Overview
Harvest Acres Nursing and Rehab has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Keota. It scores best on quality of care (2 of 5) and lowest on health inspections (1 of 5).
Residents receive about 3.4 hours of nursing care per day, fewer than at 80% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.7 hours come from registered nurses.
Its most recent standard inspection, on December 11, 2025, found 13 health deficiencies, more than the Iowa average of 6.5. 11 of them came from complaint investigations. Medicare records 1 fine totaling $136,500 in the past three years.
Harvest Acres Nursing and Rehab is a for-profit facility with 35 certified beds, caring for about 29 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1997.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 93%
Top 96%
Family reviews
No reviews yet. If your family has experience with Harvest Acres Nursing and Rehab, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- December 11, 2025
- Health deficiencies cited
- 13
- Complaint-related deficiencies
- 11
- Fines in the last 3 years
- 1 totaling $136,500
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.38 hrs
- Registered nurses (RN)0.72 hrs
- Licensed practical nurses (LPN)0.53 hrs
- Nurse aides2.13 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 35
- Average residents per day
- 29
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- August 1, 1997
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes