Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.72 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Harvest Acres Nursing and Rehab has 35 certified beds in Keota, Iowa. The CMS overall rating is 1 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 1 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Dec 11, 2025 lists 2 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $136,500 dated Nov 7, 2024. Total nurse staffing is 3.47 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165355.
At a glance
CMS research snapshot
CMS overall rating
1 of 5
CMS health inspection rating
1 of 5
CMS staffing rating
2 of 5
CMS quality-measure rating
2 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- AMARANTHINE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- AMARANTHINE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
- CEDAR VIEW HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST24% ownership interest
- CEDAR VIEW HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
- CEDAR VIEW TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- CEDAR VIEW TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- GAMZEH, DAVIDIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- GREATOREX, TINAIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- IOWA 5784 LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
- IOWA 5784 LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SAMARA FAM TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SAMARA FAM TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SAMARA FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SAMARA FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SCHIOWITZ, MARCIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- SEBBAG, GABRIELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SEBBAG, GABRIELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
Operators
- CASE, JANELLEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CASE, JANELLEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MILLER, DANIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MILLER, DANIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CASE, JANELLEIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- MILLER, DANIELIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- CASE, JANELLEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CASE, JANELLEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MILLER, DANIELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MILLER, DANIELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- HARVEST ACRES NURSING AND REHAB, LLCOrganization · CURRENTMedicare-enrolled legal organization
- HARVEST ACRES NURSING AND REHAB, LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- AMARANTHINE HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- CEDAR VIEW HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST24% ownership interest
- CEDAR VIEW TROrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- IOWA 5784 LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
- SAMARA FAM TROrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SAMARA FAMILY HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SEBBAG, GABRIELIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- AMARANTHINE HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- AMARANTHINE HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST
- CEDAR VIEW HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST
- CEDAR VIEW HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST24% ownership interest
- CEDAR VIEW TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- CEDAR VIEW TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- GAMZEH, DAVIDIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- GREATOREX, TINAIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- IOWA 5784 LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
- IOWA 5784 LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SAMARA FAM TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SAMARA FAM TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SAMARA FAMILY HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST24% ownership interest
- SAMARA FAMILY HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SCHIOWITZ, MARCIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- SEBBAG, GABRIELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SEBBAG, GABRIELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST52% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2025-01-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- HARVEST ACRES NURSING AND REHAB, LLC
- Seller legal entity
- OPCO KEOTA IA LLC
- Effective date
- 2025-01-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 35
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 6416363400Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1245064179 · enrollment O20250325000182
- NPI 1245064179 · enrollment O20250325000182
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 44.897959
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 84.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 17.346939 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 16.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 6.250000
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 37.349398
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 46.551724 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 19.107280 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 32.926829 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 41.529522
- Percentage of long-stay residents with pressure ulcers (Long Stay): 2.089271 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 27.586207
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 9
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-12-11 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).
- 2025-12-11 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2025-12-11 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2025-12-11 · tag 0222 · scope/severity E — 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.
- 2024-11-19 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
- 2024-11-19 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2024-11-19 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-11-19 · tag 0321 · scope/severity E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 2024-01-23 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
- 2024-01-23 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-01-23 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).
- 2024-01-23 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Dec 11, 2025 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 45 ownership or control parties.
CMS records show an ownership change effective January 2025.
View ownership evidenceChain context
CMS groups this facility with a chain covering 9 facilities across 2 states or territories.
View chain evidenceEnforcement record
CMS records show a $136,500 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- CEDAR VIEW HOLDINGSCMS identifies this facility as part of the CEDAR VIEW HOLDINGS chain.
- Related facilities
- 12Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 12 CMS-reported ownership organizations
- CMS reports 13 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
12 currently connected nursing homes share this CMS organization identity with SAMARA FAMILY HOLDINGS LLC.
- Average CMS overall rating
- 1.5 stars across 12 reporting facilities
- CMS monetary penalties
- 9 of 12 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 4 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 4 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 12 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $459,667
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 45
- Organizations shown
- 32
- Individuals shown
- 13
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
AMARANTHINE HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CEDAR VIEW HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CEDAR VIEW TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
IOWA 5784 LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAM TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAMILY HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SEBBAG, GABRIEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
204 N KEOKUK WASHINGTON ROAD PROPCO LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CARESAGE ADMINISTRATIVE CONSULTING, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CASE, JANELLE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLINICAL CONSULTING SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
IOWA 5784 LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JSJ 2020 FAM TR
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JSJ PROPERTY LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MILLER, DANIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAM TR
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAMILY HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SUMMATION FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GAMZEH, DAVID
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GREATOREX, TINA
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SCHIOWITZ, MARC
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CASE, JANELLE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MILLER, DANIEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
AMARANTHINE HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 4 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CEDAR VIEW HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 8 across IA, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CEDAR VIEW TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
IOWA 5784 LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 52%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 4 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAM TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 3 across IA, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAMILY HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across IA, IN, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SEBBAG, GABRIEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 52%
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
204 N KEOKUK WASHINGTON ROAD PROPCO LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CARESAGE ADMINISTRATIVE CONSULTING, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 4 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CASE, JANELLE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLINICAL CONSULTING SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 30 across IA, IN, MA, MI, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
IOWA 5784 LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
Other facilities connected through this exact CMS organization identity: 4 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JSJ 2020 FAM TR
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 5 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JSJ PROPERTY LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 6 across IA, IN.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MILLER, DANIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAM TR
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 3 across IA, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMARA FAMILY HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across IA, IN, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SUMMATION FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 37 across FL, IA, IN, MA, MI, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CASE, JANELLE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MILLER, DANIEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HARVEST ACRES NURSING AND REHAB, LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPOPCO KEOTA IA LLC to HARVEST ACRES NURSING AND REHAB, LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Jan 1, 2025. What operational or leadership changes followed that event?
- CMS records connect AMARANTHINE HOLDINGS LLC to 5 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with CEDAR VIEW HOLDINGS
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 888 is a grouping identifier, not a legal organization.
- Facilities
- 9
- States and territories
- 2
- Average overall rating
- 1.3
- Average staffing rating
- 2
- Average total nurse HPRD
- 3.3
- Total fines
- 9
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 9 | 1.3 | 2 |
| Mon Jun | 9 | 1.3 | 2 |
Questions to ask
- CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 9 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- May 19, 2026
- Survey type
- Health Complaint
- Linked findings
- 7
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:46254:ccn:165355
May 19, 2026 — Health Complaint — 7 linked findings
F0553 — Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123750:ccn:165355
F0580 — Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123751:ccn:165355
F0627 — Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123752:ccn:165355
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123753:ccn:165355
F0741 — Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123754:ccn:165355
F0742 — Quality of Life and Care Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123755:ccn:165355
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123756:ccn:165355
Dec 11, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 11, 2025 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 11, 2025 — Health Standard — 2 linked findings
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123758:ccn:165355
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123757:ccn:165355
Nov 19, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 19, 2024 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 19, 2024 — Health Standard — 17 linked findings
F0578 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123775:ccn:165355
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123764:ccn:165355
F0637 — Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123778:ccn:165355
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123780:ccn:165355
F0679 — Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123781:ccn:165355
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123782:ccn:165355
F0700 — Quality of Life and Care Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123783:ccn:165355
F0740 — Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123784:ccn:165355
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123785:ccn:165355
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123786:ccn:165355
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123770:ccn:165355
F0803 — Nutrition and Dietary Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123787:ccn:165355
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123768:ccn:165355
F0842 — Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123788:ccn:165355
F0868 — Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Nov 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123772:ccn:165355
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123789:ccn:165355
F0882 — Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Nov 19, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123773:ccn:165355
Jan 23, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 23, 2024 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 23, 2024 — Health Standard — 8 linked findings
F0578 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123793:ccn:165355
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123795:ccn:165355
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123796:ccn:165355
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123797:ccn:165355
F0758 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123798:ccn:165355
F0868 — Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123799:ccn:165355
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123791:ccn:165355
F0882 — Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:123792:ccn:165355
Tags appearing across inspections
- F0578 appears in 2 linked inspections.
- F0655 appears in 2 linked inspections.
- F0677 appears in 2 linked inspections.
- F0868 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
- F0882 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Nov 7, 2024
Published fine amount: $136,500.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165355
- Source record locator
- csv-row:4861:ccn:165355
Questions to ask
Questions generated from the evidence above
- CMS records show F0578 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0655 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0868 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0882 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Nov 7, 2024. What changes were made after that enforcement action?
Facility history
Facility History
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded7 deficiencies were recorded.
- RN staffing increasedRN staffing increased from 0.59 to 0.72 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
2026
- Complaint inspection recorded
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- RN staffing increased
RN staffing increased from 0.59 to 0.72 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.59 → 0.72
CMS · Reported in a source release · View related evidence
- Total nurse staffing increased
Total nurse staffing increased from 3.26 to 3.47 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
3.26 → 3.47
CMS · Reported in a source release · View related evidence
2025
- Total nurse staffing increased
Total nurse staffing increased from 3.05 to 3.26 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.05 → 3.26
CMS · Reported in a source release · View related evidence
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Total nurse staffing decreased
Total nurse staffing decreased from 3.33 to 3.05 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.33 → 3.05
CMS · Reported in a source release · View related evidence
- Ownership change recorded
An ownership change was recorded. New organization: HARVEST ACRES NURSING AND REHAB, LLC.
OPCO KEOTA IA LLC → HARVEST ACRES NURSING AND REHAB, LLC
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
17 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $136,500 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.467 reported hours per resident day
- RN categories
- 0.719 reported hours per resident day
- LPN/LVN categories
- 0.491 reported hours per resident day
- CNA
- 2.166 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.636 | 3.051 |
| RN categories | 0.773 | 0.586 |
Contract staff accounted for 5.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.133 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.325 | 0.566 | 0.831 | 1.925 | 0.7% | 91 |
| 2025Q3 | 3.046 | 0.645 | 0.602 | 1.79 | 1.2% | 92 |
| 2025Q4 | 3.258 | 0.586 | 0.619 | 2.025 | 0.2% | 92 |
| 2026Q1 | 3.467 | 0.719 | 0.491 | 2.166 | 5.2% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 1-star overall rating.
- CMS reports a 1-star health inspection rating.
- CMS reports a 2-star staffing rating.
- CMS reports a 2-star quality-measure rating.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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