NURSING HOME PUBLIC RECORD
CMS lists this provider in Keokuk, IA, with 83 certified beds, an overall rating of 3/5, and 18 citation rows in the current August 2026 release.
500 Messenger Road · Keokuk, IA 52632 · Lee County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Mississippi Valley in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-21 | 5 | 2026-05-21 | 2 |
| Cycle 2 | 2025-04-03 | 0 | 2025-04-03 | 2 |
| Cycle 3 | 2024-06-19 | 7 | 2024-06-19 | 2 |
CMS reports 18 citation rows, including 3 with G–L codes and 0 with J–L codes.
3 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag code appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-06-20Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-06-20Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-06-20Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-06-20Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-05-22Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-05-22Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-23 · complaintHave properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-05-03Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-05-03Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-06-20Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-06-20Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-06-20Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-06-20Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2024-06-20Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2024-06-07Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-06-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-02-16 · complaintProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2023-12-29 · complaintThe August 2026 file contains 2 penalty rows and $19,663 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-19 | Fine | $10,839 | 0 |
| 2024-01-24 | Fine | $8,824 | 0 |
CMS matched 19 ownership disclosure rows to Mississippi Valley; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 5.67 total nurse hours and 1.57 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 2 other published facility records near Keokuk, IA, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
