Nursing HomeInspections

River Hills Village in Keokuk

Nursing home in Keokuk, IA

Medicare & Medicaid certified3★ overall (CMS)

Call (319) 524-5772Send a messageMap ↗

Public-record details

Address
20 Village Circle, Keokuk, IA 52632
Phone
(319) 524-5772
Listed under
For-profit, No fines in 3 years, Part of a retirement community
Medicare CCN
165396
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
84
Average residents per day
65
Ownership
For-profit, limited Liability company
Legal business name
Unlimited Development, INC
Chain
Unlimited Development, INC. (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 13, 1998
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165396. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 18, 2025. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 11, 2024 to Sep 18, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 18, 2025Develop 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
Sep 18, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 18, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 18, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 12, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 16, 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
Mar 11, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

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 no fines or payment denials for this facility in the last three years.

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
4.28 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
3.06 hours
Total nurse staffing on weekends
3.99 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
29%
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)Mississippi Valley500 Messenger Road · Keokuk, IA 52632 · (319) 524-5321 · For-profit12 health citations in 3 inspection cycles · last standard inspection May 21, 2026 · $19,663 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Keokuk →