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Harvest Acres Nursing And Rehab

204 North Keokuk Washington Road, Keota, IA 522486416363400Ownership: For profit - Limited Liability companyCertified beds: 35Avg. daily residents: 29Chain: Cedar View Holdings (9 facilities)County: Keokuk

The complete public record on Harvest Acres Nursing And Rehab, a Medicare & Medicaid–certified nursing home in Keota, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Iowa average: 3.1 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Harvest Acres Nursing And Rehab holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 70% is well above the Iowa average of 44%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $136,500 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.47 total nurse staff hours per resident per day
below the state average (3.82)
0.72 RN hours per resident per day
about the state average (0.74)
3.05 weekend nurse staff hours per resident per day
70.4% total nursing staff turnover
above the state average (44.2)
77.8% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

December 11, 2025 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (6.6)
29 health deficiencies in the two prior cycles combined
$136,500 in federal fines across 1 penalty (last 3 years)
above the state average ($19,559)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

50 citations on record across recent inspections, 6 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 19, 20260553Allow resident to participate in the development and implementation of his or her person-centered plan of care. ComplaintD · Potential for more than minimal harm
May 19, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
May 19, 20260627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. ComplaintD · Potential for more than minimal harm
May 19, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
May 19, 20260741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of… ComplaintD · Potential for more than minimal harm
May 19, 20260742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial… ComplaintD · Potential for more than minimal harm
May 19, 20260880Provide and implement an infection prevention and control program. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.