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Data / Nursing homes / Iowa / Harvest Acres Nursing and Rehab

Harvest Acres Nursing and Rehab, Keota, IA: 1 star rating, fined $136,500 across 1 fine

Harvest Acres Nursing and Rehab in Keota, IA is owned by Amaranthine Holdings LLC and Cedar View Holdings LLC, is rated 1 of 5 stars by Medicare, and was fined $136,500 across 1 fine in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on August 5, 2026, and 7 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
204 North Keokuk Washington Road, Keota, IA 52248
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5
Certified beds
35
Residents per day
28 on average
Ownership type
For profit, limited liability company
Legal business name
Harvest Acres Nursing and Rehab, LLC
Chain
Cedar View Holdings, 9 facilities
Fines
$136,500 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 7 with actual harm or immediate jeopardy
Latest survey
August 5, 2026
CMS Certification Number
165355
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 7, 2024Fine$136,500Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 5, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmNo plan of correctiondata.cms.gov
May 19, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F742Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
May 19, 2026F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
December 11, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
December 11, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
December 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
December 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
December 11, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
December 11, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
November 19, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.G: isolated, actual harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H: pattern, actual harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F610Respond appropriately to all alleged violations.K: pattern, immediate jeopardyCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.K: pattern, immediate jeopardyCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceNovember 19, 2024data.cms.gov
November 19, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE: pattern, no actual harm, potential for more than minimal harmPast noncomplianceNovember 19, 2024data.cms.gov
November 19, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F803Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F700Try 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
November 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
January 23, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 23, 2024F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (3 owners, 2 managers, 3 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Amaranthine Holdings LLCDirect ownerNot listedJanuary 1, 2025data.cms.gov
Cedar View Holdings LLCDirect ownerNot listedJanuary 1, 2025data.cms.gov
Iowa 5784 LLCIndirect ownerNot listedJanuary 1, 2025data.cms.gov
Samara Family Holdings LLCIndirect ownerNot listedJanuary 1, 2025data.cms.gov
204 N Keokuk Washington Road PROPCO LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Caresage Administrative Consulting, LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Clinical Consulting Services LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Iowa 5784 LLCAdditional disclosable partyNot listedApril 10, 2025data.cms.gov
JSJ Property LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Samara Family Holdings LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Summation Financial Services LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.