42/100
Below average
910 East Olive, Marshalltown, IA 50158
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.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$78,878 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours 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.
Last standard health inspection: January 14, 2026 (7 months ago).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| GARDEN, DANIEL | Individual | INDIRECT OWNERSHIP INTEREST | — |
| NINIO, MORDECHAY | Individual | INDIRECT OWNERSHIP INTEREST | — |
| SHABAT, MENACHEM | Individual | CORPORATE OFFICER | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BEASLEY, KARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BEHOUNEK, LINSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BORCHERDING, JENNY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DHONDT, JUSTINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FRIEDENBERG, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HEDBERG, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HENNAGER, CHRISTINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HEYING, LARINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Harmony Marshalltown holds an ElderGrade of D (42 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.
Residents receive an average of 4.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 46 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Harmony Marshalltown 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.