Harvest Acres Nursing and Rehab
204 North Keokuk Washington Road · Keota, IA · 52248 · 6416363400
35 certified beds For profit - Limited Liability company Chain: Cedar View Holdings
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$136,500 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $136,500 |
Inspection citations (46 in the current record)
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Potential for harm · D December 11, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · E December 11, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected January 2, 2026 · Pharmacy Service
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Potential for harm · D December 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 2, 2026 · Infection Control
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Immediate jeopardy · K November 19, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 19, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 19, 2024 · Quality of Life and Care
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Actual harm · G November 19, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 19, 2024 · Nutrition and Dietary
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Actual harm · H November 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
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.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 19, 2024
Assess the resident when there is a significant change in condition
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
Provide activities to meet all resident's needs.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
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.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · D November 19, 2024
Ensure that residents are free from significant medication errors.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · E November 19, 2024
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.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · D November 19, 2024
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.
Corrected December 19, 2024 · Nutrition and Dietary
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Potential for harm · D November 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 19, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected November 19, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 7, 2024 | Fine | $136,500 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165355 · certified since August 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.