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HomeIowaHarvest Acres Nursing and Rehab

Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 522486416363400WebsiteGoogle Maps
4.7on Google(16 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
2/5
Beds
35
certified
1 fine(s) totaling $136,500

How Harvest Acres Nursing and Rehab Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.47 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.72 hrs/day
IA average
0.74 hrs/day
Close to state average
Staff turnover
70.4%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.47 hours per resident per day, below the state average of 3.81.
Staff turnover is 70.4%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
29
deficiency citations
Inspected Nov 19, 2024
Most recent cycle
13
deficiency citations
Inspected Dec 11, 2025
The most recent cycle recorded 16 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Keokuk County 65+
2,191
21.9% of county
County Population
10,026
Keokuk County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
35
Avg Residents/Day
28.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1997
Sprinklers
Yes
Council
None
County
Keokuk
Last Inspection
Dec 11, 2025
Deficiencies (Cycle 1)
13
Weighted Score
198.5
Infection Citations
0

Deficiency Citations (50)

F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: May 19, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 19, 2026Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: May 19, 2026Corrected: NoCycle: 1
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: May 19, 2026Corrected: NoCycle: 1
F0741Potential for Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey: May 19, 2026Corrected: NoCycle: 1
F0742Potential for Harm

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.

Survey: May 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 19, 2026Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Dec 11, 2025Corrected: NoCycle: 1
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
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: 2
F0609Immediate Jeopardy

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

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

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

Survey: Nov 19, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
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: 2
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0868Potential for Harm

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

Survey: Nov 19, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 19, 2024Corrected: NoCycle: 2
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: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Nov 19, 2024Corrected: NoCycle: 2
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: 2

+ 20 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 Aide2.26 hrs
National avg: 2.32 hrs
LPN0.49 hrs
National avg: 0.86 hrs
RN0.72 hrs
National avg: 0.69 hrs
Total Nursing3.47 hrs
National avg: 3.86 hrs
Weekend Total3.05 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
70.4%
RN Turnover
77.8%
Administrators Left
2

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (23)

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 FAM TR5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
SAMARA FAMILY HOLDINGS LLC5% 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
GAMZEH, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 10, 2025
GREATOREX, TINAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 10, 2025
SCHIOWITZ, MARCINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 10, 2025
204 N KEOKUK WASHINGTON ROAD PROPCO LLCADP OF THE SNFOrganizationN/AJan 1, 2025
CARESAGE ADMINISTRATIVE CONSULTING, LLCADP OF THE SNFOrganizationN/AJan 1, 2025
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationN/AJan 1, 2025
IOWA 5784 LLCADP OF THE SNFOrganizationN/AApr 10, 2025
JSJ 2020 FAMILY TRADP OF THE SNFOrganizationN/AJan 1, 2025
JSJ PROPERTY LLCADP OF THE SNFOrganizationN/AJan 1, 2025
SAMARA FAM TRADP OF THE SNFOrganizationN/AJan 1, 2025
SAMARA FAMILY HOLDINGS LLCADP OF THE SNFOrganizationN/AJan 1, 2025
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/AJan 1, 2025
CASE, JANELLEADP OF THE SNFIndividualN/AJan 1, 2025
MILLER, DANIELADP OF THE SNFIndividualN/AJan 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Harvest Acres Nursing and Rehab and nearby alternatives.

All Iowa facilities
Harvest Acres Nursing and Rehab
Keota, IACurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $136,500
Parkview Manor
Wellman, IA9.6 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $93,473
English Valley Nursing Care Center
North English, IA12.6 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Manor House Care Center
Sigourney, IA13.7 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Stone Cottage Care Center
Sigourney, IA13.8 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $18,682
Halcyon House
Washington, IA14.2 mi
CMS
4/5
Health
2/5
Staffing
5/5
Recorded fines: None
United Presbyterian Home
Washington, IA14.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Harvest Acres Nursing and Rehab
Keota, IA · Current facility
—1/51/52/5$136,500
Parkview Manor
Wellman, IA
9.6 mi1/51/51/5$93,473
English Valley Nursing Care Center
North English, IA
12.6 mi5/55/53/5None recorded
Manor House Care Center
Sigourney, IA
13.7 mi2/52/52/5None recorded
Stone Cottage Care Center
Sigourney, IA
13.8 mi1/51/53/5$18,682
Halcyon House
Washington, IA
14.2 mi4/52/55/5None recorded
United Presbyterian Home
Washington, IA
14.6 mi5/54/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Harvest Acres Nursing and Rehab cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Harvest Acres Nursing and Rehab participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Harvest Acres Nursing and Rehab had any health inspection violations?▾
Harvest Acres Nursing and Rehab had 13 deficiency citations in its most recent health inspection (Dec 11, 2025). The current CMS dataset records 1 fine(s) totaling $136,500.
What are the staffing levels at Harvest Acres Nursing and Rehab?▾
Harvest Acres Nursing and Rehab provides 3.47 total nursing staff hours per resident per day, including 0.72 RN hours, 0.49 LPN hours, and 2.26 nurse aide hours. The total staff turnover rate is 70.4%.
How many beds does Harvest Acres Nursing and Rehab have?▾
Harvest Acres Nursing and Rehab has 35 certified beds with an average of 28.7 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Limited Liability company owned and is part of the Cedar View Holdings chain.
Are there other nursing homes near Harvest Acres Nursing and Rehab?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Harvest Acres Nursing and Rehab?▾
On Google Maps, Harvest Acres Nursing and Rehab has a rating of 4.7 out of 5 based on 16 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Cedar View Holdings

This chain operates 9 facilities. View all →