Harmony House Health Care Center

2950 West Shaulis Road
Waterloo IA 50701
Phone: 3192344495

Special Focus watch list For profit - Limited Liability company

Official CMS provider data, processing date 2026-09-01. Not an endorsement.

CMS overall rating
1/5
Much below average
Overall rating1/5
Health inspections1/5
Staffing2/5
Quality measures3/5
Long-stay quality3/5
Short-stay qualityNot rated
  • Overall rating vs. the Iowa average: 2.1 star lower (3.1), below average
  • Overall rating vs. the national average: 2.0 star lower (3.0), below average
  • Overall rating vs. the Waterloo average: 0.8 star lower (1.8), below average

CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.

Facility details

Size, ownership, and inspection history as reported to CMS.

Certified beds65
Average residents per day43.0
Occupancy66%
OwnershipFor profit - Limited Liability company
ChainLEGACY HEALTHCARE (95 facilities)
CountyBlack Hawk
Provider typeMedicare and Medicaid
First certified for Medicare & Medicaid1989-03-30
CMS certification number (CCN)165152
Health deficiencies in the latest inspection cycle32

Staffing and turnover

Staffing hours and turnover are among the most predictive measures CMS publishes.

Adjusted total nurse staffing hours per resident per day3.51
Reported total nurse staffing hours per resident per day3.84
Registered nurse turnover33.3%
Total nursing staff turnover61.5%
Resident and family councilNo

Fines and penalties

Civil money penalties and payment denials on record, as published by CMS.

Fines (count)1
Fines (total value)$31,736
Payment denials0
Total penalties1
This facility has $31,736 in federal fines on record. Penalties are not proof of poor care on any given day, but a pattern of fines and inspections is the strongest public signal of a compliance record.

Questions to ask Harmony House Health Care Center

  • What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
  • How many residents were transferred to hospital in the last year, and for what reasons?
  • What was cited at the most recent inspection, and what has changed since?
  • Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
  • What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?

Estimate nursing home costs in Iowa Compare all Iowa facilities

Is Harmony House Health Care Center highly rated?

CMS rates it 1 out of 5 overall, which CMS labels "Much below average". Health inspections rate 1, staffing 2, and quality measures 3.

How many beds does Harmony House Health Care Center have?

CMS certifies 65 beds; the facility reports an average of 43.0 residents per day (about 66% occupancy).

Does Harmony House Health Care Center have any fines or citations?

Yes. CMS records $31,736 in fines and 0 payment denials for this facility.

Has Harmony House Health Care Center been cited for abuse?

CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.