Data / Nursing homes / Iowa / Mississippi Valley
Mississippi Valley, Keokuk, IA: 3 star rating, fined $19,663 across 2 fines
Mississippi Valley in Keokuk, IA is owned by 1 individual whom CMS lists (names not shown), is rated 3 of 5 stars by Medicare, and was fined $19,663 across 2 fines in the three years to October 1, 2026. CMS lists 12 health citations from inspections in that time, the latest survey on May 21, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 500 Messenger Road, Keokuk, IA 52632
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 2 of 5
- Certified beds
- 83
- Residents per day
- 56 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Lexington Square LLC
- Fines
- $19,663 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 12, of which 3 with actual harm or immediate jeopardy
- Latest survey
- May 21, 2026
- CMS Certification Number
- 165151
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| June 19, 2024 | Fine | $10,839 | Not listed | data.cms.gov | |
| January 24, 2024 | Fine | $8,824 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| May 21, 2026 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| May 21, 2026 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| May 21, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| May 21, 2026 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| March 12, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | March 23, 2026 | data.cms.gov |
| June 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | June 20, 2024 | data.cms.gov |
| June 19, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| June 19, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| June 19, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| June 19, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 20, 2024 | data.cms.gov |
| January 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | February 16, 2024 | data.cms.gov |
| December 6, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 18 individual or personal trusts (1 owners, 12 managers, 2 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Bell Bank Arrowhead Office | Mortgage interest | Not listed | June 15, 2022 | data.cms.gov |
Also on SpecStream
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.