
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