NursingHomeGrade

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632

Operator

LEXINGTON SQUARE IRREVOCABLE TRUST · 2 facilities

Provider number (CCN)
165151
Certification
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified beds
83
Phone
(319) 524-5321
CMS data as of
August 1, 2026
C
▼
declining

Staffing 0% · Deficiencies +400% over tracking period

What the records show

CMS rates Mississippi Valley 3 out of 5 stars overall, with 3 of 5 for health inspections, 3 of 5 for staffing, 2 of 5 for quality measures. Federal inspectors cited 12 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 3 at actual-harm level or higher. CMS enforcement records list 2 fines totalling $19,663.

Facility Assessment Inspectors recorded 3 citations at the actual-harm level or worse in the last three survey cycles. Warning signs: deficiencies have risen by 400%. This facility is operated by LEXINGTON SQUARE IRREVOCABLE TRUST, which scores 12 points above the national average.

Reviews, Ratings and Official Records

This page reviews Mississippi Valley using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.

Ratings and Grade Breakdown

RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
 1.57 — At or above the repealed 0.55 hr benchmark

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
Total 12
Outstanding 0
Actual harm or worse (G–L) 3
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
Overall: ★★★☆☆ (3/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★★☆☆☆ (2/5)
Staffing: ★★★☆☆ (3/5)
NursingHomeGrade Score
 63/100

Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

This facility1.57 hrs
IA median0.69 hrs
National average0.69 hrs

Registered nurse turnover: 11.8% · Total nursing staff turnover: 36.8%

Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Source records: CMS Care Compare profile for provider 165151 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

3 actual harm issues found among 12 total deficiencies. 12 corrected.

Most recent inspection (May 21, 2026)

D Potential harm — isolated F0759 Status: Corrected

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2026

G Actual harm — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 23, 2026

E Potential harm — pattern F0641 Status: Corrected

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2026

E Potential harm — pattern F0552 Status: Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2026

D Potential harm — isolated F0628 Status: Corrected

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2026

Inspection cycle 3 (December 6, 2023)

E Potential harm — pattern F0725 Status: Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected December 29, 2023

D Potential harm — isolated F0757 Status: Corrected

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024

G Actual harm — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024

D Potential harm — isolated F0677 Status: Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024

D Potential harm — isolated F0690 Status: Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024

G Actual harm — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 16, 2024

D Potential harm — isolated F0657 Status: Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected June 20, 2024

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date Action Amount or length
June 19, 2024 Fine $10,839
January 24, 2024 Fine $8,824

2 fines totalling $19,663.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name
Mississippi Valley
Legal business name
LEXINGTON SQUARE LLC
Address
500 Messenger Road, Keokuk, IA 52632
Phone
(319) 524-5321
Provider number (CCN)
165151
Ownership type
For profit - Limited Liability company
Operator
LEXINGTON SQUARE IRREVOCABLE TRUST · 2 facilities
Medicare/Medicaid certified since
March 25, 1989
Official record
CMS Care Compare profile ↗
Details verified against CMS data dated
August 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

Learn about our data methodology →

Nearby facilities in Keokuk

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Montrose Health Center

400 South 7th Street, Montrose, IA 52639

82/100 score 0.80 hrs RN staffing 2 deficiencies

Sources and Methodology

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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