Harvest Acres Nursing and Rehab is a Medicare-certified skilled nursing facility in Keota, IA (CCN 165355) operating under for profit - limited liability company ownership, with 35 certified beds and an average daily census of about 28 residents. CMS assigned it a 1-star Overall rating on the Five-Star Quality Rating System (much below average), built from a 1/5 Health Inspection component, a 2/5 Staffing component, and a 2/5 Quality Measures component. According to CMS Nursing Home Care Compare and the National Provider Identifier Registry, covering more than 14,000 Medicare- and Medicaid-certified nursing homes with over 1 million certified beds and Five-Star Quality Ratings issued since December 2008 you can search and compare here, every figure traces to its source in our methodology.

On compliance, CMS records show 31 total deficiencies on the most recent survey cycle (14 complaint-based), with 1 fine totaling $136,500 - the national average is 9.5 deficiencies per facility, so Harvest Acres Nursing and Rehab currently sits above that baseline. RN staffing is 0.65 hours per resident per day, which is 5% below the national average of 0.68 hours, a CMS-reported figure derived from payroll-based journal (PBJ) submissions. Note: CMS has flagged this facility with an abuse icon and Special Focus status, indicating a history of citations that warrants closer inspection of the full survey record.

Use the rating breakdown and inspection cycles above to look past the single headline star, the Overall rating is a weighted composite, and facilities with identical headline stars can have very different underlying Health Inspection or Quality Measures profiles. Important: PlainDoctor presents CMS Five-Star Quality Rating data exactly as published at data.cms.gov (February 2026 release) and does not calculate custom scores or rankings. This page is a directory of publicly available government data, not medical advice, a placement recommendation, or a substitute for visiting the facility in person. Before selecting a nursing home for yourself or a family member, read the full CMS survey reports, tour the property, interview staff, and consult licensed clinicians and elder-care advisors about medical and financial implications.