Harmony Cedar Rapids

1940 First Avenue Ne · Cedar Rapids, IA · 52402 · 3193645151

96 certified beds For profit - Limited Liability company Chain: Legacy Healthcare

  • Inspection results have improved across recent cycles.

Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

76% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 76
Staffing 20% 63
Federal penalties 15% 76
Trend 10% 84
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.743.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day3.42≈ weekday level
Nursing turnover / year76%median 45%
Fines (3-yr window)1 · $10,358

Inspection citations (27 in the current record)

  • Potential for harm · D April 21, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2026 · Infection Control

  • Potential for harm · D March 3, 2026

    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.

    Corrected March 24, 2026 · Resident Rights

  • Potential for harm · D March 3, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 24, 2026 · Quality of Life and Care

  • Potential for harm · D March 3, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 24, 2026 · Quality of Life and Care

  • Potential for harm · E March 3, 2026

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected March 24, 2026 · Nursing and Physician Services

  • Potential for harm · D March 3, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 24, 2026 · Pharmacy Service

  • Potential for harm · D March 3, 2026

    Provide or obtain dental services for each resident.

    Corrected March 24, 2026 · Quality of Life and Care

  • Actual harm · G December 23, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Potential for harm · D January 15, 2025 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025

    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.

    Corrected January 31, 2025 · Resident Rights

  • Potential for harm · D January 15, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected January 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025

    Ensure each resident receives an accurate assessment.

    Corrected January 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 15, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected January 31, 2025 · Nursing and Physician Services

  • Potential for harm · D November 7, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 1, 2024 · Resident Rights

  • Potential for harm · D November 7, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 1, 2024 · Quality of Life and Care

  • Potential for harm · D November 7, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 1, 2024 · Infection Control

  • Potential for harm · D June 12, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 13, 2024 · Resident Assessment and Care Planning

  • No harm found · B June 12, 2024 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected June 13, 2024 · Resident Rights

  • Potential for harm · D March 28, 2024

    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.

    Corrected April 11, 2024 · Nursing and Physician Services

  • Potential for harm · D March 28, 2024

    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.

    Corrected April 11, 2024 · Pharmacy Service

  • Immediate jeopardy · J August 2, 2023 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 22, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 23, 2025Fine$10,358

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165017 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.