Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
64
59 employees · 5 contractors · 14 on an average day Harvest Acres Nursing & Rehab
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Keota, IA
ALM Inspection Grade
D
ALM's inspection grade is 63 / 100, a D — 20 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 63 / 100, a D — 20 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Harvest Acres Nursing & Rehab
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Keota, IA
ALM Inspection Grade
D
ALM's inspection grade is 63 / 100, a D — 20 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 63 / 100, a D — 20 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Harvest Acres Nursing & Rehab accepts Medicare, Medicaid, and private pay.
Harvest Acres Nursing & Rehab is a 35-bed nursing home in Keota, Iowa, offering skilled nursing, memory care, hospice care, and respite care. The community can accommodate those living with memory-related conditions, as well as short-term stays, through hospice and respite care. Residents also have access to nursing services with licensed nurses on-site.
Additionally, short-term rehabilitation is available for residents who need temporary recovery support and therapy. Occupancy is at 82%, with an average length of stay of 442 days. Total nurse staffing is 3 hours and 25 minutes per resident each day, reflecting the daily nursing time assigned per resident.
Medicare, Medicaid, and private pay are also accepted, giving families public program and self-pay payment routes. Meanwhile, a Walk Score of 32 out of 100 places the area in a car-dependent setting, so residents who do not drive will generally need a car or transportation services for most errands.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 179th out of 225 nursing homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 25m
This nursing home is ranked 179th out of 225 nursing homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 25m6 of 6 metrics below Iowa average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 7.7-hour shifts
44m
↓ 1% · IA 44mThis facility: 44m per resident per day, 1% below the Iowa average of 44m (among Iowa facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 7.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 10 total: 9 of the facility's own employees and 1 agency contractor.
10 staff · 8.3-hour shifts
32m
↓ 5% · IA 34mThis facility: 32m per resident per day, 5% below the Iowa average of 34m (among Iowa facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 10 total: 9 of the facility's own employees and 1 agency contractor.
10 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 27 are the facility's own employees; no agency contractors work in this role.
27 staff · 7.7-hour shifts
2h 9m
↓ 15% · IA 2h 32mThis facility: 2h 9m per resident per day, 15% below the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 27 are the facility's own employees; no agency contractors work in this role.
27 staff · 7.7-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
0m
↓ 86% · IA 2mThis facility: 0m per resident per day, 86% below the Iowa average of 2m (among Iowa facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 11m
↓ 5% · IA 3h 21mThis facility: 3h 11m per resident per day, 5% below the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
22m
↓ 26% · IA 30mThis facility: 22m per resident per day, 26% below the Iowa average of 30m (among Iowa facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
64
59 employees · 5 contractors · 14 on an average day
64 total staff / 29 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.21 : 1
↑ 9% · IA 2.02This facility: 2.21 staff per resident, 9% above the Iowa average of 2.02 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
64 staff ÷ 29 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↓ 1% · IA 7.5 hThis facility: 7.4 h, 1% below the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
9,519 staff hours this quarter
See full Iowa ranking →99.6% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Occupational Therapy Assistant (2), Licensed Practical Nurse (1), Medical Director (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #221 / 235Bed count — State benchmarked This nursing home is ranked 221st out of 235 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #221 / 235Bed count — State benchmarked This nursing home is ranked 221st out of 235 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #183 / 249Walk Score — State benchmarked This nursing home is ranked 183rd out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #183 / 249Walk Score — State benchmarked This nursing home is ranked 183rd out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
32
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #119 / 226Occupancy rate — State benchmarked This nursing home is ranked 119th out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #119 / 226Occupancy rate — State benchmarked This nursing home is ranked 119th out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
81.4%
This home usually has availability
Based on residents per day and 35 beds.
Similar to the Iowa average: 79.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
29
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
344
days
About This Community
Short-Term Rehab
Short Term Rehabilitation
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Medicare and Medicaid Navigation
CMS Health Inspection History
ALM Inspection Grade
63 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
20 points below the Iowa average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
182 severity-weighted points (50 deficiencies) · 5× higher than the typical CMS-certified IA facility (median: 38)
Enforcement
Concern
$136,500 in fines · 1 enforcement action
Persistence
Concern
27 days to fix issues · slower than the typical CMS-certified IA facility (median: 22)
Total health inspections
4
↓ 20% · IA 5This facility: 4, 20% below the IA average of 5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
50
Rank #204 / 226Health citations — State benchmarked This nursing home is ranked 204th out of 226 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 226 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 142% · IA 20.7This facility: 50, 142% above the IA average of 20.7 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
12.5
Rank #224 / 226Citations per inspection — State benchmarked This nursing home is ranked 224th out of 226 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 226 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 225% · IA 3.85This facility: 12.5, 225% above the IA average of 3.85 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
50 of 50 citations corrected
Critical
J–L
4
↑ 700% · IA 0.5This facility: 4, 700% above the IA average of 0.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
2
↑ 122% · IA 0.9This facility: 2, 122% above the IA average of 0.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
44
↑ 132% · IA 19This facility: 44, 132% above the IA average of 19 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IA 0.4This facility: 0, 100% below the IA average of 0.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 19, 2026 · 7 citations, all corrected
Most cited category: Quality of Life & Care, 11 of 50 citations · 9 categories in total
Citations history
Most recent first
May 19, 2026
7 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Dec 11, 2025
6 citations
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nov 19, 2024
27 citations
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition serious citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jan 23, 2024
10 citations
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 50 citations
Quality of Life & Care
11 deficiencies (22%)
Resident Rights
9 deficiencies (18%)
Resident Assessment & Care Planning
9 deficiencies (18%)
Infection Control
7 deficiencies (14%)
Pharmacy Services
5 deficiencies (10%)
Administration
3 deficiencies (6%)
Abuse, Neglect & Exploitation
3 deficiencies (6%)
Nutrition & Dietary
2 deficiencies (4%)
Nursing & Physician Services
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 50 citations resulted from standard inspections; 7 of 50 resulted from complaint investigations; and 16 of 50 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Nov 7, 2024 · $136,500 civil money penalty
Nov 7, 2024 · $136,500 civil money penalty
Total fines
$136,500
↑ 186% · IA $48KThis facility: $136,500, 186% above the Iowa average of $47,684. Average among the 157 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #217 / 230Federal fines — State benchmarked This nursing home is ranked 217th out of 230 nursing homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 230 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 30% · IA 1.42This facility: 1, 30% below the Iowa average of 1.42. Average among the 157 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IA avg 0.47Iowa average: 0.47. Average among the 157 Iowa facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Nov 7, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$136,500
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$136,500Fine amount comparison
This facility
$136,500
Iowa average
$47,684
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Iowa and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 39% · IA 3.3This facility: 2.0, 39% below the IA average of 3.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
15.5
Score · lower is better
↑ 69% · IA 9.2This facility: 15.5, 69% above the IA average of 9.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
31.2
Score · lower is better
↑ 58% · IA 19.8This facility: 31.2, 58% above the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 2 better, 9 worse
1 short-stay measure: 1 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
32.9%
↑ 93% · IA 17.1This facility: 32.9, 93% above the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
32.9%
↑ 93% · IA 17.1This facility: 32.9, 93% above the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
19.1%
↑ 15% · IA 16.6This facility: 19.1, 15% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
19.1%
↑ 15% · IA 16.6This facility: 19.1, 15% above the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.5%
↑ 62% · IA 25.6This facility: 41.5, 62% above the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.5%
↑ 62% · IA 25.6This facility: 41.5, 62% above the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · IA 2.4This facility: 0.0, 100% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · IA 2.4This facility: 0.0, 100% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
17.4%
↑ 352% · IA 3.8This facility: 17.4, 352% above the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
17.4%
↑ 352% · IA 3.8This facility: 17.4, 352% above the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 50% · IA 4.2This facility: 2.1, 50% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 50% · IA 4.2This facility: 2.1, 50% below the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.3%
↑ 37% · IA 4.6This facility: 6.3, 37% above the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.3%
↑ 37% · IA 4.6This facility: 6.3, 37% above the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
16.0%
↑ 284% · IA 4.2This facility: 16.0, 284% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
16.0%
↑ 284% · IA 4.2This facility: 16.0, 284% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
46.6%
↑ 139% · IA 19.5This facility: 46.6, 139% above the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
46.6%
↑ 139% · IA 19.5This facility: 46.6, 139% above the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.9%
↓ 52% · IA 94.0This facility: 44.9, 52% below the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.9%
↓ 52% · IA 94.0This facility: 44.9, 52% below the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
↓ 12% · IA 95.3This facility: 84.0, 12% below the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
↓ 12% · IA 95.3This facility: 84.0, 12% below the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
27.6%
↓ 67% · IA 84.0This facility: 27.6, 67% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
27.6%
↓ 67% · IA 84.0This facility: 27.6, 67% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Harvest Acres Nursing & Rehab’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−4.6% operating margin
+24.9 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.1M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Iowa homes
63.7% payroll share of revenue
IA average 60.9%Rank #61 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 61st out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.2M while revenue fell $0.0M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $2.6M | −$0.0M | Trend 20162024 | IA median $6.3M | Rank in IA Rank #223 / 223Net patient revenue — State benchmarked This nursing home is ranked 223rd out of 223 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 0% of homes | Below IA median Higher net patient revenue than 0% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $2.7M | −$0.7M | Trend 20162024 | IA median — | Rank in IA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.1M | +$0.7M | Trend 20162024 | IA median — | Rank in IA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −4.6% | +24.9 pts | Trend 20162024 | IA median — | Rank in IA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | IA median — | Rank in IA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.1M | +$0.7M | Trend — | IA median — | Rank in IA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Iowa homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $1.6M | −$0.2M | Trend 20162024 | IA median $3.8M | Rank in IA Rank #222 / 223Payroll costs — State benchmarked This nursing home is ranked 222nd out of 223 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 0% of homes | Below IA median Higher payroll than 0% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 63.7% | −8.5 pts | Trend 20162024 | IA median 59.0% | Rank in IA Rank #61 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 61st out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | Near IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021no report | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $1.3M | $1.6M | $1.7M | $1.7M | $2.2M | $2.3M | $2.6M | $2.6M | |
| Operating expenses | $1.7M | $2.0M | $1.8M | $1.9M | $2.5M | $2.9M | $3.4M | $2.7M | |
| Net patient income | −$0.4M | −$0.3M | −$0.1M | −$0.1M | −$0.4M | −$0.6M | −$0.8M | −$0.1M | |
| Operating margin | −34.0% | −19.3% | −5.9% | −8.5% | −16.1% | −25.1% | −29.6% | −4.6% | |
| Net income | −$0.4M | −$0.3M | −$0.1M | −$0.1M | −$0.1M | −$0.6M | −$0.8M | −$0.1M | |
| Payroll costs | $1.0M | $1.3M | $1.2M | $1.2M | $1.6M | $1.7M | $1.9M | $1.6M | |
| Payroll share of revenue | 77.6% | 77.3% | 69.2% | 71.1% | 74.1% | 76.0% | 72.2% | 63.7% | |
| Beds | 42 | 42 | 35 | 35 | 35 | 35 | 35 | 60 | |
| Gross revenue | $1.3M | $1.7M | $1.7M | $1.8M | $2.2M | $3.6M | $3.6M | $2.7M | |
| Salaries | $0.8M | $1.1M | $1.0M | $1.0M | $1.4M | $1.5M | $1.6M | $1.4M | |
| Wage-related costs | $0.2M | $0.2M | $0.2M | $0.2M | $0.3M | $0.3M | $0.3M | $0.2M | |
| Contract labor | $0.1M | $0.1M | $0.0M | $0.1M | — | $0.3M | — | $0.0M | |
| Other operating costs | $0.7M | $0.7M | $0.6M | $0.6M | $0.9M | $1.1M | $1.5M | $1.1M | |
| Net patient revenue per day | $207 | $189 | $199 | $208 | $205 | $215 | $257 | $279 | |
| Cost per day | $277 | $226 | $211 | $226 | $237 | $269 | $333 | $292 | |
| Average length of stay | 233.6 days | 483.9 days | 339.7 days | 550.7 days | 275.3 days | 758.4 days | 442.3 days | 343.6 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
20 admissions · FY2024
Residents admitted during the year.
Medicare
8 · 40%
Medicaid
7 · 35%
Private pay & other
5 · 25%
Resident snapshot
29 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
1 · 3%
Medicaid
19 · 66%
Private pay & other
9 · 31%
Leaving
27 discharges · FY2024
Residents discharged during the year.
Medicare
8 · 30%
Medicaid
2 · 7%
Private pay & other
17 · 63%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Harvest Acres Nursing & Rehab
0.0 miles from city center
Estimated distance in miles from Keota's city center to Harvest Acres Nursing & Rehab's address, calculated via Google Maps.
Calculate Travel Distance to Harvest Acres Nursing & Rehab
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
66
Rank
#68 / 235 | ? |
83.3%
Facility
83.3%
IA AVG
79.1%
Rank
#103 / 226 | +5% | - | +5% | - | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 8
Facility
8
IA AVG
20.7
Rank
#46 / 226 | 2.0
Facility
2.0
IA AVG
3.8
Rank
#30 / 226 | 1 | 60 | - |
52
Facility
52
IA AVG
50
Rank
#108 / 249 | Friends Of Faith Retirement Homes, Inc | $15.4MFiscal year ending 03/2025
Facility
$15.4MFiscal year ending 03/2025
IA AVG
$7.4M
Rank
#11 / 223 | $11.8MFiscal year ending 03/2025
Facility
$11.8MFiscal year ending 03/2025
IA AVG
$4.5M
Rank
#6 / 223 | 76.4%Fiscal year ending 03/2025
Facility
76.4%Fiscal year ending 03/2025
IA AVG
60.9%
Rank
#16 / 223 | 165081 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
66
Rank
#54 / 235 | ? |
69.2%
Facility
69.2%
IA AVG
79.1%
Rank
#183 / 226 | -13% | 5.41
Facility
5.41
IA AVG
4.49
Rank
#13 / 225 | +34% | +21% | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 1
Facility
1
IA AVG
20.7
Rank
#1 / 226 | 1.0
Facility
1.0
IA AVG
3.8
Rank
#1 / 226 | - | 54 | - |
82
Facility
82
IA AVG
50
Rank
#27 / 249 | St Francis Manor Inc | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#84 / 223 | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#60 / 223 | 68.7%Fiscal year ending 12/2024
Facility
68.7%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#35 / 223 | 165480 | ||||
| Heritage House | NH ADC AL IL MC SNF | Atlantic | 169
Facility
169
IA AVG
66
Rank
#18 / 235 | ? |
57.4%
Facility
57.4%
IA AVG
79.1%
Rank
#202 / 226 | -27% | 4.81
Facility
4.81
IA AVG
4.49
Rank
#40 / 225 | +47% | +7% | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 11
Facility
11
IA AVG
20.7
Rank
#68 / 226 | 5.5
Facility
5.5
IA AVG
3.8
Rank
#178 / 226 | - | 62 | - |
73
Facility
73
IA AVG
50
Rank
#56 / 249 | - | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#101 / 223 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#30 / 223 | 103.1%Fiscal year ending 12/2024
Facility
103.1%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#3 / 223 | 165561 | ||||
| Stonehill Care Center | NH AL IL MC SNF | Dubuque | 185
Facility
185
IA AVG
66
Rank
#2 / 235 | ? |
86.4%
Facility
86.4%
IA AVG
79.1%
Rank
#87 / 226 | +9% | 4.06
Facility
4.06
IA AVG
4.49
Rank
#53 / 225 | +2% | -10% | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 4
Facility
4
IA AVG
20.7
Rank
#18 / 226 | 2.0
Facility
2.0
IA AVG
3.8
Rank
#30 / 226 | - | 160 | - |
89
Facility
89
IA AVG
50
Rank
#12 / 249 | Peggy Stockel | $29.1MFiscal year ending 06/2025
Facility
$29.1MFiscal year ending 06/2025
IA AVG
$7.4M
Rank
#2 / 223 | $17.2MFiscal year ending 06/2025
Facility
$17.2MFiscal year ending 06/2025
IA AVG
$4.5M
Rank
#2 / 223 | 59.1%Fiscal year ending 06/2025
Facility
59.1%Fiscal year ending 06/2025
IA AVG
60.9%
Rank
#110 / 223 | 165471 | ||||
| Harvest Acres Nursing & Rehab | NH HOS MC RC SNF | Keota | 35
Facility
35
IA AVG
66
Rank
#221 / 235 | D |
81.4%
Facility
81.4%
IA AVG
79.1%
Rank
#119 / 226 | +3% | 3.41
Facility
3.41
IA AVG
4.49
Rank
#179 / 225 | -19% | -24% | $136.5k
Facility
$136.5k
IA AVG
$53.2k
Rank
#217 / 230 | 50
Facility
50
IA AVG
20.7
Rank
#204 / 226 | 12.5
Facility
12.5
IA AVG
3.8
Rank
#224 / 226 | 6 | 29 | - |
32
Facility
32
IA AVG
50
Rank
#183 / 249 | Scott Mow | $2.6MFiscal year ending 12/2024
Facility
$2.6MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#223 / 223 | $1.6MFiscal year ending 12/2024
Facility
$1.6MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#222 / 223 | 63.7%Fiscal year ending 12/2024
Facility
63.7%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#61 / 223 | 165355 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Harvest Acres Nursing & Rehab
Quick answers from public records and the community's own listing.01 Is Harvest Acres Nursing & Rehab in a walkable area?
Harvest Acres Nursing & Rehab has a walk score of 32. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 What is the occupancy rate at Harvest Acres Nursing & Rehab?
Harvest Acres Nursing & Rehab's occupancy is 81.4%.
03 Are pets allowed at Harvest Acres Nursing & Rehab?
No, Harvest Acres Nursing & Rehab has a no-pet policy.
04 Does Harvest Acres Nursing & Rehab operate as a for-profit or non-profit?
Harvest Acres Nursing & Rehab is registered as a for-profit.
05 What is the overall rating for Harvest Acres Nursing & Rehab?
Harvest Acres Nursing & Rehab received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does Harvest Acres Nursing & Rehab have?
Harvest Acres Nursing & Rehab has 35 beds.
07 Are there photos of Harvest Acres Nursing & Rehab?
Yes — there are 4 photos of Harvest Acres Nursing & Rehab in the photo gallery on this page.
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