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C
Below Standard

River Hills Village in Keokuk

20 VILLAGE CIRCLE · KEOKUK, IA 52632

3195245772 · For profit - Limited Liability company

84 beds63.2 residents115 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

River Hills Village in Keokuk receives an overall staffing grade of C (Below Standard). With 4.1445 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4805 HPRD, below the recommended 0.75. It is 0.25 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.43% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4805 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.1445hrs/resident/day▲ 0.25
CMS benchmark: 3.48
RN HPRD
0.4805hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
13.43%
4.308 weekday → 3.7294 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8133hrs/resident/day
Direct care aides
LPN HPRD
0.7583hrs/resident/day
Licensed practical nurses
Consistency
0.3814std 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-0.01 HPRD
4.15
04.14 HPRD
vs. Iowa State Average+0.33 HPRD
3.82
04.14 HPRD
vs. National Average+0.25 HPRD
3.90
04.14 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
River Hills Village in Keokuk ★
KEOKUK · This facility
—
C
4.14450.4805★★★☆☆
Mississippi Valley
Keokuk
1.2 mi
A+
5.59991.4045★★★★★
Montrose Health Center
Montrose
6.4 mi
B
3.54060.8396★★★★☆
Birkwood Village of Fort Madison
Fort Madison
13.4 mi
B
4.48920.603★★☆☆☆
Southeast Iowa Regional Medical - Klein Center
West Burlington
28.8 mi
A
4.52991.3342★★☆☆☆
Country Lane Manor
Keosauqua
35.9 mi
C
3.3350.4225★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
8
Total Deficiencies
$0
Fines Assessed
Sep 18, 2025Health
5 deficiencies cited
▼
Sep 12, 2024Health
1 deficiency cited
▼
Jul 16, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 11, 2024Health
1 deficiency cited
▼
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.