River Hills Village

    20 Village Cir, Keokuk, IA 52632
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate, reliable care for mom

    I have real peace of mind leaving my mom here - the compassionate, hardworking staff provide the best care and have been a true blessing to our family. The team works seamlessly, and the grounds and entrance are tidy and well kept. I'm very pleased with this retirement community.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.87·(15)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.0
    • Meals

      1.0
    • Amenities

      3.9
    • Value

      3.9

    Pros

    • Compassionate caregiving staff
    • Effective rehabilitative therapy services
    • Supportive staff teamwork
    • Comfortable residential accommodations
    • Well-maintained grounds and clean entrance
    • Care that provides family peace of mind

    Cons

    • Inconsistent staff professionalism and teamwork
    • Weak leadership and limited clinical oversight
    • Gaps in clinical-incident response and family communication
    • Inconsistent dining quality and limited dining accessibility for some apartments
    • HR and staffing-relocation inflexibility
    • Potential mismatch between unit layout and resident access needs

    Summary of reviews

    Reviews for River Hills Village describe a mixture of positive day-to-day experiences and significant operational concerns. Several reviewers praised the caregiving team and therapy services, citing compassionate interactions, effective rehabilitation, comfortable residences, and well-kept grounds and entrances. These consistent positives suggest the facility can provide a reassuring environment and meaningful staff–resident relationships that many families find comforting.

    Care quality appears mixed. Positive accounts highlight attentive caregiving and successful therapy outcomes that contributed to family peace of mind. At the same time, other comments point to uneven clinical responsiveness and a notable concern following a resident's death; these indicate gaps in how some clinical incidents are managed and communicated to families. Prospective families should ask about incident-response protocols, end-of-life procedures, and how the facility documents and communicates adverse clinical events.

    Staffing and teamwork show variability. Several reviews describe strong teamwork and staff who provide excellent care; conversely, other reviewers described uncourteous interactions, poor teamwork, and coworker conflicts. This variability points to inconsistent staff professionalism and unit-to-unit differences in team dynamics. HR-related issues were mentioned, including difficulty obtaining transfers, which suggests limits in internal staffing flexibility and employee-relocation policies that may affect continuity of care.

    Dining and daily living logistics also drew mixed feedback. Some reviewers criticized food quality and raised practical access concerns when apartments are located far from dining areas. These comments imply both inconsistent meal-service quality and potential accessibility or convenience problems for residents whose apartments are distant from communal dining.

    Facilities and community environment were generally viewed positively: clean entrances, nicely maintained grounds, and an overall comfortable retirement-community feel were noted. However, layout and access differences between units may create uneven resident experiences; families should verify unit locations relative to dining, therapy, and common areas when touring.

    Management and administration emerged as a recurrent theme. Comments suggest perceptions of weak leadership, limited clinical background among administrators, and a desire for clearer ethical or governance standards. Those concerns, combined with the aforementioned communication gaps around clinical incidents, point to areas where leadership and policy clarity could be strengthened.

    Overall, River Hills Village shows strengths in therapy, certain caregiving teams, and facility upkeep, but exhibits inconsistencies in staff conduct, incident response, dining quality, and administrative leadership. Prospective residents and families would benefit from targeted questions during a visit: staffing ratios and turnover, specific clinical-incident and family-communication protocols, dining menus and delivery options for remote units, HR/staff-transfer policies, and whether leadership includes clinical expertise or formal ethical guidelines.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of River Hills Village

    River Hills Village is located at 20 Village Cir, Keokuk, IA, 52632.

    About River Hills Village

    River Hills Village sits in Keokuk, Iowa, in Lee County at 20 Village Circle, and the place offers several living options for older adults, like assisted living, nursing care, and independent cottages, so people can choose what fits best, and there's skilled nursing care for folks who need extra support. The community's got apartments and cottages with kitchens, bathrooms, dining rooms, cable TVs, telephones, 24-hour emergency call systems, wheelchairs, smoke detectors, and sprinklers, making it easier for safety and daily use, and you'll find things like housekeeping, meals, transportation, and general upkeep part of the services. Around the buildings, there's a garage, a patio, a walking trail for fresh air, and spots like a beauty shop and barbershop so folks can get haircuts and feel good about themselves. River Hills Village also plans recreational things like exercise and religious programs, and there's Memory Lane for memory care and "fitness for the mind," which a lot of families find helpful when someone's dealing with dementia. For people wanting to stay sharp or get stronger after an illness, AJ's Fitness Center and the Bounce Back rehabilitation program are available, and River Hills Village runs a wellness program that tries to address different health needs. Emergency plans exist so residents and loved ones can know what to do if something goes wrong, and staff are on hand to give information or tours if you're interested in seeing the place. A contact button on their website lets families ask questions or get more details about services, amenities, or the memory care program, and the community shares information and refers folks to other providers when needed. Just as important, River Hills Village covers basic needs and offers apartments with different features, but the place also encourages folks to tour and ask any questions before deciding what matches their needs.

    People often ask...

    River Hills Village offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 22 photos of River Hills Village on Mirador.

    Yes, River Hills Village allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 20 Village Cir, Keokuk, IA 52632.

    No, River Hills Village does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Iowa, the Department of Inspections, Appeals & Licensing licenses assisted living and long-term care programs, conducting recertification visits and complaint investigations.

    License number1834
    StatusActive
    Facility typeAssisted Living Programs
    Capacity64 residents
    EffectiveJanuary 11th, 2025
    ExpiresJanuary 11th, 2027
    View the official license record

    Inspection Reports

    13

    Reports

    11

    Citations

    7

    Complaints

    22

    Years

    07 May 2025Complaint
    Found no deficiencies during the investigation.
    29 May 2024Renewal
    Found no deficiencies during the recertification process.
    28 Apr 2022Complaint
    Found no deficiencies. The census numbers and program details were reviewed during the on-site.
    01 Mar 2021Renewal
    Found no deficiencies. No regulatory insufficiencies were cited during the recertification visit.
    07 Mar 2019Renewal
    Found no regulatory insufficiencies cited during the recertification visit.
    30 Oct 2017Complaint
    Investigated the complaint and found no deficiencies.
    16 Mar 2017Renewal
    Found deficiencies in developing individualized service plans reflecting residents' needs and gaps in medical record documentation related to wounds and treatments.
    • Service Plans
    03 Mar 2015Renewal
    Determined no deficiencies were cited after the recertification review and documented the program's census numbers.
    27 Nov 2012Renewal
    Identified regulatory insufficiencies related to tenant evaluations and individualized service plans during monitoring.
    • IAC 481-69.22(2)Health/Functional Assessment — evaluation within 30 days
    • IAC 481-69.26(3)Regulatory Insufficiency — individualized service plans
    28 Feb 2011Complaint
    Found no regulatory insufficiencies during the on-site evaluation of the senior living program.
    22 Dec 2008Complaint
    Identified regulatory insufficiencies related to tenant evaluation and service plan development during a monitoring evaluation.
    • 25.28(4)cService plan development; identify service providers
    • 25.23(3)Evaluation of Tenant
    29 Sept 2004Complaint
    Investigated the complaint and found the occupancy agreement did not describe all charges, fees, and related costs.
    • 321 IAC 25.22Occupancy agreement—charges and fees disclosure
    28 Sept 2004Complaint
    Found deficiencies in tenant assessments, service plans, staff training documentation, and vehicle safety equipment during a monitoring visit.
    • 321 IAC 25.23(1) and/or (2)Evaluation of tenant's functional and cognitive abilities and health status
    • 321 IAC 25.28Individualized service plan not developed prior to admission
    • 321 IAC 25.28Service plans not signed by appropriate staff within 30 days of admission
    • 321 IAC 25.33Staff training and documentation
    • 321 IAC 25.38Vehicle safety equipment

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of River Hills Village. The information above has not been verified or approved by the owner or operator. For exact information, please contact River Hills Village directly. There is no cost for this service. We are compensated by the community you select.

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