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River Valley Nursing and Rehabilitation

17990 Spencer Road, Pleasant Valley, Iowa 52767

Overview

River Valley Nursing and Rehabilitation has a Medicare overall rating of 2 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Pleasant Valley. Its strongest area is quality of care (4 of 5), and its weakest is health inspections (2 of 5).

Residents receive about 3.3 hours of nursing care per day, fewer than at 85% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.5 hours come from registered nurses.

Its most recent standard inspection, on August 20, 2026, found 11 health deficiencies, more than the Iowa average of 6.5. 7 of them came from complaint investigations. It has no fines on record for the past three years, while 37% of Iowa nursing homes have been fined.

River Valley Nursing and Rehabilitation is a for-profit facility with 44 certified beds, caring for about 35 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1998.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles153rd of 246 facilities

Top 63%

In Iowa260th of 385 facilities

Top 68%

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Inspections and penalties

Most recent standard inspection
August 20, 2026
Health deficiencies cited
11
Complaint-related deficiencies
7
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.26 hrs
  • Registered nurses (RN)0.47 hrs
  • Licensed practical nurses (LPN)0.28 hrs
  • Nurse aides2.51 hrs
  • Physical therapists0.00 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
44
Average residents per day
35
Participates in
Medicare and Medicaid
Medicare/Medicaid since
January 1, 1998
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes