Mississippi Valley
500 Messenger Road, Keokuk, IA, 52632
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83 · avg 59 residents/day
- Total nursing staff turnover
- 41.5% — near the Iowa averageIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — lower than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $19,663 total
Medicare certification
- CMS Certification Number
- 165151
- Certified beds
- 83 beds · avg 59 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Lexington Square Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (9 on record)
- David Israel
Managing Control - Governing Body · since 2025
- Halley c Anderson
Adp of The Snf · since 2025
- Michael Blume
Adp of The Snf · since 2024
- Heather Hoskins
Operational/managerial Control · since 2024
- Bell Bank Arrowhead Office
5% or Greater Mortgage Interest · 66% · since 2022
- Murray Stanley
Managing Control - Governing Body · since 2022
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- G0689·Mar 12, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0757·Jun 19, 2024
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0690·Jun 19, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- G0689·Jun 19, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0677·Jun 19, 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0657·Jun 19, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- G0689·Jan 24, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0725·Dec 6, 2023Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal penalties
By year
- 20242 fines · $20K
Most recent events
- Jun 19, 2024Fine · $11K
- Jan 24, 2024Fine · $8,824
Largest single fine on record: $11K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Apr 3, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Mississippi Valleyinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.