Harmony House Health Care Center
2950 West Shaulis Road · Waterloo, IA · 50701 · 3192344495
65 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Actual harm · G March 25, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 25, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 25, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026 · found via complaint
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.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · E March 25, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 16, 2026 · Nursing and Physician Services
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Potential for harm · D March 25, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 16, 2026 · Pharmacy Service
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Potential for harm · D March 25, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 16, 2026 · Pharmacy Service
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Immediate jeopardy · J August 6, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 6, 2025
Respond appropriately to all alleged violations.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 6, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 15, 2025 · Infection Control
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Potential for harm · D August 6, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 6, 2025 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · E April 16, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 16, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165152 · certified since March 30, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.