River Hills Village in Keokuk
20 Village Circle · Keokuk, IA · 52632 · 3195245772
84 certified beds For profit - Limited Liability company Chain: Unlimited Development, Inc. Part of a CCRC
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (8 in the current record)
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Potential for harm · D September 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 24, 2025 · Resident Rights
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Potential for harm · D September 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 2025
Ensure 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.
Corrected November 24, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 24, 2025 · Nutrition and Dietary
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Potential for harm · D September 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Actual harm · G July 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · D March 11, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 20, 2024 · Resident Assessment and Care Planning
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165396 · certified since July 13, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.