River Hills Village in Keokuk was owned by Unlimited Development, Inc. as of the first quarter of 2026, according to the Centers for Medicare and Medicaid Services (CMS). Located in Lee County, Unlimited Development, Inc. has operated the nursing home since June 1, 2010.
The facility operates as a for-profit nursing home.
During this timeframe, River Hills Village in Keokuk received an overall CMS rating of 3, which falls below Iowa’s state nursing home average rating of 3.1. CMS assigns ratings to nursing homes based on health inspection results, staffing levels, and resident care quality.
CMS data shows River Hills Village in Keokuk served an average of 68.9 residents per day in the first quarter of 2026 and offered 84 available beds. The facility is not affiliated with a hospital.
There were no reported fines or penalties at the facility during the first quarter of 2026.
Lee County, Iowa, had a total of 6 for-profit nursing homes.
Based on U.S. Census Bureau estimates, the older adult population in the United States is growing as the youth population declines. From 2020 to 2024, Americans age 65 and over increased by 13%, while those under age 18 dropped by 1.7%. The nation’s population of older adults has expanded substantially during the last century, rising from 4.9 million in 1920 to over 61 million by 2024.
A 2021 report found that about half of this group—approximately 28 million people—will likely need long-term services and support, with projections indicating more than a third may require nursing home care in the future.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Birkwood Village of Fort Madison | Mark Holtkamp and Kevin Kidwell | For profit – Limited Liability company | 2 | 63.9 |
| Montrose Health Center | Mark Holtkamp and Kevin Kidwell | For profit – Corporation | 4 | 40.1 |
| River Hills Village in Keokuk | Unlimited Development, Inc. | For profit – Limited Liability company | 3 | 68.9 |
| Southeast Iowa Healthcare Center | Lexington Square Irrevocable Trust | For profit – Limited Liability company | 5 | 48.3 |
| West Point Care Center, Inc. | Thomas F. Juckette Marital Trust | For profit – Limited Liability company | 4 | 24.2 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
