Home›Iowa›Keokuk County›Harvest Acres Nursing and Rehab
C
Below Standard

Harvest Acres Nursing and Rehab

204 North Keokuk Washington Road · Keota, IA 52248

6416363400 · For profit - Limited Liability company

35 beds27.5 residents50 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Harvest Acres Nursing and Rehab receives an overall staffing grade of C (Below Standard). With 3.054 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6501 HPRD, below the recommended 0.75. It is 0.84 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.05% compared to weekdays. The facility has low agency staff usage (1.24% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.054 HPRD — needs 0.43 more hours per resident per day.
⚠️RN staffing (0.6501 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (1.24%) — mostly permanent, familiar staff
Total Nurse HPRD
3.054hrs/resident/day▼ 0.84
CMS benchmark: 3.48
RN HPRD
0.6501hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
16.05%
3.1991 weekday → 2.6856 weekend
Agency Staff
1.24%
0% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.7882hrs/resident/day
Direct care aides
LPN HPRD
0.6072hrs/resident/day
Licensed practical nurses
Consistency
0.3993std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Keokuk County Average-0.06 HPRD
3.11
03.05 HPRD
vs. Iowa State Average-0.76 HPRD
3.82
03.05 HPRD
vs. National Average-0.84 HPRD
3.90
03.05 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Harvest Acres Nursing and Rehab ★
Keota · This facility
—
C
3.0540.6501★☆☆☆☆
Parkview Manor
Wellman
9.6 mi
C
3.54020.4375★☆☆☆☆
Manor House Care Center
Sigourney
13.7 mi
D
3.69590.3777★☆☆☆☆
Stone Cottage Care Center
Sigourney
13.8 mi
C
3.17240.4577★☆☆☆☆
Parkview Care Center
FAIRFIELD
24.8 mi
C
3.27670.5951★★☆☆☆
Lone Tree Health Care Center Inc
LONE TREE
28.4 mi
B
4.15530.6886★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
47
Total Deficiencies
$136,500
Fines Assessed
Dec 11, 2025Health
4 deficiencies cited
▼
Nov 19, 2024Health
27 deficiencies cited· Includes actual harm
▼
Jan 23, 2024Health
10 deficiencies cited
▼
Jun 15, 2023Health
3 deficiencies cited
▼
Nov 21, 2022Health
3 deficiencies cited
▼

Penalty History

Nov 7, 2024Fine
$136,500
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.