Mississippi Valley Healthcare and Rehabilitation Center

Nursing Home & Skilled Nursing · Keokuk, IA

CMS overall rating

500 Messenger Road, Keokuk, Ia 526322911 View map

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Mississippi Valley Healthcare and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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Mississippi Valley Healthcare and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Mississippi Valley Healthcare and Rehabilitation Center

Providing both short-term rehabilitation and longer-term skilled nursing care, Mississippi Valley Healthcare and Rehabilitation Center is a nursing facility owned by Lexington Square Irrevocable Trust. The 83-bed community has an occupancy rate of 76%, and residents stay an average of 221 days, including post-acute rehabilitation patients and those receiving ongoing nursing care. Medicare, Medicaid, and private pay are accepted, giving families several options for covering care costs.

Rehabilitation services are a central part of the facility’s care model. The center has on-site doctor availability and 24-hour staffing. Daily nurse staffing averages 2 hours and 44 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses provide care throughout the day and night. This staffing structure can manage acute and ongoing care demands.

State inspections have found that the facility is substantially compliant with no recent deficiencies. The facility works through its care protocols with regular oversight, and it is responsive to issues when they arise. Families evaluating the center can discuss these operational areas during a tour.

The surrounding neighborhood has a Walk Score of 53. Some nearby errands and services are within walking distance, but most trips require transportation. Families will find convenience and a quieter environment here.

Facility Direct Line (319) 524-5321 info@mvhrc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 44m per day

vs avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 26m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	42m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 15m per day
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 9m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	1h 1m per day

Capacity and availability

221 days

83-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

76%

Similar to the Iowa average: 75.4%

Occupied beds

63 / 83

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationOctober 1, 2026

CountyLee

License Number560133

CMS Certification Number165151

Certification TypeFALSE

Mississippi Valley Healthcare and Rehabilitation Center is administered 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

24-Hour Staffing

Email mblume@mvhrc.org

Fax3195248642

Pets not allowed

Minimum Age18

Since 2020 · 6 years of data 38 deficiencies 23 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection April 3, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (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 assisted living residence (1.7 vs. IA avg 1.8).↓ 6% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	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 had 53% more total inspections than the Iowa average (23 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 53% more

Inspection Reports Summary 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 in substantial compliance with no deficiencies and cleared two complaint investigations.
The June 19, 2024 annual inspection found five deficiencies including care planning errors, inadequate nail care, seizure pad absence, catheter bag placement, and unnecessary medication administration.
A January 24, 2024 complaint investigation substantiated a burn injury due to failure to identify increased shower water temperatures, leading to staff discipline and corrective actions.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Jun 2024

Total health citations

State average N/A

Citations per inspection

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

3 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 148

Employees 115

Contractors 33

Staff to resident ratio 2.39 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 56

Average shift 7.7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,456

Nursing staff breakdown

9.1 hours

7.8 hours

7.4 hours

Contractor staffing

1,260 contractor hours this quarter

Certified Nursing Assistant: 15 Speech Language Pathologist: 4 Licensed Practical Nurse: 3 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Diagnostic X-ray Services Staff: 1 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Occupational Therapist: 1

Staff by category


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

66 Certified Nursing Assistant

% of Days 100%

21 Qualified Activities Professional

% of Days 100%

17 Registered Nurse

% of Days 100%

14 Licensed Practical Nurse

% of Days 100%

4 Other Dietary Services Staff

% of Days 99%

2 Clinical Nurse Specialist

% of Days 70%

1 Dietitian

% of Days 67%

2 Nurse Practitioner

% of Days 66%

1 Dental Services Staff

% of Days 60%

2 Medication Aide/Technician

% of Days 38%

2 Physical Therapy Aide

% of Days 66%

1 Administrator

% of Days 37%

1 Other Activities Staff

% of Days 27%

4 Speech Language Pathologist

% of Days 53%

1 Occupational Therapy Aide

% of Days 41%

2 Qualified Social Worker

% of Days 28%

2 Physical Therapy Assistant

% of Days 15%

1 Diagnostic X-ray Services Staff

% of Days 15%

1 Respiratory Therapy Technician

% of Days 20%

1 Occupational Therapy Assistant

% of Days 4%

1 Occupational Therapist

% of Days 3%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $29K

39% lower than State average

State average: $48K

Number of fines 3

77% more fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $29K

State average $48K

Penalty History

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.

Civil Money Penalty Jun 19, 2024

$11K

Civil Money Penalty Jan 24, 2024

$9K

Last updated: Jan 2026

High-risk clinical events score 4.9

52% better than State average

State average: 10.2

Functional decline score 11.2

48% better than State average

State average: 21.6

Long-stay resident measures

Need for Help with Daily Activities Increased 8.7%

54% better than State average

State average: 18.8%

Walking Ability Worsened 3.2%

84% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 21.6%

18% better than State average

State average: 26.2%

Falls with Major Injury 0.4%

88% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 8.9%

103% worse than State average

State average: 4.4%

Urinary Tract Infection 9.5%

284% worse than State average

State average: 2.5%

Lost Too Much Weight 3.5%

30% better than State average

State average: 5.0%

Depressive Symptoms 1.5%

61% better than State average

State average: 3.9%

Antipsychotic Use 11.9%

37% better than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 71.9%

15% worse than State average

State average: 85.1%

Antipsychotic medication increase 4.8%

158% worse than State average

State average: 1.8%

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

Total residents 62

Medicare

11.3% of residents

Medicaid

87.1% of residents

Private pay or other

1.6% of residents

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.

Financial Trends

Historical financial and operational data for Mississippi Valley Healthcare and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 59.9% ↑ 11.0pp vs 2022

Net Patient Income $2.2M ↑ ~$638.5K vs 2022

Payroll Costs $7.2M ↑ ~$1.1M vs 2022

Operating Margin 16.7% ↑ 3.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	84.8%	89.0%	83.1%	77.2%	72.3%	69.7%	68.3%	68.0%	67.5%	58.6%	56.3%	48.9%	59.9%
Beds	126	126	126	126	126	126	126	126	126	126	126	126	83
Net Income	$625,325	$727,981	$825,634	$409,816	$246,616	$166,321	$369,750	$560,949	$1,351,302	$1,832,263	$2,167,880	$1,806,929	$2,170,850
Gross Revenue	$7,017,676	$9,442,569	$8,820,993	$9,089,132	$10,118,214	$9,530,748	$10,552,531	$10,820,763	$11,957,675	$11,876,788	$12,306,002	$12,226,019	$13,743,273
Operating Expenses	$7,035,509	$7,689,577	$7,314,049	$7,366,124	$8,273,265	$8,258,115	$8,998,022	$9,026,256	$9,265,704	$9,775,040	$10,077,337	$10,140,544	$10,880,308
Net Patient Income	$607,226	$737,083	$651,668	$348,803	$201,887	$245,190	$529,585	$666,015	$1,420,006	$1,132,736	$1,624,599	$1,541,269	$2,179,816
Net Patient Revenue	$7,642,735	$8,426,660	$7,965,717	$7,714,927	$8,475,152	$8,503,305	$9,527,607	$9,692,271	$10,685,710	$10,907,776	$11,701,936	$11,681,813	$13,060,124
Payroll Costs	$3,586,129	$3,739,889	$3,850,802	$4,073,848	$4,601,675	$5,080,569	$5,440,184	$5,760,036	$5,885,167	$5,541,779	$5,830,230	$6,026,570	$7,152,567
Operating Margin %	8.0%	8.8%	8.2%	4.5%	2.4%	2.9%	5.6%	6.9%	13.3%	10.4%	13.9%	13.2%	16.7%
Medicare %	14.9%	12.1%	9.1%	8.4%	9.7%	5.0%	7.6%	7.6%	7.1%	5.0%	4.6%	3.9%	6.2%
Medicaid %	67.6%	72.2%	74.1%	74.8%	76.4%	81.8%	81.4%	72.5%	80.8%	86.0%	90.3%	92.4%	86.7%
Private %	17.4%	15.6%	16.8%	16.7%	13.9%	13.2%	11.0%	19.9%	12.1%	9.0%	5.1%	3.7%	7.2%
Net Patient Revenue/Day	$196	$205	$208	$217	$255	$265	$303	$310	$344	$404	$452	$519	$553
Cost/Day	$180	$187	$191	$208	$249	$257	$287	$289	$298	$362	$389	$451	$461
Avg Length of Stay	237.8 days	N/A	364.0 days	311.3 days	220.1 days	129.6 days	158.6 days	178.7 days	122.7 days	214.4 days	266.8 days	408.9 days	220.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$13.1M

Net patient income

$2.2M

For-profit Operated by a single business entity.

Net patient revenue

$13.1M

Net patient income

$2.2M

Other income

$97.8K

Payroll costs

$7.2M 54.8% of net patient revenue

Other operating costs

$3.7M

Total costs

$10.9M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 31%

Private pay 16%

Medicaid 53%

Coverage residents most often leave under.

Medicare 33%

Private pay 11%

Medicaid 56%

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.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Mississippi Valley Healthcare and Rehabilitation Center	NH SNF	Keokuk	-	83	-	53	-

Nursing Home Explorer

Who is the owner of Mississippi Valley Healthcare and Rehabilitation Center?

Mississippi Valley Healthcare and Rehabilitation Center is legally operated by Southeast Iowa Behavioral Health Care Center(ICF/PMI) | 560181 Southeast Iowa Health Care Center (Free Standing NF/SNF) | 560181, and administered by Michael Blume.

Is Mississippi Valley Healthcare and Rehabilitation Center in a walkable area?

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.

What is the license number of Mississippi Valley Healthcare and Rehabilitation Center?

According to IA state health department records, Mississippi Valley Healthcare and Rehabilitation Center's license number is 560133.

When does Mississippi Valley Healthcare and Rehabilitation Center's license expire?

According to IA state health department records, Mississippi Valley Healthcare and Rehabilitation Center's license expires on October 1, 2026.

What is the occupancy rate at Mississippi Valley Healthcare and Rehabilitation Center?

Mississippi Valley Healthcare and Rehabilitation Center's occupancy is 76%.

Are pets allowed at Mississippi Valley Healthcare and Rehabilitation Center?

No, Mississippi Valley Healthcare and Rehabilitation Center has a no-pet policy.

What is the best email address for Mississippi Valley Healthcare and Rehabilitation Center?

The team at Mississippi Valley Healthcare and Rehabilitation Center can be reached at mblume@mvhrc.org.

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Mississippi Valley Healthcare and Rehabilitation Center

Overview of Mississippi Valley Healthcare and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Mississippi Valley Healthcare and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

66 Certified Nursing Assistant

21 Qualified Activities Professional

17 Registered Nurse

14 Licensed Practical Nurse

4 Other Dietary Services Staff

2 Clinical Nurse Specialist

1 Dietitian

2 Nurse Practitioner

1 Dental Services Staff

2 Medication Aide/Technician

2 Physical Therapy Aide

1 Administrator

1 Other Activities Staff

4 Speech Language Pathologist

1 Occupational Therapy Aide

2 Qualified Social Worker

2 Physical Therapy Assistant

1 Diagnostic X-ray Services Staff

1 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Occupational Therapist

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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