Harvest Acres Nursing and Rehab: Staffing, Turnover, and Inspection Record
Harvest Acres Nursing and Rehab is a 35-bed for-profit nursing home in Keota, Iowa, part of Cedar View Holdings. In the CMS August 2026 release it reported 2.26 nurse aide hours per resident per day, 10% below the Iowa average of 2.51, and 70.4% nursing staff turnover (Iowa average 44.0%).
Harvest Acres Nursing and Rehab
204 North Keokuk Washington RoadKeota, IA 52248
Keokuk County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harvest Acres Nursing and Rehab, nurse aides logged 2.26 hours per resident per day, 10% below the Iowa average. With about 29 residents a day, that works out to roughly 65 aide hours a day, or about 8 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.26 | 2.51 | 2.32 |
| Licensed practical nurses | 0.49 | 0.56 | 0.86 |
| Registered nurses | 0.72 | 0.74 | 0.69 |
| All nursing staff | 3.47 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.05 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
70.4% of nursing staff at Harvest Acres Nursing and Rehab left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 77.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $136,500 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 7, 2024 | Fine | $136,500 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harvest Acres Nursing and Rehab holds 1 of 5 overall; the Iowa average is 3.1.
About Harvest Acres Nursing and Rehab
- Ownership: For profit - Limited Liability company
- Chain: Cedar View Holdings, 9 homes
- Legal name: Harvest Acres Nursing and Rehab, LLC
- Medicare and Medicaid certified since: Aug 1, 1997
- Area: rural
Nursing homes near Harvest Acres Nursing and Rehab
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Parkview Manor Wellman · abuse citation | 9.6 | 62 | 2.06 | 2.80 | — | 1 | $93,473 |
| English Valley Nursing Care Center North English | 12.6 | 44 | 2.01 | 3.12 | — | 5 | None |
| Manor House Care Center Sigourney | 13.7 | 55 | 2.44 | 3.63 | — | 2 | None |
| Stone Cottage Care Center Sigourney | 13.8 | 41 | 2.69 | 3.80 | 53.8% | 1 | $18,682 |
| Halcyon House Washington | 14.2 | 54 | 2.83 | 4.25 | 40.0% | 4 | $51,006 |
| United Presbyterian Home Washington | 14.6 | 55 | 2.97 | 4.35 | 35.1% | 5 | None |
| Pleasantview Home Kalona | 15.1 | 66 | 3.05 | 4.26 | 46.0% | 3 | None |
| Parkview Home Wayland | 20.9 | 34 | 2.87 | 4.07 | 39.3% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.