Nursing Homes · Medicare certified
Harvest Acres Nursing and Rehab
204 North Keokuk Washington Road · Keota, IA 52248 · 35 certified beds
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About Harvest Acres Nursing and Rehab
Harvest Acres Nursing and Rehab is a nursing home in Keota, Iowa. Its capacity is 35 beds, below the Iowa median of 57 for nursing homes. It is run by a for-profit operator and is part of Cedar View Holdings. It is Medicare certified. Its public inspection record shows 53 citations, the most recent on May 19, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.38 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (53)
Records from June 2023 to May 2026.
May 19, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
May 19, 2026
Tag F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 18, 2026.
December 11, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
December 11, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
December 11, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
December 11, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
December 11, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
December 11, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
November 19, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
November 19, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
November 19, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
November 19, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
November 19, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J: isolated, immediate jeopardy. Corrected December 19, 2024.
November 19, 2024
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
November 19, 2024
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2024.
Penalties (1)
Total fines: $136,500
November 7, 2024 · Fine
CMS recorded a civil money penalty of $136,500 against this nursing home on November 7, 2024.
Staffing
3.38 nurse hours per resident per day in Q2 2026, up from 3.26 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Cedar View Holdings, a chain of 9 nursing homes.
Average CMS star ratings across the chain: 1.1 overall, 1.1 for health inspections, 1.8 for staffing, 2.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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