River Hills Village in Keokuk: Staffing, Turnover, and Inspection Record
River Hills Village in Keokuk is a 84-bed for-profit nursing home in Keokuk, Iowa, part of Unlimited Development, Inc.. In the CMS August 2026 release it reported 3.06 nurse aide hours per resident per day, 22% above the Iowa average of 2.51, and 40.0% nursing staff turnover (Iowa average 44.0%).
River Hills Village in Keokuk
20 Village CircleKeokuk, 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 River Hills Village in Keokuk, nurse aides logged 3.06 hours per resident per day, 22% above the Iowa average. With about 65 residents a day, that works out to roughly 197 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.06 | 2.51 | 2.32 |
| Licensed practical nurses | 0.82 | 0.56 | 0.86 |
| Registered nurses | 0.40 | 0.74 | 0.69 |
| All nursing staff | 4.28 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.99 | 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
40.0% of nursing staff at River Hills Village in Keokuk left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 28.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 18, 2025. 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 no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Hills Village in Keokuk holds 3 of 5 overall; the Iowa average is 3.1.
About River Hills Village in Keokuk
- Ownership: For profit - Limited Liability company
- Chain: Unlimited Development, Inc., 10 homes
- Legal name: Unlimited Development, Inc
- Medicare and Medicaid certified since: Jul 13, 1998
- Part of a continuing care retirement community
- Councils: resident council
- Area: rural
Nursing homes near River Hills Village in Keokuk
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Southeast Iowa Healthcare Center Keokuk | 0.8 | 55 | 1.60 | 2.94 | 35.9% | 4 | $25,495 |
| Mississippi Valley Keokuk | 1.2 | 83 | 3.39 | 5.67 | 36.8% | 3 | $19,663 |
| Montrose Health Center Montrose | 6.4 | 44 | 2.23 | 3.32 | 43.6% | 3 | $43,079 |
| Birkwood Village of Fort Madison Fort Madison | 13.4 | 80 | 2.81 | 4.52 | 52.5% | 3 | $3,145 |
| Clark County Nursing Home Kahoka | 16.1 | 99 | 2.51 | 3.41 | 44.6% | 2 | None |
| West Point Care Center Inc West Point | 20.0 | 46 | 2.62 | 3.92 | 53.7% | 5 | $13,627 |
| Lewis County Nursing Home District Canton | 21.3 | 118 | 2.44 | 3.71 | 40.9% | 1 | None |
| Oakview Nursing and Rehabilitation Burlington | 28.2 | 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.