Iowa › Black Hawk County › Waterloo
Harmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701
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 House Health Care Center, in Waterloo, Iowa, is certified for 65 beds under for-profit, limited liability company ownership and belongs to the Legacy Healthcare chain.
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 38 health deficiencies across the three most recent survey cycles (32, 5, 1 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 58.5 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $49K.
Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 61.5%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Black Hawk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 24 | 16 | 28.7 |
| Citations per 100 beds | 58.5 | 22.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 61.5% | 41.6% | 41.9% | 45.8% |
| Fines listed | $48,825 | $0 | $0 | — |
County and state figures are medians across facilities (12 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: 6 Aug 2025, 12 Sep 2024.
Severity mix: J ×2 G ×2 D ×26 E ×8
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 |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 30 Jun 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 30 Jun 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 30 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 30 Jun 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. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 18 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 27 May 2026 |
| 18 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 27 May 2026 |
| 18 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 May 2026 |
| 25 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 16 Apr 2026 |
| 25 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 | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Apr 2026 |
| 25 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 16 Apr 2026 |
| 6 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Standard survey | 9 Sep 2025 |
| 6 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | J | Standard survey | 9 Sep 2025 |
| 6 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Sep 2025 |
| 6 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 7 Aug 2025 |
| 6 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 9 Sep 2025 |
| 6 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | 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 | 15 Sep 2025 |
| 6 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Sep 2025 |
| 6 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Sep 2025 |
| 16 Apr 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 | Complaint investigation | 16 May 2025 |
| 12 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Oct 2024 |
| 12 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Oct 2024 |
| 12 Sep 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 12 Oct 2024 |
| 12 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Oct 2024 |
| 24 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 30 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Mar 2026 | Fine | $48,825 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 61.5%, RNs 33.3%; — administrators 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 | 12.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.4% | 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: Shaulis Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Partners LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Ccg Gorgona LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Sub Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Mn8 Rh Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
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 Black Hawk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Friendship Village Retirement | Waterloo | 72 | 5 | 4 | 5 | 8 | 11.1 | — | 17 Nov 2025 |
| Martin Health Center, Inc | Cedar Falls | 50 | 5 | 4 | 5 | 11 | 22.0 | — | 15 May 2025 |
| The Suites At Western Home Communities | Cedar Falls | 72 | 5 | 5 | 5 | 11 | 15.3 | — | 26 Mar 2026 |
| Laporte City Specialty Care | La Porte City | 46 | 4 | 4 | 4 | 3 | 6.5 | — | 26 Feb 2026 |
| Cedar Falls Health Care Center | Cedar Falls | 70 | 2 | 2 | 4 | 33 | 47.1 | — | 8 Jan 2026 |
| Newaldaya Lifescapes | Cedar Falls | 112 | 2 | 2 | 4 | 13 | 11.6 | $132K | 22 Apr 2026 |
| Northcrest Specialty Care | Waterloo | 94 | 2 | 2 | 4 | 29 | 30.9 | — | 12 Feb 2026 |
| Pinnacle Specialty Care | Cedar Falls | 100 | 2 | 2 | 3 | 25 | 25.0 | $8K | 9 Jun 2026 |
All 12 facilities in Black Hawk County
Questions and answers
How many deficiencies has Harmony House Health Care Center been cited for?
38 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 House Health Care Center been fined?
Yes. CMS lists fines totalling $49K in the period covered.
How does staffing at Harmony House Health Care Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Harmony House Health Care Center?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Harmony House Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 6 Aug 2025.
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.