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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaHarvest Acres Nursing and Rehab

Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 522486416363400
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
35
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
1 fine(s) totaling $136,500

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 35 certified beds with an average of 27.5 residents per day (79% occupancy)

• Last health inspection found 31 deficiencies (inspected Nov 19, 2024)

• Has been fined a total of $136,500 across 1 fine(s)

• Total nursing staff: 3.05 hours per resident per day

• Staff turnover rate: 58.3% (high)

• Part of the Gabriel Sebbag & the Samara Family chain (7 facilities)

Harvest Acres Nursing and Rehab is a 1-star Medicare and Medicaid certified nursing home in Keota, Iowa with 35 certified beds. It has been operating since 1997. The facility scored below average compared to Iowa facilities.

Beds
35
Avg Residents/Day
27.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1997
Sprinklers
Yes
Council
Resident
County
Keokuk
Last Inspection
Nov 19, 2024
Deficiencies (Cycle 1)
31
Weighted Score
488.5
Infection Citations
0

Deficiency Citations (47)

F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0805Actual Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 19, 2024Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Nov 19, 2024Corrected: NoCycle: 1

+ 17 more deficiencies

Total Fines
$136,500
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 7, 2024
$136,500

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.80 hrs
National avg: 2.35 hrs
LPN0.60 hrs
National avg: 0.86 hrs
RN0.65 hrs
National avg: 0.68 hrs
Total Nursing3.05 hrs
National avg: 3.89 hrs
Weekend Total2.67 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
58.3%
RN Turnover
66.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
AMARANTHINE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
CEDAR VIEW HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
CEDAR VIEW TR5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
IOWA 5784 LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
SAMARA FAMILY HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
SAMARA FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
SEBBAG, GABRIEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
CASE, JANELLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
MILLER, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025

Frequently Asked Questions

What is the CMS rating for Harvest Acres Nursing and Rehab?▾
Harvest Acres Nursing and Rehab has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Harvest Acres Nursing and Rehab had any health inspection violations?▾
Harvest Acres Nursing and Rehab had 31 deficiency citations in its most recent health inspection (Nov 19, 2024). The facility has been fined a total of $136,500 across 1 fine(s).
What are the staffing levels at Harvest Acres Nursing and Rehab?▾
Harvest Acres Nursing and Rehab provides 3.05 total nursing staff hours per resident per day, including 0.65 RN hours, 0.60 LPN hours, and 1.80 nurse aide hours. The total staff turnover rate is 58.3%.
How many beds does Harvest Acres Nursing and Rehab have?▾
Harvest Acres Nursing and Rehab has 35 certified beds with an average of 27.5 residents per day, resulting in approximately 79% occupancy. The facility is For profit - Limited Liability company owned and is part of the Gabriel Sebbag & the Samara Family chain.

Part of Gabriel Sebbag & the Samara Family

This chain operates 7 facilities. View all →