CareSentinel

Federal Nursing-Home Survey Record

Harvest Acres Nursing and Rehab

CCN 165355 · 204 North Keokuk Washington Road, Keota, IA, 52248

Does Harvest Acres Nursing and Rehab have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Harvest Acres Nursing and Rehab (CCN 165355), in Keota, IA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $136,500 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $136,500 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$136,500

CMS has $136,500 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-11
CURRENT CYCLE
F655S/S E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-12-11
CURRENT CYCLE
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2025-12-11
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-12-11
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-12-11
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-12-11
CURRENT CYCLE
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2024-11-19
HISTORICAL
F600S/S K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-11-19
HISTORICAL
F610S/S K

Respond appropriately to all alleged violations.

2024-11-19
HISTORICAL
F609S/S K

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-11-19
HISTORICAL
F684S/S J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-11-19
HISTORICAL
F689S/S H

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-11-19
HISTORICAL
F805S/S G

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-11-19
HISTORICAL
F868S/S E

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-11-19
HISTORICAL
F865S/S E

Have a plan that describes the process for conducting QAPI and QAA activities.

2024-11-19
HISTORICAL
F882S/S E

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2024-11-19
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2024-11-19
HISTORICAL
F761S/S E

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.

2024-11-19
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2024-11-19
HISTORICAL
F578S/S D

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.

2024-11-19
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-11-19
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-11-19
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2024-11-19
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-11-19
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-11-19
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2024-11-19
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-11-19
HISTORICAL
F700S/S D

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.

2024-11-19
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-11-19
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-11-19
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-11-19
HISTORICAL
F803S/S D

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.

2024-11-19
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-11-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-01-23
HISTORICAL
F882S/S E

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2024-01-23
HISTORICAL
F881S/S E

Implement a program that monitors antibiotic use.

2024-01-23
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-01-23
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2024-01-23
HISTORICAL
F868S/S D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-01-23
HISTORICAL
F578S/S D

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.

2024-01-23
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-01-23
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-01-23
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2024-01-23
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-06-15
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-06-15
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-06-15
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Harvest Acres Nursing and Rehab?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…