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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E· | F2 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 1, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Dec 5, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Oct 19, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 19, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 1, 2026 | Civil money penalty (fine) | $16,572 | — | 165797|Fine|142230 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E· | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 1, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | J · Immediate jeopardy Isolated | Corrected Jul 19, 2026 | Complaint |
| Jan 8, 2026 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 7, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David Israel | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 12, 2025 |
| Lexington Square Irrevocable Trust | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 7, 2017 |
| Terri Abell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2016 |
| Michael Blume | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Heather Hoskins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 15, 2011 |
| Emily Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 18, 2024 |
| Murray Stanley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 7, 2017 |
| Paige Peterson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 7, 2022 |
| Murray Stanley | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 1, 2017 |
| Bell Bank Arrowhead Office | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jun 15, 2022 |
| Terri Abell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2016 |
| Halley Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 18, 2023 |
| Michael Blume | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Heather Hoskins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2011 |
| Murray Stanley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mississippi Valley 500 Messenger Road, Keokuk, IA 52632 CCN 165151 | 1 km | 83 | May 21, 2026 | 183 harm | $20k | |
| River Hills Village in Keokuk 20 Village Circle, Keokuk, IA 52632 CCN 165396 | 1.4 km | 84 | Sep 18, 2025 | 171 harm | — | |
| Montrose Health Center 400 South 7th Street, Montrose, IA 52639 CCN 165304 | 11.7 km | 44 | Mar 26, 2026 | 261 IJ3 harm1 open | $43k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165797 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165797 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 8, 2026 |
| F-0641 |
| Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Feb 7, 2026 |
| Jan 8, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 7, 2026 |
| Jan 8, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 7, 2026 |
| Jan 8, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 7, 2026 |
| Jan 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 7, 2026 |
| Dec 5, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 12, 2025 |
| Oct 19, 2023 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 2, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 0.95).