Harvest Acres Nursing and Rehab — Nursing Home in Keota, IA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 35 |
|---|---|
| Average Residents/Day | 22.8 |
| CMS Certification Number | 165355 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 3.33 HPRD |
|---|---|
| RN Staffing | 0.57 HPRD |
Health Inspection Findings & Deficiencies
Harvest Acres Nursing and Rehab had 6 health inspection deficiencies on its most recent inspection (December 11, 2025).
Inspection Findings — December 11, 2025
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Level D)Corrected — January 2, 2026
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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level E)Corrected — January 2, 2026
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)Corrected — January 2, 2026
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Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)Corrected — January 2, 2026
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Ensure medication error rates are not 5 percent or greater. (Level D)Corrected — January 2, 2026
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Provide and implement an infection prevention and control program. (Level D)Corrected — January 2, 2026
Harvest Acres Nursing and Rehab is a 35-bed nursing home in Keota, Iowa. It holds a 1-star CMS overall rating. Total nurse staffing is 3.3 hours per resident day, below the Iowa average of 3.8. Its most recent inspection, in December 2025, cited 6 deficiencies, none of them severe. It is on CMS's Special Focus Facility list, a designation for persistently poor-performing nursing homes. CMS has flagged this facility with an abuse icon.
One modest positive is that the facility’s most recent inspection problems were not judged to be severe. Worth asking the facility about is why it’s on CMS’s Special Focus list and has an abuse flag, and what specific, measurable steps it has taken to address the cited care-planning and staffing concerns.
Frequently Asked Questions
Is Harvest Acres Nursing and Rehab Medicare and Medicaid certified?
Harvest Acres Nursing and Rehab is Medicare certified and Medicaid certified according to CMS data.
What is Harvest Acres Nursing and Rehab's CMS star rating?
Harvest Acres Nursing and Rehab has an overall CMS rating of 1 out of 5 stars.
How is staffing at Harvest Acres Nursing and Rehab?
Harvest Acres Nursing and Rehab reports 3.32534 total nurse hours per resident day.
Has Harvest Acres Nursing and Rehab had health inspection deficiencies?
On its most recent inspection, Harvest Acres Nursing and Rehab had 6 total deficiencies, including 0 classified as severe.
How many beds does Harvest Acres Nursing and Rehab have?
Harvest Acres Nursing and Rehab has 35 certified beds.
Nearby Nursing Homes
- Parkview Manor — 1/5 — 9.6 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.