Sigourney · 13.8 mi
Stone Cottage Care Center
1 of 5 · Medicare
View facility →Harvest Acres Nursing and Rehab
⌖ Keota, IA · Keokuk County
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Medicare overall rating 1 of 5 stars
Certified beds35
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Harvest Acres Nursing and Rehab
Harvest Acres Nursing and Rehab is a 35-bed for-profit nursing home in Keota, IA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Iowa is 3.1.
- Inspections: 13 problems at its last full inspection (Dec 2025), more than the Iowa average of 6.5. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 3 hr 28 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 70% of nursing staff left in the past year.
- Fines: $136,500 in federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameHarvest Acres Nursing And Rehab
LocationKeokuk County, Iowa
Phone(641) 636-3400
Address204 North Keokuk Washington Road, Keota, IA 52248 · Keokuk County
Medicare provider number165355
Ownership typeFor-profit (limited liability company)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 1, 1997 (29 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Dec 2025No citations for actual harm or immediate jeopardy since Dec 2025.Strength
About average
- Nurse staffing per resident3 hr 28 min a dayIowa average: 3 hr 49 minAbout average
- Registered nurse time per resident43 min a dayIowa average: 45 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $136,500Federal penalties from the last three years, most recently in Nov 2024 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection13 (Dec 2025)Iowa average: 6.5.Worse than state average
- Nursing staff turnover70% a yearIowa average: 44%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury17.3%State average: 3.8%Worse than average
- Pressure sores (bedsores)2.1%State average: 4.2%Better than average
- Given antipsychotic drugs46.6%State average: 19.5%Worse than average
- Hospital stays per 1,000 resident days1.2State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 71% Medicaid
- 2% Medicare
- 27% Private pay, insurance and other
Beds in use, on average42%Iowa typical: 79%
Facility operating cost per resident day$292Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 14 times.
Overall rating1★
Health inspections1★
Staffing2★
Quality of care2★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 4 | 5 | 3.3 |
| Jan 2020 | 1 | 2 | 1 | 4 | 3.0 |
| Jan 2021 | 3 | 2 | 4 | 2 | 3.2 |
| Jan 2022 | 3 | 3 | 4 | 1 | 3.2 |
| Jan 2023 | 4 | 4 | 3 | 3 | 3.3 |
| Jan 2024 | 3 | 4 | 4 | 1 | 3.9 |
| Feb 2025 | 1 | 1 | 3 | 4 | 2.8 |
| Feb 2026 | 1 | 1 | 2 | 2 | 3.0 |
| Sep 2026 | 1 | 1 | 2 | 2 | 3.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.