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

1.0

Staffing

2.0

Quality measures

2.0

CMS Care Compare, October 2026.

Inspection history (53)

Records from June 2023 to May 2026.

January 23, 2024
Tag F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0881
Implement a program that monitors antibiotic use.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0657
Develop 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 February 16, 2024.
January 23, 2024
Tag F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
January 23, 2024
Tag F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 16, 2024.
June 15, 2023
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.
June 15, 2023
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.
June 15, 2023
Tag F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.

See the source data on data.cms.gov

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.

See the source data on data.cms.gov

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.

Nursing Homes

Iowa median$9,277/mo

Iowa cost breakdown

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.

Source: IA Medicaid NF rate publication, updated 2026-01-01

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