Mississippi Valley: Staffing, Turnover, and Inspection Record
Mississippi Valley is a 83-bed for-profit nursing home in Keokuk, Iowa. In the CMS August 2026 release it reported 3.39 nurse aide hours per resident per day, 35% above the Iowa average of 2.51, and 36.8% nursing staff turnover (Iowa average 44.0%).
Mississippi Valley
500 Messenger RoadKeokuk, IA 52632
Lee County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Mississippi Valley, nurse aides logged 3.39 hours per resident per day, 35% above the Iowa average. With about 57 residents a day, that works out to roughly 194 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 21% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.39 | 2.51 | 2.32 |
| Licensed practical nurses | 0.71 | 0.56 | 0.86 |
| Registered nurses | 1.57 | 0.74 | 0.69 |
| All nursing staff | 5.67 | 3.82 | 3.86 |
| All nursing staff, weekends | 4.49 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
36.8% of nursing staff at Mississippi Valley left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 11.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 21, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $19,663 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 19, 2024 | Fine | $10,839 |
| Jan 24, 2024 | Fine | $8,824 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Mississippi Valley holds 3 of 5 overall; the Iowa average is 3.1.
About Mississippi Valley
- Ownership: For profit - Limited Liability company
- Legal name: Lexington Square LLC
- Medicare and Medicaid certified since: Mar 25, 1989
- Councils: resident council
- Area: rural
Nursing homes near Mississippi Valley
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Southeast Iowa Healthcare Center Keokuk | 0.6 | 55 | 1.60 | 2.94 | 35.9% | 4 | $25,495 |
| River Hills Village in Keokuk Keokuk | 1.2 | 84 | 3.06 | 4.28 | 40.0% | 3 | None |
| Montrose Health Center Montrose | 7.3 | 44 | 2.23 | 3.32 | 43.6% | 3 | $43,079 |
| Birkwood Village of Fort Madison Fort Madison | 14.1 | 80 | 2.81 | 4.52 | 52.5% | 3 | $3,145 |
| Clark County Nursing Home Kahoka | 17.1 | 99 | 2.51 | 3.41 | 44.6% | 2 | None |
| Lewis County Nursing Home District Canton | 20.9 | 118 | 2.44 | 3.71 | 40.9% | 1 | None |
| West Point Care Center Inc West Point | 20.9 | 46 | 2.62 | 3.92 | 53.7% | 5 | $13,627 |
| Oakview Nursing and Rehabilitation Burlington | 28.6 | 60 | 2.23 | 3.64 | 54.4% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.