Harvest Acres Nursing And Rehab
204 North Keokuk Washington Road, Keota, IA, 52248
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Cedar View Holdings
- Certified beds
- 35 · avg 29 residents/day
- Total nursing staff turnover
- 62.5% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $136,500 total
Medicare certification
- CMS Certification Number
- 165355
- Certified beds
- 35 beds · avg 29 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Harvest Acres Nursing And Rehab, Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (16 on record)
- Iowa 5784 Llc
Adp of The Snf · since 2025
- 204 n Keokuk Washington Road Propco Llc
Adp of The Snf · since 2025
- Amaranthine Holdings Llc
5% or Greater Direct Ownership Interest · 100% · since 2025
- Caresage Administrative Consulting, Llc
Adp of The Snf · since 2025
- Cedar View Holdings Llc
5% or Greater Direct Ownership Interest · 24% · since 2025
- Cedar View tr
5% or Greater Indirect Ownership Interest · 24% · since 2025
+ 10 additional owners on the federal record.
Recent change of ownership
January 2025 (1 year ago) · acquired from Keota Health Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 46)
- D0759·Dec 11, 2025Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0684·Dec 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Dec 11, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0655·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0582·Dec 11, 2025
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D0880·Dec 11, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0865·Nov 19, 2024Complaint
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- E0725·Nov 19, 2024Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal penalties
By year
- 20241 fine · $137K
Most recent events
- Nov 7, 2024Fine · $137K
Fire-safety citations
19 Life-Safety-Code citations on file. Most recent: Dec 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Harvest Acres Nursing And Rehabinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.