Southeast Iowa Healthcare Center
3140 Plank Road, Keokuk, IA 52632 · Lee County · 55 certified beds · avg 49 residents/day · certified since Nov 2, 2023
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 1, 2026 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 19, 2026 (Deficient, Provider has plan of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2026 | 7 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $25,495.
| Date | Type | Amount / length |
|---|---|---|
| Jul 1, 2026 | Fine | $25,495 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.50 | 4.37 | 3.95 | top 39% in Iowa; top 23% in the U.S. |
| Registered Nurse hours | 1.13 | 0.85 | 0.69 | top 16% in Iowa; top 11% in the U.S. |
| Weekend total nurse staffing | 3.85 | 3.86 | 3.50 | top 45% in Iowa; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.51 | 0.48 | bottom 38% in Iowa; top 47% in the U.S. |
| Total nursing staff turnover (%) | 35.9 | 44.0 | 45.8 | top 32% in Iowa; top 26% in the U.S. |
| RN turnover (%) | 12.5 | 42.1 | 42.9 | top 8% in Iowa; top 6% in the U.S. |
Hours are per resident per day, 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 2.94, RN 0.74, weekend 2.52. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abell, Terri | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Abell, Terri | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Anderson, Halley | Individual | ADP of the SNF | NOT APPLICABLE | 10/18/2023 |
| Bell Bank Arrowhead Office | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/15/2022 |
| Blume, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Blume, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hoskins, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/15/2011 |
| Hoskins, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 03/15/2011 |
| Israel, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/12/2025 |
| Lexington Square Irrevocable Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/07/2017 |
| Peterson, Paige | Individual | Trustee of the SNF | NOT APPLICABLE | 04/07/2022 |
| Smith, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2024 |
| Stanley, Murray | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/07/2017 |
| Stanley, Murray | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2017 |
| Stanley, Murray | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mississippi Valley | 0.6 mi | Keokuk, IA | ★★★☆☆ | 3/5 | |
| River Hills Village in Keokuk | 0.8 mi | Keokuk, IA | ★★★☆☆ | 3/5 | |
| Montrose Health Center | 7.3 mi | Montrose, IA | ★★★☆☆ | 2/5 | |
| Birkwood Village of Fort Madison | 14.2 mi | Fort Madison, IA | ★★★☆☆ | 3/5 | |
| Clark County Nursing Home | 16.4 mi | Kahoka, MO | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165797.