Iowa › Black Hawk County › Waterloo
Harmony Waterloo
201 West Ridgeway Avenue, 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 Waterloo, in Waterloo, Iowa, is certified for 88 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 3 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (8, 9, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $95K.
Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 48.8%.
CMS flags that the facility carries the CMS abuse icon.
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 | 22 | 24 | 16 | 28.7 |
| Citations per 100 beds | 25.0 | 22.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 48.8% | 41.6% | 41.9% | 45.8% |
| Fines listed | $95,440 | $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: 14 Jan 2026, 15 Jan 2025.
Severity mix: J ×1 D ×14 E ×7
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 |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0761 | 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. | E | Complaint investigation | 1 Jul 2026 |
| 14 Jan 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0803 | 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. | E | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 13 Feb 2026 |
| 14 Jan 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. | D | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 13 Feb 2026 |
| 30 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 12 Nov 2025 |
| 1 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 8 May 2025 |
| 15 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 7 Feb 2025 |
| 15 Jan 2025 | 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 | 7 Feb 2025 |
| 15 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Feb 2025 |
| 15 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Feb 2025 |
| 15 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Feb 2025 |
| 21 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Nov 2024 |
| 8 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 22 Aug 2024 |
| 8 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Aug 2024 |
| 22 May 2024 | 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 | Complaint investigation | 12 Jun 2024 |
| 22 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Jun 2024 |
| 22 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 12 Jun 2024 |
| 22 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 12 Jun 2024 |
| 18 Oct 2023 | 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. | E | Complaint investigation | 9 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Oct 2025 | Fine | $95,440 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 48.8%, RNs 30.0%; 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 | 6.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 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: Waterloo 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 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
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 Waterloo been cited for?
22 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Harmony Waterloo been fined?
Yes. CMS lists fines totalling $95K in the period covered.
How does staffing at Harmony Waterloo compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Harmony Waterloo?
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 and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Harmony Waterloo last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 14 Jan 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.