Harmony Waterloo, Waterloo, Iowa
- 22
- Citations from health inspectionsIowa average: 21 a home
- 1
- Residents harmed or put in dangerIowa average: 1.3 a home
- $95,440
- 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
Nine inspection visits produced 22 citations. Residents were in immediate danger in one finding. Federal fines came to $95,440 (one fine).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 3.24 hours each dayThe Iowa average is 3.82 hours
- Time from registered nurses
- 0.67 hours each dayThe Iowa average is 0.74 hours
- Nursing staff who left during one year
- 48.8%against the Iowa average of 44%
- Beds that are certified
- 88
- Ownership
- Limited Liability company (for profit)
- Chain
- Legacy Healthcare, with 95 homes
- Street address
- 201 West Ridgeway Avenue, 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.
One citation dated June 11, 2026
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Six citations dated Jan. 14, 2026
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
One citation dated Oct. 30, 2025
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated May 1, 2025
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Jan. 15, 2025
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 21, 2024
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Aug. 8, 2024
Four citations dated May 22, 2024
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen 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.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Oct. 18, 2023
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Oct. 30, 2025 | Fine | $95,440 |
Ownership and Management of the Home
- The home is run by Legacy Healthcare Financial Services LLC (operational or managerial control).
- The direct 26% owner is Doros Generation Trust U/A/D 1/3/12.
- The direct 60% owner is Gpn Family Trust U/A/D 4/28/08.
- The direct 15% owner is Oakway Operations LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165034. Other homes in Iowa.