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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 27 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $136,500 was recorded.
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.