Nursing homes › Iowa › Harvest Acres Nursing and Rehab
204 North Keokuk Washington Road, Keota, IA 52248 · 6416363400 · 35 certified beds
Per CMS filings, this facility is affiliated with Cedar View Holdings, a group operating 9 facilities in 2 states. Group record: average rating 1.3/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $438,262 in federal fines. This facility rates below its group average (1.3/5).
Total nurse staffing: 3.47 (Iowa median: 3.69). RN hours: 0.72. Weekend total: 3.05. Nursing staff turnover: 70%.
All-time on record: 50 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-19 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | 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. | D | complaint | corrected 2026-06-18 |
| 2026-05-19 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-06-18 |
| 2025-12-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2026-01-02 |
| 2025-12-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-01-02 |
| 2025-12-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-02 |
| 2025-12-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-01-02 |
| 2025-12-11 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2026-01-02 |
| 2025-12-11 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-01-02 |
| 2024-11-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-12-19 |
| 2024-11-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Health | corrected 2024-12-19 |
| 2024-11-19 | Respond appropriately to all alleged violations. | K | complaint | corrected 2024-12-19 |
| 2024-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-12-19 |
| 2024-11-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | complaint | corrected 2024-12-19 |
| 2024-11-19 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | G | Health | corrected 2024-12-19 |
| 2024-11-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-12-19 |
| 2024-11-19 | 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. | E | Health | corrected 2024-12-19 |
| 2024-11-19 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | complaint | corrected 2024-12-19 |
| 2024-11-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Health | corrected 2024-11-19 |
| 2024-11-19 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2024-11-19 |
| 2024-11-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-12-19 |
| 2024-11-19 | 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. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-12-19 |
| 2024-11-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-12-19 |
| 2024-11-19 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-12-19 |
| 2024-11-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Provide activities to meet all resident's needs. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | 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. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | 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. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-12-19 |
| 2024-11-19 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-19 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-07 | Fine | $136,500 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AMARANTHINE HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| CEDAR VIEW HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| CEDAR VIEW TR | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| IOWA 5784 LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SAMARA FAM TR | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SAMARA FAMILY HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SEBBAG, GABRIEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| CASE, JANELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MILLER, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165355. Corrections: data@carerecords.org.