Care Considered Care, Considered.

← All IA nursing homes

Harvest Acres Nursing And Rehab

Keota, IA · Medicare and Medicaid-certified nursing home (CCN 165355) · 35 certified beds

CMS overall rating: 1★ (state average 3.07★ — below state average)
Health inspection: 1 · Quality measures: 2 · Staffing: 2
Federal fines: 1 totaling $136,500
Phone: (641) 636-3400 · Verify on Medicare Care Compare ↗

Harvest Acres Nursing And Rehab has a CMS overall star rating of 1 out of 5, below the Iowa state average of 3.07. Its health inspection rating is 1 out of 5 and its staffing rating is 2 out of 5.

Harvest Acres Nursing And Rehab reports total nurse staffing of about 3.47 hours per resident per day, including 0.72 RN hours per resident per day, with a CMS staffing rating of 2 out of 5. Nursing staff turnover is reported at 70.4%.

Harvest Acres Nursing And Rehab has 1 federal fine on record totaling $136,500.00, with 0 payment denials. No abuse icon or Special Focus designation was reported for this facility in the available CMS data.

Overall rating vs. benchmarks
Harvest Acres Nursing… Harvest Acres Nursing…: 1★ 1★ IA average IA average: 3.07★ 3.07★ Cedar View Holding chain avg Cedar View Holding chain avg: 1.2★ 1.2★

About this facility

Harvest Acres Nursing And Rehab is a for-profit (limited liability company) nursing home in Keota, Keokuk County, Iowa, certified for 35 beds with an average of 28.7 residents. The facility has been Medicare and Medicaid certified since August 1997.

According to CMS Care Compare, Harvest Acres holds an overall star rating of 1 out of 5, below the Iowa state average of 3.07. Its health inspection rating is 1 out of 5, its quality measure (QM) rating is 2 out of 5, and its staffing rating is 2 out of 5.

CMS reports total nurse staffing of approximately 3.47 hours per resident per day, including 0.72 RN hours per resident per day. Nursing staff turnover is reported at 70.4%.

On penalties, CMS records show 1 federal fine totaling $136,500.00 for this facility. There have been 0 payment denials on record. No abuse icon or Special Focus status was reported in the supplied data for this facility.

Harvest Acres is part of the Cedar View Holdings chain, which operates 9 facilities with an average CMS rating of 1.2 across the chain. There has been no ownership change reported in the last 12 months for this facility.

This profile is based on CMS Care Compare data as provided; families are encouraged to review the full inspection record directly on Medicare Care Compare for the most current information.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Harvest Acres has an overall rating of 1 out of 5, below the Iowa state average of 3.07.

Does this facility accept Medicare, Medicaid, or both?

It is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 3.47 hours per resident per day, including 0.72 RN hours, with a staffing rating of 2 out of 5 and turnover of 70.4%.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 1 fine totaling $136,500.00, with 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The provided CMS data does not indicate an abuse icon or Special Focus status for this facility.

How large is this facility and how many residents live there?

It is certified for 35 beds with an average of 28.7 residents.

Who owns this facility — and is it part of a chain?

It is a for-profit LLC and part of the Cedar View Holdings chain, which operates 9 facilities with a chain average rating of 1.2.

How long has this facility been Medicare/Medicaid certified?

It has been certified since August 1997.

What do the four different CMS star ratings mean?

CMS publishes an overall rating along with separate health inspection, quality measure, and staffing ratings; here they are 1, 1, 2, and 2 respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify service types; contact the facility at 6416363400 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 6416363400 and verify on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/165355?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.