Harmony House Health Care Center, Waterloo, Iowa
- 38
- Citations from health inspectionsIowa average: 21 a home
- 4
- Residents harmed or put in dangerIowa average: 1.3 a home
- $31,736
- Fines from the federal governmentIowa average: $19,286 a home
- 1 out of 5
- Overall rating in starsIowa average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Seven inspection visits produced 38 citations. Residents were in immediate danger in two findings. Residents were found hurt in two cases. Federal fines came to $31,736 (one fine).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.84 hours each dayThe Iowa average is 3.82 hours
- Time from registered nurses
- 0.57 hours each dayThe Iowa average is 0.74 hours
- Nursing staff who left during one year
- 61.5%against the Iowa average of 44%
- Beds that are certified
- 65
- Ownership
- Limited Liability company (for profit)
- Chain
- Legacy Healthcare, with 95 homes
- Street address
- 2950 West Shaulis Road, Waterloo, Iowa 50701
- County
- Black Hawk
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Five citations dated June 30, 2026
- F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated May 18, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
11 citations dated March 25, 2026
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: residents were harmed, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
13 citations dated Aug. 6, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents.
- F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated April 16, 2025
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Four citations dated Sept. 12, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F839 Properly Licensed Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Jan. 24, 2024
- F550 Dignity and Resident Rights: residents were harmed, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 25, 2026 | Fine | $31,736 |
Ownership and Management of the Home
- The home is run by Legacy Healthcare Financial Services LLC (operational or managerial control).
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165152. Other homes in Iowa.