Iowa › Linn County › Cedar Rapids
Harmony Cedar Rapids
1940 First Avenue Ne, Cedar Rapids, IA 52402
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Harmony Cedar Rapids is a For-profit, limited liability company nursing home in Cedar Rapids, Iowa, certified for 96 beds and caring for about 78 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (11, 9, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 28.1 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 74.0%.
Compared with county, state and nation
| Measure | This facility | Linn Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 18 | 16 | 28.7 |
| Citations per 100 beds | 28.1 | 32.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 74.0% | 40.9% | 41.9% | 45.8% |
| Fines listed | $10,509 | $0 | $0 | — |
County and state figures are medians across facilities (18 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2026, 15 Jan 2025.
Severity mix: J ×2 G ×2 D ×20 E ×2 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 May 2026 |
| 3 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Mar 2026 |
| 3 Mar 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 24 Mar 2026 |
| 23 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 15 Jan 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 31 Jan 2025 |
| 15 Jan 2025 | F0578 | 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. | D | Standard survey | 31 Jan 2025 |
| 15 Jan 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 31 Jan 2025 |
| 15 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Jan 2025 |
| 15 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 31 Jan 2025 |
| 7 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Dec 2024 |
| 7 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Dec 2024 |
| 7 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Dec 2024 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 Dec 2024 |
| 12 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Jun 2024 |
| 12 Jun 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Complaint investigation | 13 Jun 2024 |
| 28 Mar 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 11 Apr 2024 |
| 28 Mar 2024 | F0758 | 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. | D | Standard survey | 11 Apr 2024 |
| 2 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | Complaint investigation | 22 Aug 2023 |
| 2 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | J | Complaint investigation | 22 Aug 2023 |
| 2 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 22 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Dec 2025 | Fine | $10,509 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 74.0%, RNs 63.6%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.3% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Cedar Rapids Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 04/01/2023 |
| Forbright Bank | 5% or greater security interest | NOT APPLICABLE | 04/01/2023 |
| Forbright Bank | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 11/18/2025 |
| Miller Cooper & Co, Ltd | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Linn County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meth-Wick Health Center | Cedar Rapids | 69 | 5 | 5 | 5 | 2 | 2.9 | — | 26 Oct 2023 |
| St Luke'S Helen G Nassif Transitional Care Center | Cedar Rapids | 46 | 5 | 4 | 5 | 6 | 13.0 | — | 5 Mar 2026 |
| Terrace Glen Village | Marion | 40 | 5 | 4 | 5 | 10 | 25.0 | — | 19 Nov 2025 |
| West Ridge Care Center | Cedar Rapids | 60 | 5 | 5 | 5 | 1 | 1.7 | — | 16 Nov 2023 |
| Oakview Nursing & Rehablitation - Marion | Marion | 40 | 4 | 4 | 4 | 13 | 32.5 | — | 11 Mar 2026 |
| Rehabilitation Center of Lisbon | Lisbon | 64 | 4 | 4 | 3 | 3 | 4.7 | — | 21 Jan 2026 |
| The Gardens of Cedar Rapids | Cedar Rapids | 40 | 4 | 3 | 5 | 17 | 42.5 | $19K | 9 Jan 2025 |
| Hiawatha Care Center | Hiawatha | 109 | 3 | 3 | 4 | 10 | 9.2 | — | 2 Apr 2026 |
All 18 facilities in Linn County
Questions and answers
How many deficiencies has Harmony Cedar Rapids been cited for?
27 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Harmony Cedar Rapids been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Harmony Cedar Rapids compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Harmony Cedar Rapids?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC, Forbright Bank and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Harmony Cedar Rapids last inspected?
The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 3 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.