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AllyKin

CMS CCN 165151 · For profit - Limited Liability company

Mississippi Valley

500 Messenger Road, Keokuk, IA 52632

Overall CMS Rating

3/5

Staffing Rating

3/5
View on Medicare.gov

Above-average staffing

5.67 total HPRD vs. 3.89 national avg · 1.57 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

5.67

Total HPRD

Nat avg 3.89

1.57

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

3.39

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day1.57 hr/day
State 0.68National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day3.39 hr/day
State 2.35National 2.27
Total Nursing Hours/Day5.67 hr/day
State 3.85National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

37%

National avg 52%

RN Turnover

12%

Total Turnover37%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Average

3/5

Health Inspection

Average

3/5

Staffing

Average

3/5

Quality Measures

Below average

2/5

Facility Information

Ownership
For profit - Limited Liability company
Certified Beds
83
State
Iowa
ZIP
52632
Last Inspection
CMS CCN
165151

Penalty & Inspection History

2 CMS fines totaling $19,663

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at Mississippi Valley?
Mississippi Valley reports 5.67 total nursing hours per resident per day (HPRD), including 1.57 RN hours, N/A LPN hours, and 3.39 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for Mississippi Valley?
Mississippi Valley holds a CMS overall rating of 3 out of 5 stars. The staffing-specific rating is 3 stars, health inspection rating is 3 stars, and quality measure rating is 2 stars. CMS ratings are updated quarterly.
How does Mississippi Valley compare to other Iowa nursing homes?
The Iowa average is 3.85 total HPRD and 0.68 RN HPRD. Mississippi Valley's total HPRD of 5.67 is above the state average.
What is the staff turnover rate at Mississippi Valley?
Mississippi Valley reports 37% total nursing staff turnover annually (12% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

Mississippi Valley Staffing Ratios — Keokuk, Iowa Nursing Home (2026) | AllyKin