River Hills Village ranks as Lee County’s largest nursing home in Q1 2026

River Hills Village in Keokuk was identified as the largest nursing home in Lee County for the first quarter of 2026, as reported by the Centers for Medicare and Medicaid Services (CMS).

The facility offered a total of 84 beds, which was 19 more than the county’s average during the first quarter of 2026. On average, 68.9 residents were cared for at River Hills Village during this time.

The CMS gave River Hills Village in Keokuk an overall rating of 3 out of 5, slightly below Iowa’s nursing home average rating of 3.1.

Mississippi Valley ranked as the second largest nursing home in Lee County for the period, providing 83 beds. Birkwood Village of Fort Madison was third, having 80 beds available.

River Hills Village in Keokuk also reported no fines or penalties during the first quarter of 2026.

Lee County, Iowa, had six for-profit nursing homes in total.

U.S. Census Bureau estimates show the older adult population in the nation is rising while younger groups are shrinking. From 2020 to 2024, Americans 65 and older increased by 13%, and those under 18 declined by 1.7%. The country’s older adult population has seen substantial growth in the past century, climbing from 4.9 million in 1920 to more than 61 million in 2024.

A 2021 analysis indicates that nearly 50% of adults in this age category—about 28 million—may need long-term services and supports, with more than a third potentially requiring nursing home placement.

“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. “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.”

The information in this report comes from the Centers for Medicare and Medicaid Services. Source data is available here.