54/100
Below average
Harmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701
- Certified beds
- 65
- Occupancy
- 66%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
$31,736 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 62%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Harmony House Health Care Center
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.51 total nurse hours per resident per day (national median 3.77)
- →0.57 RN hours per resident per day
- →Weekend staffing drops 7% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →62% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$31,736 in federal fines across 1 action(s)
Grade ceiling applied
- Capped at 54 (grade D), CMS Special Focus Facility
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: August 6, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of LEGACY HEALTHCARE, which operates 95 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Harmony House Health Care Center
What is the ElderGrade for Harmony House Health Care Center? +
Harmony House Health Care Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Harmony House Health Care Center? +
Residents receive an average of 3.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Harmony House Health Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Harmony House Health Care Center accept Medicaid? +
Yes, Harmony House Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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