Nursing home · Nursing home (skilled nursing)
Who owns Mississippi Valley?
500 Messenger Rd · Keokuk, IA · 52632
Overview
CMS overall rating3 of 5state average 3.1
Certified beds83
Average residents5769% of beds
Nurse hours per resident day5.67state average 3.82
Mississippi Valley is a nursing home (skilled nursing) in Keokuk, Iowa, operated by Lexington Square LLC. Lee County has 0 hospitals, 7 nursing homes and 0 urgent care centers.
Ownership
Mississippi Valley is operated by Lexington Square LLC, part of Lexington Square Irrevocable Trust.
- Operator
- Lexington Square LLC
- Owner group
- Lexington Square Irrevocable Trust
- Ownership changed in last 12 months
- No
- Source
- CMS nursing home enrollment and owners · 2026-10-24
Ownership history
Every dated change of operator and owner for Mississippi Valley, with the source for each.
Full ownership tree of Lexington Square Irrevocable Trust
Every entity between this facility and its ultimate owner, with ownership percentages and dates.
Quality and staffing
- Overall
- 3 of 5state average 3.1
- Health inspections
- 3 of 5state average 2.8
- Staffing
- 3 of 5state average 3.7
- Quality measures
- 2 of 5state average 3.3
| Staffing | This home | State average |
|---|---|---|
| Nurse hours per resident day | 5.67 | 3.82 |
| Registered nurse hours per resident day | 1.57 | 0.74 |
| Nursing staff turnover | 36.8% | 44.0% |
| Registered nurse turnover | 11.8% | – |
| Administrators who left | 0 | – |
- Fines (3 years)
- $20K · 2 penalties
- CMS abuse icon
- No
Location and market
- Address
- 500 Messenger Rd · Keokuk, IA · 52632
- County
- Lee County
- State
- Iowa
Hospitals in the county0
Nursing homes7
Urgent care centers0
Nearby nursing homes
| Name | City | Distance |
|---|---|---|
| Southeast Iowa Healthcare Center | Keokuk | 0.6 mi |
| River Hills Village In Keokuk | Keokuk | 1.1 mi |
| Montrose Health Center | Montrose | 7.3 mi |
| Birkwood Village Of Fort Madison | Fort Madison | 14.1 mi |
| Clark County Nursing Home | Kahoka | 17.1 mi |
| Aspire of Donnellson | Donnellson | 18.0 mi |
Sources and identifiers
- Operator: CMS nursing home enrollment and owners
- Ratings, staffing and penalties: CMS Nursing Home Care Compare (2026)
- Ownership type and beds: CMS Provider of Services file
- Location: CMS and Census Bureau geography
- CMS certification number
- 165151
- NPI
- 1790772341
- Last confirmed
- 2026-10-27
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