F

Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 52248
Score: 12 / 100

With a score of 12/100, Harvest Acres Nursing And Rehab ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Harvest Acres Nursing And Rehab, with 3.05 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 46 deficiencies at Harvest Acres Nursing And Rehab, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.05 3.8 Below Average
Registered Nurses (RN) 0.65 0.7 Average
Licensed Practical Nurses (LPN) 0.60 0.7 Below Average
Certified Nursing Assistants (CNA) 1.80 2.4 Below Average
Weekend Total Nursing 2.67 3.8 Below Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

46
Total Deficiencies
Dec 10, 2025
Most Recent Inspection
🟠 42 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0655 Severity E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Dec 10, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Dec 10, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Dec 10, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Dec 10, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.9% 4.5% Better
Falls with major injury 19.6% 3.0% Worse
On antipsychotic medication 51.8% 14.5% Worse
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 16.9% 14.0% Worse
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 34.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $136,500

How This Grade Was Calculated

This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
35
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 10, 2025
Deficiencies (Cycle 1)
6

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