Nursing homeFAID #4268
Harvest Acres Nursing and Rehab
204 NORTH KEOKUK WASHINGTON ROAD, KEOTA, IA, 52248
(641) 636-3400
35 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
35
CMS facility ID
165355
Care type
Nursing home
County
Keokuk
Facility name
Harvest Acres Nursing and Rehab
Street address
204 NORTH KEOKUK WASHINGTON ROAD
City / state / ZIP
Keota, IA 52248
Phone
(641) 636-3400
About this facility — Harvest Acres Nursing and Rehab
Harvest Acres Nursing and Rehab is a Medicare/Medicaid-certified skilled nursing facility in Keota, Iowa. It is licensed for 35 beds — below the median for skilled nursing facilities in Iowa (57 beds).
It is one of 1 senior care facility in Keota and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Harvest Acres Nursing and Rehab 69 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $136,500 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Cedar View Holdings
Ownership type
For profit - Limited Liability company
Registered owners & officers
204 N Keokuk Washington Road Propco Llc
Additional disclosable party — since 2025
Amaranthine Holdings Llc
Direct owner — since 2025
Caresage Administrative Consulting, Llc
Additional disclosable party — since 2025
Case, Janelle
Operational control · Additional disclosable party — since 2025
Cedar View Holdings Llc
Direct owner — since 2025
Cedar View Tr
Indirect owner — since 2025
Clinical Consulting Services Llc
Additional disclosable party — since 2025
Gamzeh, David
Owner of a disclosable party — since 2025
Greatorex, Tina
Owner of a disclosable party — since 2025
Iowa 5784 Llc
Indirect owner · Additional disclosable party — since 2025
Jsj 2020 Fam Tr
Additional disclosable party — since 2025
Jsj Property Llc
Additional disclosable party — since 2025
Miller, Daniel
Operational control · Additional disclosable party — since 2025
Samara Fam Tr
Indirect owner · Additional disclosable party — since 2025
Samara Family Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Schiowitz, Marc
Owner of a disclosable party — since 2025
Sebbag, Gabriel
Indirect owner — since 2025
Summation Financial Services Llc
Additional disclosable party — since 2025
Regulatory standing
Licensed / certified since
1997-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$136,500 total
Last standard inspection
2025-12-11
Nurse staffing
3.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$357 per day (≈ $10,850/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 5% Medicare · 38% private/other
Occupancy
80% (fiscal year 2023)
Vs. state median
4% above the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
35
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-19Health inspectionComplaint-triggered7 citations
F-0553
D · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2026-06-18
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-18
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-06-18
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-18
F-0741
D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2026-06-18
F-0742
D · No harm foundFrom a complaint
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.
Corrected 2026-06-18
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-18
2025-12-11Health inspectionComplaint-triggered6 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-01-02
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-01-02
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-02
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-02
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
5 earlier / fire-safety inspections (56 citations)
2024-11-19Health inspectionComplaint-triggered27 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-19
F-0578
D · No harm found
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.
Corrected 2024-12-19
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-19
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-19
F-0609
K · Immediate jeopardy
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-19
F-0610
K · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-12-19
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-19
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-12-19
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-19
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-19
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-12-19
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-19
F-0689
H · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-19
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-19
F-0700
D · No harm found
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.
Corrected 2024-12-19
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-12-19
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-12-19
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-19
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-12-19
F-0761
E · No harm found
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.
Corrected 2024-12-19
F-0803
D · No harm foundFood safety
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.
Corrected 2024-12-19
F-0805
G · Actual harmFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-12-19
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-19
F-0865
E · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-12-19
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-11-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-19
F-0882
E · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-11-19
2024-01-23Health inspectionComplaint-triggered10 citations
F-0578
D · No harm found
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.
Corrected 2024-02-16
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-02-16
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-16
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-16
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-16
F-0758
D · No harm found
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.
Corrected 2024-02-16
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-02-16
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-02-16
F-0882
E · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-02-16
2025-12-11Fire-safety inspection4 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-12-13
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-12-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-13
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-12-12
2024-11-19Fire-safety inspection4 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-12-14
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-18
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-11-18
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-19
2024-01-23Fire-safety inspection11 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-02-24
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-31
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-02-01
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-01
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-24
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-24
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-30
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-24
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-01-30
Federal penalties
2024-11-07Fine$136,500
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165355.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered