Harvest Acres Nursing and Rehab
Harvest Acres Nursing and Rehab is a 35-bed nursing home in Keota, Iowa. CMS has certified it for Medicare and Medicaid since 1997-08-01. It averages 28.7 residents a day.
What harm was found in the violations cited at Harvest Acres Nursing and Rehab?
CMS lists 50 health-inspection deficiencies for Harvest Acres Nursing and Rehab, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-19 | F0553, F0580, F0627, F0656, F0741, F0742, F0880 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Provide and implement an infection prevention and control program. | D |
| 2025-12-11 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| 2025-12-11 | F0582, F0656, F0684, F0759, F0880 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2024-11-19 | F0600, F0609, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | K |
| 2024-11-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2024-11-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H |
| 2024-11-19 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | G |
| 2024-11-19 | F0725, F0761, F0865, F0868, F0882 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2024-11-19 | F0550, F0578, F0583, F0623, F0637, F0657, F0677, F0679, F0690, F0700, F0740, F0759, F0760, F0803, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Keep residents' personal and medical records private and confidential. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-01-23 | F0880, F0881, F0882 | Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2024-01-23 | F0578, F0644, F0655, F0657, F0677, F0758, F0868 | 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
Why was Harvest Acres Nursing and Rehab fined?
| Date | Type | Amount |
|---|---|---|
| 2024-11-07 | Fine | $136,500 |
How is Harvest Acres Nursing and Rehab staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.46737 | 3.81506 |
| Total nursing staff turnover (%) | 70.4 | 44.0 |
| Average number of residents per day | 28.7 | 52.4 |
Who owns Harvest Acres Nursing and Rehab, and what chain is it in?
Harvest Acres Nursing and Rehab is registered with CMS as For profit - Limited Liability company, operates under the legal business name HARVEST ACRES NURSING AND REHAB, LLC and belongs to the CEDAR VIEW HOLDINGS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AMARANTHINE HOLDINGS LLC, CEDAR VIEW HOLDINGS LLC | since 01/01/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CEDAR VIEW TR, IOWA 5784 LLC, SAMARA FAM TR, SAMARA FAMILY HOLDINGS LLC, SEBBAG, GABRIEL | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | CASE, JANELLE, MILLER, DANIEL | since 01/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | GAMZEH, DAVID, GREATOREX, TINA, SCHIOWITZ, MARC | since 04/10/2025 |
| ADP OF THE SNF | 204 N KEOKUK WASHINGTON ROAD PROPCO LLC, CARESAGE ADMINISTRATIVE CONSULTING, LLC, CLINICAL CONSULTING SERVICES LLC, IOWA 5784 LLC, JSJ 2020 FAM TR, JSJ PROPERTY LLC, SAMARA FAM TR, SAMARA FAMILY HOLDINGS LLC, SUMMATION FINANCIAL SERVICES LLC, CASE, JANELLE, MILLER, DANIEL | since 01/01/2025 |
Were you or a family member harmed at Harvest Acres Nursing and Rehab?