Harvest Acres Nursing and Rehab
Nursing Home · Keota, IA
CMS certification number165355
Contact & location
204 North Keokuk Washington RoadKeota, IA 52248
Keokuk County
- Phone
- (641) 636-3400
- ZIP code
- 52248 – all care providers
Facility details
- Certified beds
- 35
- Residents per day
- 28.7 (82% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Harvest Acres Nursing and Rehab, LLC
- Chain
- Cedar View Holdings (9 facilities, avg 1.2★)
- Medicare certified since
- August 1, 1997
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.47 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.72 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.49 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.26 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.05 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 70.4 (state 44.0 · U.S. 45.8)%
- RN turnover
- 77.8 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- December 11, 2025
- Health deficiencies (last cycle)
- 13.0 (state 6.5 · U.S. 9.3)
- From complaints
- 11
- Citations on record (3 years)
- 50 health · 19 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-19 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | 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. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-05-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2025-12-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-12-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-12-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-12-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-12-11 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-12-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2024-11-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-19 |
| 2024-11-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-19 |
| 2024-11-19 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-19 |
| 2024-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
H Actual harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
G Actual harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-11-19 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-11-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-11-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-19 |
| 2024-01-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2024-01-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $136,500 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-07 | Fine | $136,500 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Amaranthine Holdings LLC (organization) | 5%+ Direct Ownership Interest | |
| Cedar View Holdings LLC (organization) | 5%+ Direct Ownership Interest | |
| Cedar View TR (organization) | 5%+ Indirect Ownership Interest | |
| Iowa 5784 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Samara Fam TR (organization) | 5%+ Indirect Ownership Interest | |
| Samara Family Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Sebbag, Gabriel (individual) | 5%+ Indirect Ownership Interest | |
| 204 N Keokuk Washington Road Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Caresage Administrative Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Case, Janelle (individual) | Administrator · NOT APPLICABLE | |
| Clinical Consulting Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Iowa 5784 LLC (organization) | Administrator · NOT APPLICABLE | |
| JSJ 2020 Fam TR (organization) | Administrator · NOT APPLICABLE | |
| JSJ Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Miller, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Samara Fam TR (organization) | Administrator · NOT APPLICABLE | |
| Samara Family Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Summation Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Gamzeh, David (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Greatorex, Tina (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Schiowitz, Marc (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Case, Janelle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Miller, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Harvest Acres Nursing and Rehab?
Harvest Acres Nursing and Rehab has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Harvest Acres Nursing and Rehab have?
It has 35 certified beds and cares for about 29 residents per day.
Has Harvest Acres Nursing and Rehab been fined?
Yes. CMS lists 1 penalty totaling $136,500 in the last three years.
Who owns Harvest Acres Nursing and Rehab?
It is part of Cedar View Holdings and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Harvest Acres Nursing and Rehab?
(641) 636-3400. The facility is located at 204 North Keokuk Washington Road, Keota, IA 52248.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.