Nursing homeActive
River Hills Village in Keokuk
20 Village Circle, Keokuk, IA 52632319524577284 certified beds · 65 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
8
● 0● 7● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-09-18
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-18 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-03-11 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 165396-20250918-F550
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 165396-20250918-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 165396-20250918-F658
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 165396-20250918-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 165396-20250918-F812
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-19Record 165396-20240912-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-31Record 165396-20240716-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 165396-20240311-F842
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.28
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.99
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover40%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover29%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 23.5% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.9% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Unlimited Development, Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Ballew, Heather Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Finke, Audrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gilmore, Jerry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Haney, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wagner, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilson, Ronald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Unlimited Development, Inc. — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Lee.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Southeast Iowa Healthcare Center Keokuk | 0.8 mi | 2026-07-01 | 061 |
| Mississippi Valley Keokuk | 1.2 mi | 2026-05-21 | 093 |
| Montrose Health Center Montrose | 6.4 mi | 2026-03-26 | 0114 |
| Birkwood Village of Fort Madison Fort Madison | 13.4 mi | 2026-04-16 | 0241 |
| West Point Care Center Inc West Point | 20.0 mi | 2026-05-07 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |