All states › Iowa › Waterloo › Harmony House Health Care Center
2950 West Shaulis Road Waterloo, IA 50701 · Black Hawk County
All 6 nursing homes in Waterloo, IA (6 take Medicaid)
CMS certification number 165152 · See this home on Medicare Care Compare
Is Harmony House Health Care Center 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 House Health Care Center 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 3.92 hours per resident per day at Harmony House Health Care Center, above the Iowa median of 3.76 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 3.60 hours, 8% below its all-week average. 64.8% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Harmony House Health Care Center: Medicare and Medicaid
Harmony House Health Care Center 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 August 6, 2025 and found 11 deficiencies, plus 21 from complaint inspections in the same period. In total, inspectors issued 38 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 38 citations at Harmony House Health Care Center across 7 inspection dates, 25 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 6, 2025. The most common areas cited were quality of life and care (11) and resident rights (7). The most serious was cited under the CMS rule to "timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities" (tag F0609, level J, August 6, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
June 30, 2026 · 5 citations · includes complaint inspection
EProvide 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.
EProvide safe and appropriate respiratory care for a resident when needed.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
May 18, 2026 · 3 citations · includes complaint inspection
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.
March 25, 2026 · 11 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
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 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
August 6, 2025 · 13 citations, includes immediate jeopardy · includes complaint inspection
JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
JRespond appropriately to all alleged violations.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
April 16, 2025 · 1 citation · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
September 12, 2024 · 4 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEmploy staff that are licensed, certified, or registered in accordance with state laws.
EProvide and implement an infection prevention and control program.
January 24, 2024 · 1 citation, includes actual harm · includes complaint inspection
GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Questions to ask on a tour of Harmony House Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 6, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 25, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 64.8% a year. How many of the staff come from agencies?
- 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 $31,736 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 25, 2026 | Fine | $31,736 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Harmony House Health Care Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Harmony House Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.8 mi
Mercyone Waterloo Medical Center WaterlooEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 43m for patients treated and sent home
-
6.6 mi
Sartori Memorial Hospital Cedar FallsEmergency roomMedian ER visit 1h 36m for patients treated and sent home
-
7.0 mi
Allen Memorial Hospital WaterlooEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m 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 House Health Care Center › All nursing homes in Waterloo ›
Compare Harmony House Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Suites at Western Home Communities · Cedar Falls · 5 stars · 3.5 mi
- Martin Health Center · Cedar Falls · 5 stars · 6.1 mi
- Friendship Village Retirement · Waterloo · 3 stars · 3.6 mi
- Pinnacle Specialty Care · Cedar Falls · 2 stars · 3.4 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.