Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 52248 · CCN 165355 · 35 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-11-19 ACTUAL HARM (tag F0805, severity G)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-11-19 ACTUAL HARM (tag F0689, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-19 IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-19 IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-11-19 IMMEDIATE JEOPARDY (tag F0609, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-11-19 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

3.13

state median 3.10

Weekend staffing gap

−19%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.48

registered nurses only

Contract (agency) staff

5%

share of all nursing hours

Days with zero RN hours reported

8

with residents present

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $136,500 in fines.

DateTypeAmount
2024-11-07Fine$136,500

Ownership

Ownership type: For profit - Limited Liability company. Part of the CEDAR VIEW HOLDINGS chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 44 · Immediate jeopardy: 4

Survey dateTagCategorySeverityCorrected
2026-05-19F0553Resident Rights DeficienciesDnot recorded
2026-05-19F0580Resident Rights DeficienciesDnot recorded
2026-05-19F0627Resident Rights DeficienciesDnot recorded
2026-05-19F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-05-19F0741Quality of Life and Care DeficienciesDnot recorded
2026-05-19F0742Quality of Life and Care DeficienciesDnot recorded
2026-05-19F0880Infection Control DeficienciesDnot recorded
2025-12-11F0582Resident Rights DeficienciesDnot recorded
2025-12-11F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-11F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-11F0684Quality of Life and Care DeficienciesDnot recorded
2025-12-11F0759Pharmacy Service DeficienciesDnot recorded
2025-12-11F0880Infection Control DeficienciesDnot recorded
2024-11-19F0550Resident Rights DeficienciesDnot recorded
2024-11-19F0578Resident Rights DeficienciesDnot recorded
2024-11-19F0583Resident Rights DeficienciesDnot recorded
2024-11-19F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-11-19F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-11-19F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-11-19F0623Resident Rights DeficienciesDnot recorded
2024-11-19F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-19F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-19F0677Quality of Life and Care DeficienciesDnot recorded
2024-11-19F0679Quality of Life and Care DeficienciesDnot recorded
2024-11-19F0684Quality of Life and Care DeficienciesJnot recorded
2024-11-19F0689Quality of Life and Care DeficienciesHnot recorded
2024-11-19F0690Quality of Life and Care DeficienciesDnot recorded
2024-11-19F0700Quality of Life and Care DeficienciesDnot recorded
2024-11-19F0725Nursing and Physician Services DeficienciesEnot recorded
2024-11-19F0740Quality of Life and Care DeficienciesDnot recorded
2024-11-19F0759Pharmacy Service DeficienciesDnot recorded
2024-11-19F0760Pharmacy Service DeficienciesDnot recorded
2024-11-19F0761Pharmacy Service DeficienciesEnot recorded
2024-11-19F0803Nutrition and Dietary DeficienciesDnot recorded
2024-11-19F0805Nutrition and Dietary DeficienciesGnot recorded
2024-11-19F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-19F0865Administration DeficienciesEnot recorded
2024-11-19F0868Administration DeficienciesEnot recorded
2024-11-19F0880Infection Control DeficienciesDnot recorded
2024-11-19F0882Infection Control DeficienciesEnot recorded
2024-01-23F0578Resident Rights DeficienciesDnot recorded
2024-01-23F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-01-23F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-01-23F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-01-23F0677Quality of Life and Care DeficienciesDnot recorded
2024-01-23F0758Pharmacy Service DeficienciesDnot recorded
2024-01-23F0868Administration DeficienciesDnot recorded
2024-01-23F0880Infection Control DeficienciesEnot recorded
2024-01-23F0881Infection Control DeficienciesEnot recorded
2024-01-23F0882Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Harvest Acres Nursing and Rehab, Keota” at medicare.gov/care-compare.