Home›Iowa›Lee County›Mississippi Valley
A+
Excellent

Mississippi Valley

500 Messenger Road · Keokuk, IA 52632

3195245321 · For profit - Limited Liability company

83 beds57.7 residents159 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Mississippi Valley receives an overall staffing grade of A+ (Excellent). With 5.5999 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.70 HPRD above the national average.

Weekend staffing drops significantly — dropping 28.12% compared to weekdays. The facility has low agency staff usage (2.6% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 28.12% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 0.879). This means the care experience can be very different depending on the day.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.6%) — mostly permanent, familiar staff
Total Nurse HPRD
5.5999hrs/resident/day▲ 1.70
CMS benchmark: 3.48
RN HPRD
1.4045hrs/resident/day▲ 0.72
Recommended: 0.75
Weekend Drop-off
28.12%
6.0833 weekday → 4.3729 weekend
⚠ Significant weekend reduction
Agency Staff
2.6%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.2631hrs/resident/day
Direct care aides
LPN HPRD
0.8493hrs/resident/day
Licensed practical nurses
Consistency
0.879std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lee County Average+1.45 HPRD
4.15
05.60 HPRD
vs. Iowa State Average+1.78 HPRD
3.82
05.60 HPRD
vs. National Average+1.70 HPRD
3.90
05.60 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Mississippi Valley ★
Keokuk · This facility
—
A+
5.59991.4045★★★★★
River Hills Village in Keokuk
KEOKUK
1.2 mi
C
4.14450.4805★★★☆☆
Montrose Health Center
Montrose
7.3 mi
B
3.54060.8396★★★★☆
Birkwood Village of Fort Madison
Fort Madison
14 mi
B
4.48920.603★★☆☆☆
Southeast Iowa Regional Medical - Klein Center
West Burlington
29.1 mi
A
4.52991.3342★★☆☆☆
Country Lane Manor
Keosauqua
37.1 mi
C
3.3350.4225★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
24
Total Deficiencies
$29,413
Fines Assessed
Jun 19, 2024Health
5 deficiencies cited· Includes actual harm
▼
Jan 24, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 6, 2023Health
1 deficiency cited
▼
Feb 23, 2023Health
17 deficiencies cited· Includes actual harm
▼

Penalty History

Jun 19, 2024Fine
$10,839
Jan 24, 2024Fine
$8,824
Feb 23, 2023Fine
$9,750
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.