River Hills Village in Keokuk

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.40, weekend 3.99.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

All 7 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Unlimited Development, INC. — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Centralia Manor — Centralia, IL · overall 1/5abuse
• Jerseyville Manor — Jerseyville, IL · overall 2/5abuse
• Manor Court of Carbondale — Carbondale, IL · overall 2/5abuse
• Manor Court of Maryville — Maryville, IL · overall 5/5
• Parkway Manor — Marion, IL · overall 4/5
• Pekin Manor — Pekin, IL · overall 4/5
• Pittsfield Manor — Pittsfield, IL · overall 1/5abuse
• Seminary Manor — Galesburg, IL · overall 2/5abuse

Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
• "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
• "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
• "How do you keep residents' medical records accurate, complete, and secure?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Lee, IA — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• West Point Care Center INC — West Point, IA · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Keokuk →