Starfile / Iowa

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632 · CCN 165151

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Staffing (hours per resident per day)

Fines & penalties

Total fines

$19,663

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (24)3 actual harm

1. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-19 · Health · corrected 2024-06-20

   Potential for more than minimal harm

2. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-19 · Health · corrected 2024-06-20

   Potential for more than minimal harm

3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-19 · Health · corrected 2024-06-20

   Actual harm

4. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-19 · Health · corrected 2024-06-20

   Potential for more than minimal harm

5. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-19 · Health · corrected 2024-06-20

   Potential for more than minimal harm

6. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-24 · Health · corrected 2024-02-16

   Actual harm

7. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-06 · Health · corrected 2023-12-29

   Potential for more than minimal harm

8. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-23 · Health · corrected 2023-03-24

   Actual harm

9. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-02-23 · Health · corrected 2023-03-24

   Potential for more than minimal harm

10. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

12. DF0610Respond appropriately to all alleged violations.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

13. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

14. DF0637Assess the resident when there is a significant change in condition2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

15. EF0641Ensure each resident receives an accurate assessment.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

17. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

18. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

19. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

20. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

21. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

23. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2023-02-23 · Health · corrected 2023-03-24

    Potential for more than minimal harm

Ownership

Other facilities in Keokuk

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.