Harvest Acres Nursing and RehabCMS ratings, inspections and fines
- Address
- 204 North Keokuk Washington Road, Keota, IA 52248
- CCN
- 165355
- Ownership type
- For-profit, limited liability company
- Certified beds
- 35
- Chain
- Cedar View Holdings
- Residents per day
- 29
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Harvest Acres Nursing and Rehab an overall rating of 1 of 5 stars. The last standard survey was on 11 Dec 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $136,500 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Keokuk County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Dec 2025 | 13 | 5 |
| Cycle 2 | 19 Nov 2024 | 27 | 5 |
| Cycle 3 | No date | 10 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 May 2026 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0742 | Provide 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. | D | Complaint investigation | 18 Jun 2026 |
| 19 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Jun 2026 |
| 11 Dec 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 Jan 2026 |
| 11 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 2 Jan 2026 |
| 11 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Jan 2026 |
| 11 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Jan 2026 |
| 11 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 2 Jan 2026 |
| 11 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Jan 2026 |
Survey cycle 2: 27 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | 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. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | G | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Complaint investigation | 19 Dec 2024 |
| 19 Nov 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 19 Nov 2024 |
| 19 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Dec 2024 |
| 19 Nov 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 19 Nov 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jan 2024 | 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. | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 16 Feb 2024 |
| 23 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | 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 limited. | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Feb 2024 |
| 23 Jan 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 16 Feb 2024 |
| 23 Jan 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 16 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Nov 2024 | Fine | $136,500 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.47 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.72 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.49 | 0.56 | |
| Nurse aides | 2.26 | 2.51 | |
| All nurse staff, weekends | 3.05 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 70.4%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 77.8%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 17.3% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 46.6% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Harvest Acres Nursing and Rehab, LLC
- Chain
- Cedar View Holdings (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Amaranthine Holdings LLC | 5% or greater direct ownership interest | 1 Jan 2025 | |
| Cedar View Holdings LLC | 5% or greater direct ownership interest | 1 Jan 2025 | |
| Iowa 5784 LLC | 5% or greater indirect ownership interest | 1 Jan 2025 | |
| 204 N Keokuk Washington Road Propco LLC | Adp of the snf | 1 Jan 2025 | |
| Caresage Administrative Consulting, LLC | Adp of the snf | 1 Jan 2025 | |
| Clinical Consulting Services LLC | Adp of the snf | 1 Jan 2025 | |
| Iowa 5784 LLC | Adp of the snf | 10 Apr 2025 | |
| JSJ Property LLC | Adp of the snf | 1 Jan 2025 | |
| Summation Financial Services LLC | Adp of the snf | 1 Jan 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Keokuk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Manor House Care Center | Sigourney | 2 of 5 | 10 | $0 | 15 May 2025 | |
| Stone Cottage Care Center | Sigourney | 1 of 5 | 19 | $18,682 | 4 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Harvest Acres Nursing and Rehab (CCN 165355). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/harvest-acres-nursing-and-rehab-keota-ia-165355/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Harvest Acres Nursing and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 19 May 2026. It was a complaint investigation. It gave 7 citations. The standard survey before the last one was on 19 Nov 2024.
- Who operates Harvest Acres Nursing and Rehab?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cedar View Holdings. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Harvest Acres Nursing and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.