Harvest Acres Nursing and Rehab
204 North Keokuk Washington Road, Keota, IA 52248
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
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Harvest Acres Nursing and Rehab, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
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 (17.4%) is above the Iowa average of 3.8% — a measure worth asking the staff about. With 35 certified beds, it maintains moderate occupancy at roughly 82% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 46.5% — worse than the Iowa average of 19.5% (139% higher).
- Falls with major injury: 17.4% — worse than the Iowa average of 3.8% (352% higher).
- High-risk pressure ulcers: 2.1% — better than the Iowa average of 4.2% (50% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Harvest Acres Nursing and Rehab
Use these facility-specific questions when calling admissions, touring the building, or comparing Harvest Acres Nursing and Rehab with other nursing homes in Keota.
How is Harvest Acres Nursing and Rehab addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Harvest Acres Nursing and Rehab doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 46.5% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What is Harvest Acres Nursing and Rehab doing to reduce falls with major injury?
Falls with major injury is 17.4% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How do residents and families raise concerns at Harvest Acres Nursing and Rehab?
CMS data does not list an active family or resident council here, so ask how care-plan concerns, complaints, and follow-up are tracked.
What would the first 30 days look like for a new resident at Harvest Acres Nursing and Rehab?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
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
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