For-Profit Medicare Medicaid

Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road, Keota, IA 52248

1.0 CMS Rating
For profit - Limited Liability company
35 Certified Beds
49 Safety Score

Based on 2026 CMS Data

Official Government Ratings

Health Inspections

Frequency & severity of deficiencies


Staffing Levels

Nurse hours per resident per day


Quality Measures

Clinical outcomes & care quality

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Care Quality Indicators

Pressure Ulcers (High Risk) 3%

Lower is better

Antipsychotic Medication Use 49.02%

Lower is better

Falls with Major Injury 18.75%

Lower is better

How Harvest Acres Nursing and Rehab Compares

Harvest Acres Nursing and Rehab is a 35-bed for-profit nursing facility in Keota, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of falls resulting in major injury (18.8%) is above the Iowa average of 3.7% — a measure worth asking the staff about. With 35 certified beds, it maintains moderate occupancy at roughly 83% occupied.

By the numbers vs. Iowa average

  • Long-stay antipsychotic medication use: 49.0% — worse than the Iowa average of 19.4% (152% higher).
  • Falls with major injury: 18.8% — worse than the Iowa average of 3.7% (404% higher).
  • High-risk pressure ulcers: 3.0% — better than the Iowa average of 4.3% (30% lower).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Iowa averages across 390 facilities tracked by ElderVoice.

The Senior Community Around Keota

Keota sits in Keokuk County, where adults 65 and older make up about 21.8% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.

Residents 65+
2,214 (21.8%)
Median age
43.4 years
Median household income
$52,012
Median home value
$95,800

Demographics for Keokuk County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Keota.

Facility Details

CMS Provider ID 165355
County Keokuk
Total Beds 35
Occupied Beds 29
Occupancy Rate 83%
Ownership For profit - Limited Liability company

Location

204 North Keokuk Washington Road, Keota, IA 52248

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Important Data Disclaimer

All facility information, ratings, and quality metrics displayed on this page are sourced from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. Data was last updated: May 4, 2026.

ElderVoice does not endorse, recommend, or guarantee any nursing home facility. The Safety Score is a proprietary calculation based on publicly available CMS data and is provided for informational purposes only. It should not be the sole factor in your care decisions.

We strongly recommend visiting facilities in person, speaking with staff and current residents' families, and verifying all information directly with the facility before making any decisions. For official Medicare ratings and complaint information, visit Medicare Care Compare.