3.7(15 ratings)· Keokuk average: 4.2
1 / 5CMS Care Compare
Reviewers consistently praise the compassionate, attentive staff and strong rehabilitation outcomes at this facility, which specializes in respiratory and complex medical care. Families and even a nurse whose parent resides there highlight thorough care, responsive administration, and effective physical/respiratory therapy. The facility carries a 5-Star CMS rating as of 2026.
AI-generated from reviews and community data.
Mississippi Valley Healthcare & Rehabilitation Center is a senior living community in Keokuk, Iowa offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 3.7 out of 5 across 15 reviews.
Mississippi Valley Healthcare & Rehabilitation Center is a nursing facility in Keokuk, Iowa, offering short-term and long-term care with specialized respiratory therapy services. The center has earned a 5-Star Overall Rating from the Centers for Medicare & Medicaid Services as of 2026.
The facility operates the largest ventilator nursing facility of its kind in the tri-state area, with a dedicated Respiratory Therapy program. Highly trained staff provide personalized care in short-term, long-term, and weaning respiratory therapies using the latest onsite respiratory technologies, with a strong commitment to patient education and support throughout residents' recovery journeys.
Physical therapy services are also available, with skilled and compassionate therapists helping residents achieve rehabilitation goals through personalized treatment plans focused on recovery and improved mobility.
The center's mission centers on fostering a compassionate environment that promotes hope and healing. Staff work closely with patients and families to create individualized care plans tailored to each resident's unique needs, with support that addresses physical, emotional, and spiritual dimensions of care.
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Help Me Choose3.7overall · 15 ratings combined
3.7★ on Google (15)
Jessica McDowell
Mar 2026
I formerly was a resident here after a spinal cord injury. The staff were thorough with cares, administration ensured concerns were addressed immediately, and my privacy and dignity were always a priority. This is a place where I would always recommend for my own friends and family come to. The amount of compassion and care that this place puts into their residents is beyond the expectations I have ever had!
Anna Jones
May 2019
I have many family members who have been a resident at this facility and have gotten excellent care. The staff is caring and listens to your concerns and makes sure anything gets addressed. They also have a fantastic respiratory and restorative department to make sure everyone is very well taken care of.
Dave Davis
May 2019
The staff at Mississippi Valley genuinely care about the patients and residents. The environment is warm and inviting as well as clean. I would not hesitate considering them as an option for a loved one.
doug minor
Feb 2019
Lisa had her stroke Dec 23,2011. She arrived in Lexington mid January 2012. She couldn't talk,or walk. She had a trake and a feeding tube. She had just started moving her right side. With dedicated staff and rehabilitation personnel she quickly got motivated. She started in a wheelchair with one arm not working too well. The rehab staff got her to stand for 10 seconds which improved each week,and they got her to walk in a short time. By May of 2013 she still had a trake but was walking with a walker. Lexington staff trained us on how to clean and replace a trajectory and on May 31 we took her home. It wasn't long before she had the trake removed. She started walking every day and lost 100lbs. It's all because of the staff motivating her that she is doing well today. Thanks lexington
Elizabeth Phillips
Aug 2017
As a nurse, i have really appreciated the care my mother is receiving here! There is a wonderful staff who work together to take care of our loved ones at such a difficult stage of life. Sometimes it is hard to appreciate the care due to circumstances of aging. God bless each staff member and resident! You are so appreciated - I hope this is an encouragement to you all - it is very hard work physically and emotionally to care for residents! I pray for you all every day! ⭐️⭐️⭐️⭐️⭐️❤️
6 inspection visits in the last three years, 30 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 23, 2026
Have properly located and lighted "Exit" signs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 3, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedCorrected Jun 20, 2024
Have properly installed hallway dispensers for alcohol-based hand rub.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2024
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 16, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 29, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity G of L: actual harm, isolatedCorrected Mar 24, 2023
Ensure that testing and maintenance of electrical equipment is performed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 8, 2023
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2023
Ensure each resident receives an accurate assessment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 24, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Provide 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Implement 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Assess the resident when there is a significant change in condition
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Mississippi Valley Healthcare & Rehabilitation Center offers Skilled Nursing / Long Term Care.
Mississippi Valley Healthcare & Rehabilitation Center is located at 500 Messenger Road in Keokuk, Iowa.
Reviewers consistently praise the compassionate, attentive staff and strong rehabilitation outcomes at this facility, which specializes in respiratory and complex medical care. Families and even a nurse whose parent resides there highlight thorough care, responsive administration, and effective physical/respiratory therapy. The facility carries a 5-Star CMS rating as of 2026.
Mississippi Valley Healthcare & Rehabilitation Center had 6 government inspection visits in the last three years, with 30 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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