B

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632
Score: 72 / 100

With a score of 72/100 and a B grade, Mississippi Valley is a well-regarded option in Keokuk, Iowa. The facility performs above average in most CMS categories, placing it in the 62th percentile statewide.

Staffing levels at Mississippi Valley exceed national averages, with 5.60 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.40 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 24 deficiencies at Mississippi Valley. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.60 3.8 Above Average
Registered Nurses (RN) 1.40 0.7 Above Average
Licensed Practical Nurses (LPN) 0.85 0.7 Above Average
Certified Nursing Assistants (CNA) 3.35 2.4 Above Average
Weekend Total Nursing 4.37 3.8 Above Average
Weekend RN Hours 0.94 0.7 Above Average

🔍 Inspection & Deficiency History

24
Total Deficiencies
Jun 18, 2024
Most Recent Inspection
🟠 24 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 18, 2024 · Quality of Life and Care Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jun 18, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jun 18, 2024 · Quality of Life and Care Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Jun 18, 2024 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Jun 18, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.8% 4.5% Worse
Falls with major injury 1.3% 3.0% Better
On antipsychotic medication 10.8% 14.5% Better
Urinary tract infections 11.0% 2.5% Worse
ADL decline (daily activities) 8.8% 14.0% Better
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 21.7% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $19,663

How This Grade Was Calculated

This facility's grade of B is based on a score of 72 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
83
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 2, 2025
Deficiencies (Cycle 1)
0

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