Keokuk, Iowa's Lee County seat, has 3 Medicare-certified nursing homes with approximately 222 beds. Families have good options, with many facilities exceeding state averages.

Keokuk vs. Iowa: Above Average Quality

Keokuk nursing homes outperform the state average on key quality metrics. The city's average CMS rating of 4.33 stars exceeds Iowa's statewide average of 3.06 stars by 1.3 stars—a meaningful difference that suggests stronger local standards.

2 of 3 facilities earn a B grade or better, giving families good options. While quality is generally high, the overall picture is positive for Keokuk families.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

• Health Inspection Results — Recent deficiencies, their severity, and patterns over time
• Staffing Levels — RN hours, total nursing hours, and weekend staffing
• Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
• Penalties — Fines, payment denials, and enforcement actions
• Complaints — Substantiated complaints and their severity

In Keokuk, 2 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: Meeting Standards in Keokuk

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

Keokuk facilities average 0.86 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical Keokuk resident receives approximately 52 minutes of RN attention daily—compared to the 45 minutes experts recommend.

1 Keokuk facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: An All For-Profit Market

Keokuk has no non-profit nursing homes—all 3 facilities with reported ownership data are for-profit operations. 1 of 3 facility is chain-owned, meaning these facilities are part of larger corporate systems rather than independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average. The absence of non-profit options in Keokuk may be worth noting. Families seeking non-profit care should consider facilities in surrounding areas.

Ownership type alone does not guarantee quality. Several for-profit facilities in Keokuk perform well. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports rather than ownership type alone.

Nearby Alternatives Worth Considering

Families may also want to consider nearby Iowa cities for additional options. The following Iowa cities offer multiple nursing home options:

• Des Moines — 12 facilities
• Cedar Rapids — 9 facilities
• Dubuque — 8 facilities
• Davenport — 7 facilities
• Sioux City — 6 facilities
• Marion — 6 facilities