nursing home in Waterloo, IA
Harmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701 · (319) 234-4495
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Harmony House Health Care Center at a glance
Harmony House Health Care Center is a 65-bed for-profit nursing home in Waterloo, Iowa (Black Hawk County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (August 6, 2025) found 32 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $31,736.
Nursing staff turnover is 61.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 65
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- March 30, 1989
- Resident/family council
- None
- County
- Black Hawk County
- CMS Certification Number
- 165152
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.84 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.73 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.58 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 61.5% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 42.1% | 42.9% | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 32 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 21 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 238.5 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $31,736 | $19,286 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 65 | 65 | 107 | |
| Average residents per day | 43 | 52 | 86 | |
| Occupancy | 66.2% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 31.4% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.1% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.2% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13.1% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.2% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 72.3% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80% | 73.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 50.7% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 30, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected July 30, 2026 |
| June 30, 2026 Complaint | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected July 30, 2026 |
| June 30, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 30, 2026 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 30, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 30, 2026 |
| May 18, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected May 27, 2026 |
| May 18, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 27, 2026 |
| May 18, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 27, 2026 |
| March 25, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 16, 2026 |
| August 6, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected September 9, 2025 |
| August 6, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected September 9, 2025 |
| August 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Complaint | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 7, 2025 |
| August 6, 2025 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 9, 2025 |
| August 6, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 6, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 15, 2025 |
| April 16, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected May 16, 2025 |
| September 12, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected September 16, 2024 |
| September 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 12, 2024 |
| September 12, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 12, 2024 |
| September 12, 2024 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | E Potential harm, pattern | Corrected October 12, 2024 |
| September 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 12, 2024 |
| January 24, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | G Actual harm, isolated | Corrected January 30, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $31,736 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 25, 2026 | Fine | $31,736 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RAJCHENBACH, CHAIM Individual | 5% or greater direct ownership interest | 50% | 08/15/2024 |
| CASCADE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CASCADE CAPITAL PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| CCG GORGONA LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA PROPCO HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| GORGONA SUB HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| MN8 RH HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | corporate officer | NOT APPLICABLE | 08/15/2024 |
| BEASLEY, KARLA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BEHOUNEK, LINSEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BORCHERDING, JENNY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| BURKEN, SHERI Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| CUTLER, DARRON Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| ELWICK, LISA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| FRIEDENBERG, LAURA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| GEIGER, MARY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HEDBERG, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HENNAGER, CHRISTINA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HEYING, LARINA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| HOUSTON, MINDY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| JAEGER, KRYSTLE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| KNUTSON, MICHELE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| LARSON, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| MCCLURE, DOROTHY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| OTTERBECK, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| RAJCHENBACH, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SCOTT, KATHLEEN Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SEU, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| SHEAR, KILEY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| STAUDT, SANDRA Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| VAN VEGHEL, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| WIERSCHEM, BOBBIE Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| WOOD, ROSEMARY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| WRIGHT, AMY Individual | operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| FRIEDMAN, BRIAN Individual | trustee of the snf | NOT APPLICABLE | 01/03/2012 |
| RAJCHENBACH, AVRUM Individual | trustee of the snf | NOT APPLICABLE | 04/28/2008 |
| RAJCHENBACH, RIVKA Individual | trustee of the snf | NOT APPLICABLE | 04/28/2008 |
Showing 40 of 41 records.
Other nursing homes near Harmony House Health Care Center
Pinnacle Specialty Care
1223 Prairieview Road, Cedar Falls, IA 50613 · 3.4 mi
For-profit · 100 beds · Part of Care Initiatives
★★★★★2Below averageThe Suites at Western Home Communities
5301 Caraway Lane, Cedar Falls, IA 50613 · 3.5 mi
Non-profit · 72 beds · Part of Western Home Communities
- CMS high performer
★★★★★5Much above averageHarmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701 · 3.5 mi
For-profit · 88 beds · Part of Legacy Healthcare
- Abuse citation
★★★★★1Much below averageFriendship Village Retirement
600 Park Lane, Waterloo, IA 50702 · 3.6 mi
Non-profit · 72 beds
- CMS high performer
★★★★★5Much above averageRavenwood Specialty Care
2651 St Francis Drive, Waterloo, IA 50702 · 3.9 mi
Non-profit · 176 beds · Part of Care Initiatives
★★★★★1Much below average- ★★★★★2Below average
Frequently asked questions
What is Harmony House Health Care Center's rating?
Harmony House Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Harmony House Health Care Center receive?
Its most recent standard health inspection found 32 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Harmony House Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Harmony House Health Care Center?
It is for profit - limited liability company and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Harmony House Health Care Center and how do I contact it?
Harmony House Health Care Center is at 2950 West Shaulis Road, Waterloo, IA 50701. Phone: (319) 234-4495.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.