Nursing home
Harvest Acres Nursing and Rehab
204 North Keokuk Washington Road, Keota, IA 52248 · Map
For profit - Limited Liability company · 35 certified beds
Harvest Acres Nursing and Rehab is a Medicare-certified nursing home in Keota, Iowa. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.05 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Dec 11, 2025 cited 6 deficiencies.
- 1 fine totaling $136,500In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harvest Acres Nursing and Rehab compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.05 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.65 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.80 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 58.3% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $136,500, 1 total penalty.
What inspectors found at Harvest Acres Nursing and Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Dec 11, 2025 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 19, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 19, 2024 · Full report (PDF) - Immediate jeopardy
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 19, 2024 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Nov 19, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 204 North Keokuk Washington Road
Keota, IA 52248 - CMS certification #
- 165355
- Ownership
- For profit - Limited Liability company
- Certified beds
- 35
- Avg residents/day
- 27.5
- Provider type
- Medicare and Medicaid
- First certified
- 1997-08-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harvest Acres Nursing and Rehab using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Keokuk County Health Center, Sigourney. 13.1 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Parkview Manor, Wellman. 9.6 miles away, straight line.
- Nearest home health agency office
- Washington Co. Public Health, Washington. 12.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 13.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52248 as rural (rural area).
- Dialysis within 15 miles
- University Of Iowa Hospital & Clinics - Washington, Washington, 14.4 miles away, straight line
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 52248.
Hospice Of Washington County, office in Washington, 14.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- State University Of Iowa, Iowa City. 28.9 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Harvest Acres Nursing and Rehab a good nursing home?
CMS gives Harvest Acres Nursing and Rehab an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harvest Acres Nursing and Rehab staffed?
Harvest Acres Nursing and Rehab reports 3.05 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Harvest Acres Nursing and Rehab had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Harvest Acres Nursing and Rehab have?
Harvest Acres Nursing and Rehab is certified for 35 beds.