Mississippi Valley
500 Messenger Road, Keokuk, IA 52632
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Mississippi Valley, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Mississippi Valley Compares
Mississippi Valley is a 83-bed for-profit nursing facility in Keokuk, Iowa. It holds an overall CMS rating of 3 out of 5 stars, roughly in line with the Iowa average of 3.1 stars. Its lowest sub-rating is quality measures at 2 stars. Its rate of high-risk residents with pressure ulcers (8.3%) is above the Iowa average of 4.2% — a measure worth asking the staff about. With 83 certified beds, it has notable available capacity at roughly 69% occupied.
Among the 3 nursing facilities ElderVoice tracks in Keokuk, the local average is 3.3 stars.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 11.8% — better than the Iowa average of 19.5% (39% lower).
- Falls with major injury: 3.5% — better than the Iowa average of 3.8%.
- High-risk pressure ulcers: 8.3% — worse than the Iowa average of 4.2% (101% higher).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Mississippi Valley
Use these facility-specific questions when calling admissions, touring the building, or comparing Mississippi Valley with other nursing homes in Keokuk.
How is Mississippi Valley addressing its quality measures rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Mississippi Valley keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 11.8% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What is Mississippi Valley doing to reduce high-risk pressure ulcers?
High-risk pressure ulcers is 8.3% here versus 4.2% across Iowa. Lower is generally better for this CMS measure.
Why is Mississippi Valley's occupancy below many full facilities?
The facility reports roughly 69% occupancy across 83 certified beds. Lower occupancy can mean availability, but families should ask whether renovations, staffing, reputation, or service mix are factors.
How can a new family connect with existing councils at Mississippi Valley?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
Where does Mississippi Valley lag behind other Keokuk options?
Its 3-star overall rating is below the local average of 3.3 stars across 3 facilities. Ask administrators what differentiates this home despite the rating gap.
The Senior Community Around Keokuk
Keokuk sits in Lee County, where adults 65 and older make up about 20.2% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 6,869 (20.2%)
- Median age
- 43.3 years
- Median household income
- $52,072
- Median home value
- $98,400
Demographics for Lee County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Keokuk.
Facility Details
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