All states › Iowa › Marshalltown › Harmony Marshalltown
910 East Olive Marshalltown, IA 50158 · Marshall County
All 4 nursing homes in Marshalltown, IA (4 take Medicaid)
CMS certification number 165385 · See this home on Medicare Care Compare
Is Harmony Marshalltown a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harmony Marshalltown as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.06 hours per resident per day at Harmony Marshalltown, above the Iowa median of 3.76 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 3.69 hours, 9% below its all-week average. 49.2% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Harmony Marshalltown: Medicare and Medicaid
Harmony Marshalltown is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 14, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 44 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 44 citations at Harmony Marshalltown across 8 inspection dates, 26 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 5, 2025 (complaint inspection). The most common areas cited were nutrition and dietary (9) and quality of life and care (8). The most serious was cited under the CMS rule to "ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge" (tag F0627, level J, August 5, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 20, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
January 14, 2026 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DPost nurse staffing information every day.
DProvide and implement an infection prevention and control program.
August 5, 2025 · 8 citations, includes immediate jeopardy · includes complaint inspection
JEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHave policies on smoking.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 10, 2025 · 4 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 12, 2024 · 10 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep residents' personal and medical records private and confidential.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
September 25, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
September 12, 2024 · 7 citations · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
February 1, 2024 · 9 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
BEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Questions to ask on a tour of Harmony Marshalltown
- Inspectors cited the home at the immediate-jeopardy level on August 5, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 1, 2024. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $78,878 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 5, 2025 | Fine | $78,878 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
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Location
Hospitals near Harmony Marshalltown
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.5 mi
Marshalltown Medical & Surgical Center MarshalltownEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 42m for patients treated and sent home
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21.5 mi
Grinnell Regional Medical Center GrinnellEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 52m for patients treated and sent home
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23.8 mi
Mercyone Newton Medical Center NewtonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 35m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Harmony Marshalltown › All nursing homes in Marshalltown ›
Compare Harmony Marshalltown with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Iowa Veterans Home · Marshalltown · 5 stars · 2.5 mi
- Southridge Specialty Care · Marshalltown · 2 stars · 1.4 mi
Other Legacy Healthcare nursing homes in Iowa
- Westview of Indianola Care Center · Indianola · 5 stars
- Rehabilitation Center of Hampton · Hampton · 5 stars
- Rehabilitation Center of Belmond · Belmond · 5 stars
- Westview Care Center · Britt · 5 stars
- Guttenberg Care Center · Guttenberg · 5 stars
- Valley Vue Care Center · Armstrong · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.