Starfile / Iowa

Harvest Acres Nursing and Rehab

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

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$136,500

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (46)4 immediate jeopardy2 actual harm

1. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

2. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

5. DF0759Ensure medication error rates are not 5 percent or greater.2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

6. DF0880Provide and implement an infection prevention and control program.2025-12-11 · Health · corrected 2026-01-02

   Potential for more than minimal harm

7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-19 · Health · corrected 2024-12-19

   Potential for more than minimal harm

8. DF0578Honor 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 · Health · corrected 2024-12-19

   Potential for more than minimal harm

9. DF0583Keep residents' personal and medical records private and confidential.2024-11-19 · Health · corrected 2024-12-19

   Potential for more than minimal harm

10. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-19 · Health · corrected 2024-12-19

    Immediate jeopardy

11. KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-19 · Health · corrected 2024-12-19

    Immediate jeopardy

12. KF0610Respond appropriately to all alleged violations.2024-11-19 · Health · corrected 2024-12-19

    Immediate jeopardy

13. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

14. DF0637Assess the resident when there is a significant change in condition2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

15. DF0657Develop 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

17. DF0679Provide activities to meet all resident's needs.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

18. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-19 · Health · corrected 2024-12-19

    Immediate jeopardy

19. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-19 · Health · corrected 2024-12-19

    Actual harm

20. DF0690Provide 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

21. DF0700Try 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

22. EF0725Provide 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

23. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

25. DF0760Ensure that residents are free from significant medication errors.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

26. EF0761Ensure 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

27. DF0803Ensure 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 · Health · corrected 2024-12-19

    Potential for more than minimal harm

28. GF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-11-19 · Health · corrected 2024-12-19

    Actual harm

29. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

30. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

31. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-11-19 · Health · corrected 2024-11-19

    Potential for more than minimal harm

32. DF0880Provide and implement an infection prevention and control program.2024-11-19 · Health · corrected 2024-12-19

    Potential for more than minimal harm

33. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-11-19 · Health · corrected 2024-11-19

    Potential for more than minimal harm

34. DF0578Honor 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 · Health · corrected 2024-02-16

    Potential for more than minimal harm

35. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

36. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

37. DF0657Develop 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 · Health · corrected 2024-02-16

    Potential for more than minimal harm

38. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

39. DF0758Implement 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 · Health · corrected 2024-02-16

    Potential for more than minimal harm

40. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

41. EF0880Provide and implement an infection prevention and control program.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

42. EF0881Implement a program that monitors antibiotic use.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

43. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

44. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-15 · Health · corrected 2023-07-14

    Potential for more than minimal harm

45. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-15 · Health · corrected 2023-07-14

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-15 · Health · corrected 2023-07-14

    Potential for more than minimal harm

Ownership

Other facilities in Keota

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.