River Hills Village in Keokuk
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 11 Google reviews
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What this means for your family
While some family members report deeply touching emotional support from the staff, there is a highly serious allegation regarding medical ethics and emergency response. Families should conduct thorough due diligence and ask specific questions regarding the clinical qualifications of the leadership and their protocols for emergency medical situations.
Google Reviews
Google Reviews
11 reviews on Google“Families can expect compassionate individual care from staff members who go above and beyond during emotional moments. However, there is a severe, critical allegation regarding medical negligence and lack of adherence to life-saving protocols during a crisis.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate staff during emotional distress
- Clean and well-maintained entrance
- Positive long-term care experience for some residents
Concerns
- Allegation of medical negligence and failure to follow 'full code' protocols
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With the facility being a cozy size of 84 residents, how do you ensure each person gets personalized attention during mealtimes and daily care?
- 2What specific steps has the team taken recently to address the recent state inspection findings and improve care standards?
- 3How do you manage staffing levels during the overnight hours to ensure residents are safe and well-monitored?
- 4Can you tell me about the types of social activities or outings available to help residents stay engaged with the Keokuk community?
- 5What is the protocol for communicating with families immediately following a medical emergency or a change in a resident's condition?
- 6I noticed the facility is very responsive to feedback; how does the administration involve families in the decision-making process for resident care?
Personalized based on this facility's data
Key Review Excerpts
“My mom is your place, just came Tuesday and that night she had a rough night and was crying and one of employees came in and set with her and talked until she fell asleep. That meant the world to me.”
“Mother lives at assited living. They take very good care of her.”
“Not a place to take anyone you care about. Took my sister there and in 2 days she passed away. The director does not have any medical back ground and does not know the code of ethics. My sister was on full code and they did nothing to revive her.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River Hills Village has a pattern of recurring deficiencies across multiple surveys, with families filing at least one complaint that led to findings about accident prevention and supervision. The facility shows persistent issues with fire safety systems, electrical equipment maintenance, and care planning standards, with some problems repeating across surveys despite corrections. While most deficiencies have correction dates, the recurring nature suggests ongoing operational challenges families should discuss during visits.
Sep 18, 2025Routine6
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Sep 12, 2024Routine6
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 16, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 11, 2024Routine4
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ownership & Operations
Who Operates This Facility
River Hills Village in Keokuk
for profit
Chain Affiliation
Unlimited Development, INC.
10 facilities nationwide
Chain avg rating: 2.8/5 · Rank 5 of 10
Ownership & Management
Owners
Unlimited Development, INC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
11 reviews from families & visitors
Official Website
Visit riverhillsvillage.com
Medicare data downloads
Original nursing home datasets
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