Mississippi Valley
Keokuk, Lee County, Iowa · CCN 165151 · For-profit (LLC) · not part of a chain
CMS rates Mississippi Valley 3 of 5 overall as of August 2026. 83 certified beds, 57 residents a day on average. 12 citations on record from the current inspection cycles, 3 involving actual harm; 2 fines totalling $19,663.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 5.67182 hours per resident per day |
|---|---|
| Registered nurses | 1.56768 hours per resident per day |
| Weekend total | 4.48616 hours per resident per day |
| Nursing staff turnover | 36.8% (registered nurses 11.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-21 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-20 |
| 2026-05-21 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-20 |
| 2026-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-20 |
| 2026-05-21 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-20 |
| 2026-03-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-03-23 |
| 2024-06-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-06-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-06-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-06-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-06-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-01-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2023-12-06 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-29 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-19 | Fine | $10,839 |
| 2024-01-24 | Fine | $8,824 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bell Bank Arrowhead Office Organization | 5% or greater mortgage interest | — | 2022-06-15 |
| Lexington Square Irrevocable Trust Organization | direct ownership interest | — | 2017-04-07 |
| Lexington Square Irrevocable Trust Organization | operational/managerial control | — | 2017-04-07 |
| Anderson, Halley Individual | adp of the snf | — | 2025-04-17 |
| Blume, Michael Individual | adp of the snf | — | 2024-08-20 |
| Stanley, Murray Individual | adp of the snf | — | 2017-04-01 |
| Abell, Terri Individual | managing control - governing body | — | 2016-01-20 |
| Anderson, Halley Individual | managing control - governing body | — | 2023-10-18 |
| Blume, Michael Individual | managing control - governing body | — | 2016-01-20 |
| Hoskins, Heather Individual | managing control - governing body | — | 2011-03-15 |
| Israel, David Individual | managing control - governing body | — | 2025-08-12 |
| Peterson, Paige Individual | managing control - governing body | — | 2022-04-07 |
| Stanley, Murray Individual | managing control - governing body | — | 2022-04-07 |
| Abell, Terri Individual | operational/managerial control | — | 2022-03-03 |
| Blume, Michael Individual | operational/managerial control | — | 2023-04-01 |
| Hoskins, Heather Individual | operational/managerial control | — | 2024-03-20 |
| Stanley, Murray Individual | operational/managerial control | — | 2017-04-01 |
| Peterson, Paige Individual | trustee of the snf | — | 2022-04-06 |
| Stanley, Murray Individual | trustee of the snf | — | 2017-04-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Mississippi Valley.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lee County.