Occupancy rate
76%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Mississippi Valley Healthcare and Rehabilitation Center
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Mississippi Valley Healthcare and Rehabilitation Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
75.9%
Residents per day (avg)
60
Occupancy rate
75.9%
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
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$13.8M
Profit
$2.2M
Privately-owned community
Operated by a partnership between two or more business owners.
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
In line with Iowa averageOccupied beds
63 / 83
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyLee
License Number560133
CMS Certification Number165151
Certification TypeFALSE
Mississippi Valley Healthcare and Rehabilitation Center is administrated by Michael Blume.
Owner NameSoutheast Iowa Behavioral Health Care Center(ICF/PMI) | 560181 Southeast Iowa Health Care Center (Free Standing NF/SNF) | 560181
Rehabilitation Services
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Email
[email protected]
Fax3195248642
Minimum Age18
Specific ProgramsPrograms & 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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
April 3, 2025
38 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Mississippi Valley Healthcare and Rehabilitation Center
The most recent inspection on April 3, 2025 found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections showed a mixed record with several deficiencies related to resident care plans, supervision, medication management, staffing levels, and infection control. Prior complaint investigations included a substantiated case involving second degree burns from elevated shower water temperatures and issues with insufficient nursing staff for resident bathing needs. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed previous deficiencies effectively, with multiple follow-up inspections confirming corrections and substantial compliance.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Jun 2024
Total health citations
24
Iowa average 21.7
Citations per inspection
6
Iowa average 4.11
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
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 19, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 19, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2024
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 19, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Mississippi Valley Healthcare and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Keokuk
83
59.9%
-21%
2.73
-36%
3
24
6.0
3
60
Lexington Square Irrevocable Trust
$13.7M
$6.2M
45.3%
165151
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Mississippi Valley Healthcare and Rehabilitation Center
0.0 miles from city center
500 Messenger Road, Keokuk, IA 526322911
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
142
Employees
119
Contractors
23
Staff to resident ratio
2.29:1
15% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
55
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
39,281
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
58
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.4%
1,327 contractor hours this quarter
Speech Language Pathologist: 4
Certified Nursing Assistant: 3
Physical Therapy Aide: 3
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapist: 1
Occupational Therapy Assistant: 1
Diagnostic X-ray Services Staff: 1
Medical Director: 1
Staff by category
| 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 |
58 Certified Nursing Assistant
% of Days
100%
21 Qualified Activities Professional
% of Days
100%
16 Registered Nurse
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
4 Other Dietary Services Staff
% of Days
100%
2 Nurse Practitioner
% of Days
65%
1 Clinical Nurse Specialist
% of Days
65%
1 Medication Aide/Technician
% of Days
45%
1 Dietitian
% of Days
65%
1 Dental Services Staff
% of Days
62%
3 Physical Therapy Aide
% of Days
71%
1 Administrator
% of Days
43%
4 Speech Language Pathologist
% of Days
48%
3 Other Activities Staff
% of Days
24%
1 Occupational Therapy Aide
% of Days
44%
2 Qualified Social Worker
% of Days
36%
1 Diagnostic X-ray Services Staff
% of Days
12%
3 Physical Therapy Assistant
% of Days
22%
2 Respiratory Therapy Technician
% of Days
21%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapist
% of Days
3%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
62 residents
Residents by payment source
Medicare
7 residents (11.3%)
Medicaid
54 residents (87.1%)
Private pay or other
1 resident (1.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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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