Harvest Acres Nursing and Rehab
Nursing home in Keota, Iowa, CMS certification number 165355
204 North Keokuk Washington Road, Keota, IA 52248 · Keokuk County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 35
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 11, 2025
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $136,500 (1)
Does Harvest Acres Nursing and Rehab take Medicare and Medicaid?
Yes to both. Harvest Acres Nursing and Rehab is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Harvest Acres Nursing and Rehab reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.38
- Registered nurse hours
- 0.72
- Licensed practical nurse hours
- 0.53
- Nurse aide hours
- 2.13
- Weekend total hours
- 3.14
- Nursing staff turnover
- 60.7%
- Registered nurse turnover
- 80%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on December 11, 2025 and cited 13 deficiencies, plus 11 from complaint visits.
The visit before, on November 19, 2024, found 27.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Harvest Acres Nursing and Rehab 1 time in the past 3 years, for $136,500 in total.
Beds and residents
On an average day 28.5 residents live here, about 81% of its 35 certified beds.
- Certified beds
- 35
- Average residents per day
- 28.5
- Certified since
- August 1, 1997
Who owns Harvest Acres Nursing and Rehab
- Legal business name
- Harvest Acres Nursing and Rehab, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 9 homes nationally under Cedar View Holdings, 1.1-star chain average
Other nursing homes near Harvest Acres Nursing and Rehab
- Parkview Manor516 13th Street, Wellman 52356
- English Valley Nursing Care Center150 West Washington St, North English 52316
- Manor House Care Center1212 South Stuart Street, Sigourney 52591
- Stone Cottage Care Center900 South Stone Street, Sigourney 52591
- Halcyon House1015 South Iowa Avenue, Washington 52353
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Harvest Acres Nursing and Rehab, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Harvest Acres Nursing and Rehab
What is the CMS star rating of Harvest Acres Nursing and Rehab?
1 out of 5 stars overall.
Does Harvest Acres Nursing and Rehab accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Harvest Acres Nursing and Rehab?
13 cited at the last standard visit.
Who owns Harvest Acres Nursing and Rehab?
Harvest Acres Nursing and Rehab, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.