Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 52248 · (641) 636-3400
For profit - Limited Liability company · 35 certified beds

Harvest Acres Nursing and Rehab has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 6 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $136,500 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on December 11, 2025 found 6 citations. What an inspection citation means

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDecember 11, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.December 11, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 11, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 11, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.December 11, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 11, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 23 citations.

• Allow resident to participate in the development and implementation of his or her person-centered plan of care.May 19, 2026 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 19, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 19, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 19, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.May 19, 2026 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 19, 2026 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 11, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 11, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.December 11, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 11, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 19, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.November 19, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 19, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Respond appropriately to all alleged violations.November 19, 2024 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.November 19, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 19, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 19, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 19, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 19, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.November 19, 2024 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.January 23, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 23, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $136,500November 7, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home