Mississippi Valley

CCN 165151 · LEXINGTON SQUARE LLC · For profit - Limited Liability company · 83 certified beds · Lee · IA


Mississippi Valley is a 83-bed nursing home in Keokuk, Iowa. CMS has certified it for Medicare and Medicaid since 1989-03-25. It averages 57.2 residents a day.

What harm was found in the violations cited at Mississippi Valley?

CMS lists 12 health-inspection deficiencies for Mississippi Valley, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-21.

Survey dateTagDeficiencySeverity
2026-05-21F0552, F0641Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment.E
2026-05-21F0628, F0759Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure medication error rates are not 5 percent or greater.D
2026-03-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-19F0657, F0677, F0690, F0757Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-01-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-06F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E

Why was Mississippi Valley fined 2 times?

DateTypeAmount
2024-06-19Fine$10,839
2024-01-24Fine$8,824

How is Mississippi Valley staffed?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day5.671823.81506
Total nursing staff turnover (%)36.844.0
Average number of residents per day57.252.4

Who owns Mississippi Valley?

Mississippi Valley is registered with CMS as For profit - Limited Liability company, operates under the legal business name LEXINGTON SQUARE LLC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTLEXINGTON SQUARE IRREVOCABLE TRUSTsince 04/07/2017
5% OR GREATER MORTGAGE INTERESTBELL BANK ARROWHEAD OFFICEsince 06/15/2022
MANAGING CONTROL - GOVERNING BODYABELL, TERRI, ANDERSON, HALLEY, BLUME, MICHAEL, HOSKINS, HEATHER, ISRAEL, DAVID, PETERSON, PAIGE, STANLEY, MURRAYsince 01/20/2016
OPERATIONAL/MANAGERIAL CONTROLLEXINGTON SQUARE IRREVOCABLE TRUST, ABELL, TERRI, BLUME, MICHAEL, HOSKINS, HEATHER, STANLEY, MURRAYsince 03/03/2022
TRUSTEE OF THE SNFPETERSON, PAIGE, STANLEY, MURRAYsince 04/01/2017
ADP OF THE SNFANDERSON, HALLEY, BLUME, MICHAEL, STANLEY, MURRAYsince 04/01/2017

Were you or a family member harmed at Mississippi Valley?