Jennifer Jeffords
Jun 2026
Would give 0 stars if I could. Changed my dad’s meds without telling the family and did not keep us informed of his moods and behaviors resulting from changing meds. Horrible place. Do not send your loved ones there.
1 / 5Quick Facts
- Total units
- 35
- Medicare rating
- 1 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 35
- Inspections
- View history (69 citations)
- Short-term stays
- Respite stays available before permanent move-in
CMS Care Compare
What Families Think
Families describe Harvest Acres Nursing And Rehab as a small, close-knit facility where staff are attentive and the environment feels like family. Most reviewers praise the nursing care, cleanliness, and activities program, though one family reported a serious communication breakdown around medication changes.
The Good
- Attentive nurses and CNAs praised by multiple reviewers
- Facility described as clean and well-maintained
- Active activities director with varied events
- Family-like, welcoming atmosphere noted repeatedly
- Staff handled memory-loss related fears creatively
The Bad
- One report of medication changes made without notifying family
AI-generated from reviews and community data.
Harvest Acres Nursing And Rehab is a senior living community in Keota, Iowa offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 4.5 out of 5 across 17 reviews.
About Harvest Acres Nursing And Rehab
Harvest Acres Nursing and Rehab is a 35-bed skilled nursing and long-term care facility in Keota, Iowa. The community serves both long-term residents and those in short-term rehabilitation stays.
Most families highlight the attentiveness of nursing and CNA staff to both medical and personal needs, describing a warm, family-oriented atmosphere where residents feel known and heard. Meals are noted as balanced and healthy, the facility is well-maintained inside and out, and the activities program offers regular events and entertainment. One family noted that staff "navigated the fear of showering from memory loss very creatively," reflecting adaptive care approaches. Families consistently report that staff go above and beyond during visits and move-ins.
The facility holds a 4.5/5 Google rating based on 17 reviews. While the majority of feedback is positive and centers on compassionate, attentive care, one reviewer raised serious concerns about medication changes made without family notification and inadequate communication about behavioral changes. Prospective families may want to clarify communication protocols and medication management procedures during their evaluation.
Types of Care at Harvest Acres Nursing And Rehab
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Medication Management
- On-Site Nurse (RN)
Activities
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Harvest Acres Nursing And Rehab
4.5overall · 17 ratings combined
4.5★ on Google (17)
Christine Smart
Oct 2025
After a successful 6 day respite stay our family decided to move Mom here. It’s been a a very good experience so far. Mom is adjusting well and enjoying activities. Staff was able to navigate the fear of showering from memory loss very creatively. The maintenance director was extremely helpful with move in.
Ellen Telleen
Sep 2024
Keota Care Center is a facility filled with love and homeliness. Everyone is treated as family, and in fact a lot of family members choose to work at Keota, wanting to provide the family atmosphere and love that is so important. When entering, you are greeted with a friendly and positive smile from the staff members who will go above and beyond to make your visit as pleasant and positive as possible. 10/10 recommend!
Jess Burger
Sep 2024
We are so happy with the care our family member is receiving at Keota Health Care Center! Staff take time to really get to know their patients and demonstrate a great deal of compassion. In our experience, residents feel heard, encouraged, and cared for.
Denny Nelson
Jun 2024
My wife Marty has been at KHCC for over three years, and receives excellent care. The nurses and CNA’s are attentive to both her personal and medical needs. She has balanced and healthy meals and a very comfortable living environment. The cleaning staff does a great job and the facility is well maintained, both inside and out. The activities director provides a variety of fun events and treats for all the residents to enjoy. I highly recommend the Keota Health Care Center.
Government Inspection History
4 inspection visits in the last three years, 69 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 19, 2026Health Complaint7 citations
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Provide 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 18, 2026
Dec 11, 2025Fire Safety StandardHealth ComplaintHealth Standard10 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 12, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 13, 2025
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 13, 2025
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 12, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 2, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 2, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2026
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2026
Nov 19, 2024Fire Safety StandardHealth ComplaintHealth Standard31 citations
Respond appropriately to all alleged violations.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Dec 19, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Dec 19, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity K of L: immediate jeopardy, patternCorrected Dec 19, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Dec 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Dec 19, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity G of L: actual harm, isolatedCorrected Dec 19, 2024
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 18, 2024
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 14, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 19, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 19, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2024
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 18, 2024
Ensure 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 19, 2024
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2024
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2024
Assess the resident when there is a significant change in condition
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Try 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2024
Jan 23, 2024Fire Safety StandardHealth ComplaintHealth Standard21 citations
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2024
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 31, 2024
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 1, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 1, 2024
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 5, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2024
Ensure that testing and maintenance of electrical equipment is performed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2024
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2024
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 30, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 16, 2024
Implement a program that monitors antibiotic use.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 16, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 16, 2024
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 16, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Implement 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2024
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Harvest Acres Nursing And Rehab offer?
Harvest Acres Nursing And Rehab offers Skilled Nursing / Long Term Care.
Where is Harvest Acres Nursing And Rehab located?
Harvest Acres Nursing And Rehab is located at 204 North Keokuk Washington Road in Keota, Iowa.
What do families say about Harvest Acres Nursing And Rehab?
Families describe Harvest Acres Nursing And Rehab as a small, close-knit facility where staff are attentive and the environment feels like family. Most reviewers praise the nursing care, cleanliness, and activities program, though one family reported a serious communication breakdown around medication changes.
How did Harvest Acres Nursing And Rehab do on recent health and safety inspections?
Harvest Acres Nursing And Rehab had 4 government inspection visits in the last three years, with 69 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Harvest Acres Nursing And Rehab?
Submit the Request Information form on this page to connect with Harvest Acres Nursing And Rehab and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Harvest Acres Nursing And Rehab? Claim this listing to update photos, pricing, and details. It's free.
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