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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 241st out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 5m per day |
Similar to the Iowa average: 75.4%Mississippi Valley Healthcare and Rehabilitation Center is administrated by Michael Blume.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 38 | 27 | This facility has 41% more total deficiencies than a typical Iowa nursing home (38 vs. IA avg 27).↑ 41% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 6.3 | 4.5 | This facility has 40% more deficiencies per year than a typical Iowa nursing home (6.3 vs. IA avg 4.5).↑ 40% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.7 | 1.8 | This facility has 6% fewer deficiencies per inspection than a typical Iowa nursing home (1.7 vs. IA avg 1.8).↓ 6% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 15 | This facility has 53% more total inspections than a typical Iowa nursing home (23 vs. IA avg 15).↑ 53% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Jun 2024
Iowa average 21.7
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).
100% better than Iowa averageIowa average: 0.6
233% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% better than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,260 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 15 | 66 | 17,123 | 92 | 100% | 7.4 |
| Qualified Activities Professional | 21 | 0 | 21 | 6,967 | 92 | 100% | 8.3 |
| Registered Nurse | 17 | 0 | 17 | 6,713 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 11 | 3 | 14 | 3,787 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,616 | 91 | 99% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 593 | 64 | 70% | 7.3 |
| Dietitian | 1 | 0 | 1 | 476 | 62 | 67% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 438 | 61 | 66% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 418 | 55 | 60% | 7.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 409 | 35 | 38% | 11.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 215 | 61 | 66% | 3.5 |
| Administrator | 1 | 0 | 1 | 215 | 34 | 37% | 6.3 |
| Other Activities Staff | 1 | 0 | 1 | 125 | 25 | 27% | 5 |
| Speech Language Pathologist | 0 | 4 | 4 | 104 | 49 | 53% | 2.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 69 | 38 | 41% | 1.8 |
| Qualified Social Worker | 0 | 2 | 2 | 44 | 26 | 28% | 1.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 42 | 14 | 15% | 3 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 39 | 14 | 15% | 2.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 30 | 18 | 20% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 4 | 4% | 6.1 |
| Occupational Therapist | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Medical Director | 1 | 0 | 1 | 1 | 1 | 1% | 0.5 |
Includes penalties issued in 2024
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)
39% lower than Iowa averageIowa average: $48K
77% more fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Jan 24, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
54% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
3.2%
84% better than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
88% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.9%
103% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
9.5%
284% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.5%
30% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.5%
61% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
11.9%
37% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.9%
15% worse than Iowa averageIowa average: 85.1%
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.
31% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Mississippi Valley Healthcare and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #27 / 242Payroll — State benchmarkedThis home is ranked 27th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Keokuk's city center to Mississippi Valley Healthcare and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Mississippi Valley Healthcare and Rehabilitation Center is located in Keokuk, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Oaknoll Retirement Residence |
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. | Iowa City (Roosevelt) | 70 | 81.4% | +8% | 6.02 | +8% | +40% | $0 | 7 | 3.5 | - | 54 | - | 33 | Stephen Roe | $31.2M | $12.7M | 40.7% | 165030 | ||||
| Cedar Ridge Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | West Des Moines (Heritage Bend) | 40 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ | 5 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
| 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 | 75.9% | +1% | 2.73 | -1% | -36% | $29.4k | 24 | 6.0 | 3 | 63 | - | 53 | Lexington Square Irrevocable Trust | $13.8M | $7.5M | 54.3% | 165151 | ||||
| Rotary Senior Living |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Eagle Grove | 40 | 27.5% | -64% | 3.73 | +45% | -13% | $56.1k | 22 | 4.4 | 2 | 11 | - | 24 | James Christ | $5.6M | $3.6M | 64% | 165500 | ||||
| Ramsey Village Continuing Care |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Drake) | 78 | 85.8% | +14% | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - | 38 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
The legal owner and operator of Mississippi Valley Healthcare and Rehabilitation Center is Southeast Iowa Behavioral Health Care Center(ICF/PMI) | 560181 Southeast Iowa Health Care Center (Free Standing NF/SNF) | 560181.
Mississippi Valley Healthcare and Rehabilitation Center has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Mississippi Valley Healthcare and Rehabilitation Center's license number is 560133.
According to IA state health department records, Mississippi Valley Healthcare and Rehabilitation Center's license expires on October 1, 2026.
Mississippi Valley Healthcare and Rehabilitation Center's occupancy is 76%.
The team at Mississippi Valley Healthcare and Rehabilitation Center can be reached at [email protected].
Michael Blume is the administrator of Mississippi Valley Healthcare and Rehabilitation Center.
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