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
Nursing home report
Keota Health Care Center
Registered name: Harvest Acres Nursing and Rehab
Keota, IA · Medicare-certified · 35 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Keota Health Care Center has a 1-star overall rating, with 1-star health inspections, 2-star staffing, and 2-star quality measures. It has recent federal penalties and $136,500 in fines over the last 24 months, and reported nurse staffing of 3.47 hours per resident per day is below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.4674 hrs/resident/day
Quality measures
Last inspection: May 19, 2026Penalties, last 24 months: $136,500recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4674.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.26
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 78%
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
—46.6%—
Residents with a fall causing major injury
19%14.8%Improving
Residents with pressure ulcers (bedsores)
0%3.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5%8.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
40%34.8%Improving
Residents whose ability to walk got worse
—19.1%—
Long-stay residents on antianxiety or sleep medication
40%45.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
53.3%48.8%Improving
Residents with depressive symptoms
20%27.3%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
52.4%44.4%Worsening
Short-stay residents given the pneumonia vaccine
—27.6%—
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 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 7 health deficiencies.
See what inspectors found
- 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.
- $136,500
Federal fine
Nov 7, 2024
Operator & ownership
Recent ownership change · Jan 1, 2025
Now operated by Harvest Acres Nursing and Rehab, previously Keota Health Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CEDAR VIEW HOLDINGS · 9 homes · 1.3 stars avg
- Occupancy
- 28.7 residents on an average day (82% of 35 beds)
- Medicare history
- Certified for 29 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.