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Nursing home report

Harvest Acres Nursing and Rehab

Keota, IA · Medicare-certified · 35 beds

Needs attention
For-profit
1 of 5 overall

Harvest Acres Nursing and Rehab in Keota, IA has a 1 out of 5 overall star rating, with a 1-star health inspection rating and 2-star staffing and quality measures ratings. Reported nurse staffing is 3.26 hours per resident per day, below the federal benchmark of 4.1, and the facility had $136,500 in fines in the last 24 months with a recent federal penalty flag.

Facility ratings

Health inspections

Staffing

3.2583 hrs/resident/day

Quality measures

Last inspection: December 11, 2025Penalties, last 24 months: $136,500recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2583.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
0.62
Nurse aides
2.05
Weekend nursing
3.09

Hours per resident per day.

Total staff turnover: 63%
Registered nurse turnover: 88%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

49%

Residents with a fall causing major injury

20%17.9%Improving

Residents with pressure ulcers (bedsores)

6.7%4.3%Improving

Residents with a urinary tract infection

4%0%Improving

Residents who lost too much weight

5%8.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

40%40%No change

Residents whose ability to walk got worse

13%

Long-stay residents on antianxiety or sleep medication

40%36%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

17.1%36%Worsening

Residents with depressive symptoms

0%20%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

84%

Long-stay residents given the pneumonia vaccine

64%39.3%Worsening

Short-stay residents given the pneumonia vaccine

26.9%

What the inspectors found

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: K

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited November 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — limited pattern, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: H

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 27 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $136,500 was recorded.

  5. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $136,500 in total fines.

  • Federal fine

    Nov 7, 2024

    $136,500

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
29.1 residents on an average day (83% of 35 beds)
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.