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    Nursing home · Keokuk, IA

    Mississippi Valley

    500 Messenger Road, Keokuk, IA 52632

    CMS certification number: 165151 · Updated October 1, 2026

    Request care assistance3195245321Directions

    At a glance

    Official CMS profile

    CMS overall rating

    3 / 5

    Certified beds

    83

    Residents / day

    56.1

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Lee
    Certified beds
    83
    Average residents per day
    56.1
    First certified
    March 25, 1989

    CMS quality ratings

    Overall
    3 / 5
    Health inspections
    3 / 5
    Staffing
    3 / 5
    Quality measures
    2 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Lee, Iowa. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    3.00
    County peers
    3.80
    n=5
    State peers
    3.14

    Nurse hours / resident / day

    This home
    5.84
    County peers
    3.78
    n=5
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    4.48
    County peers
    3.18
    n=5
    State peers
    3.38
    n=377

    Nursing staff turnover (%)

    This home
    39.40
    County peers
    44.10
    n=5
    State peers
    44.09
    n=362

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 23.3% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 39.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    6
    Health citations
    12
    Resident measures
    17
    Ownership records
    19
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    5.83883
    Reported RN Staffing Hours per Resident per Day
    1.52012
    Reported LPN Staffing Hours per Resident per Day
    0.80814
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.51056
    Total number of nurse staff hours per resident per day on the weekend
    4.47784
    Registered Nurse hours per resident per day on the weekend
    1.06304
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00480
    Total nursing staff turnover
    39.4
    Registered Nurse turnover
    17.6
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IA
    Urban
    N
    Chain ID
    Not reported
    Latitude
    40.4214
    Location
    500 Messenger Road,Keokuk,IA,52632
    ZIP Code
    52632
    City/Town
    Keokuk
    Longitude
    -91.395
    QM Rating
    2
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Lee
    Provider Name
    Mississippi Valley
    Provider Type
    Medicare and Medicaid
    Overall Rating
    3
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    500 Messenger Road
    Telephone Number
    3195245321
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    LEXINGTON SQUARE LLC
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    2.75196
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    83
    Provider SSA County Code
    550
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    17.6
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.95140
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    39.4
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    165151
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    19663.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    44
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    40.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    56.1
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    28
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    44
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    28
    Rating Cycle 1 Standard Survey Health Date
    2026-05-21
    Rating Cycle 2 Standard Health Survey Date
    2025-04-03
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.77288
    Case-Mix RN Staffing Hours per Resident per Day
    1.34966
    Reported RN Staffing Hours per Resident per Day
    1.52012
    Adjusted LPN Staffing Hours per Resident per Day
    0.41089
    Case-Mix LPN Staffing Hours per Resident per Day
    1.68183
    Reported LPN Staffing Hours per Resident per Day
    0.80814
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    5
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    2
    Rating Cycle 1 Number of Standard Health Deficiencies
    4
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    2.32826
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    1
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.78488
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    4.58062
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.51056
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.96865
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    7.61211
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    2
    Reported Total Nurse Staffing Hours per Resident per Day
    5.83883
    Registered Nurse hours per resident per day on the weekend
    1.06304
    Date First Approved to Provide Medicare and Medicaid Services
    1989-03-25
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00480
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.27668
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    6.69921
    Total number of nurse staff hours per resident per day on the weekend
    4.47784

    COMMUNITY EXPERIENCE

    Reviews of Mississippi Valley

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026