Nursing HomeInspections

Mississippi Valley

Nursing home in Keokuk, IA

Medicare & Medicaid certified3★ overall (CMS)

Call (319) 524-5321Send a messageMap ↗

Public-record details

Address
500 Messenger Road, Keokuk, IA 52632
Phone
(319) 524-5321
Listed under
For-profit
Medicare CCN
165151
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
83
Average residents per day
57
Ownership
For-profit, limited Liability company
Legal business name
Lexington Square LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 25, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165151. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 21, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 6, 2023 to May 21, 2026): 3 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 21, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		E
Potential for more than minimal harm, pattern
May 21, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Mar 12, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jun 19, 2024Develop 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		D
Potential for more than minimal harm, isolated
Jun 19, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 19, 2024Provide 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		D
Potential for more than minimal harm, isolated
Jun 19, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 19, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		G
Actual harm, isolated
Jan 24, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Dec 6, 2023Provide 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 · complaint inspection		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,663 in the last three years.

Jun 19, 2024Fine: $10,839
Jan 24, 2024Fine: $8,824

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.67 hours
Registered nurse (RN) time per resident per day
1.57 hours
Nurse aide time per resident per day
3.39 hours
Total nurse staffing on weekends
4.49 hours
Nursing staff turnover (yearly)
37%
RN turnover (yearly)
12%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Keokuk

Southeast Iowa Healthcare Center3140 Plank Road · Keokuk, IA 52632 · (319) 524-1800 · For-profit7 health citations in 3 inspection cycles · last standard inspection Jan 8, 2026 · $25,495 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)River Hills Village in Keokuk20 Village Circle · Keokuk, IA 52632 · (319) 524-5772 · For-profit8 health citations in 3 inspection cycles · last standard inspection Sep 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 3 in Keokuk →