Mississippi Valley
Nursing Home Facility
500 Messenger Road, Keokuk, IA 52632
Lexington Square is a 126 bed SNF/ICF facility offering complex medical care and long-term ventilator care.
With 126 beds, Mississippi Valley is one of the larger communities in the area — senior care communities in Lee County average about 81 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 69% of its licensed beds. That is below the Lee County average of roughly 79%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2025 and recorded 1 deficiency.
Residents receive about 5.7 hours of nursing care per day on average, including 1.6 hours from a registered nurse. Communities in Lee County average about 4.4 hours. Nursing staff turnover over the past year was about 37%.
The community is located in Lee County, IA.
Mississippi Valley offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 126
- Occupancy 69%
- Nursing hours per resident/day 5.7
- Annual staff turnover 37%
- Last health inspection April 2025