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HomeIowaHarmony House Health Care Center

Harmony House Health Care Center

2950 West Shaulis Road, Waterloo, IA 507013192344495Google Maps
4.0on Google(22 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
3/5
Beds
65
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $48,825

How Harmony House Health Care Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.84 hrs/day
IA average
3.81 hrs/day
Close to state average
RN hours per resident
0.57 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
61.5%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported RN time is 0.57 hours per resident per day, below the state average of 0.74.
Staff turnover is 61.5%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
6
deficiency citations
Inspected Sep 12, 2024
Most recent cycle
27
deficiency citations
Inspected Aug 6, 2025
The most recent cycle recorded 21 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Black Hawk County 65+
22,443
17.1% of county
County Population
131,041
Black Hawk County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Harmony House Health Care Center is a 1-star Medicare and Medicaid certified nursing home in Waterloo, Iowa with 65 certified beds. It has been operating since 1989. Its overall CMS rating is 1 out of 5.

Beds
65
Avg Residents/Day
43
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 30, 1989
Sprinklers
Yes
Council
None
County
Black Hawk
Last Inspection
Aug 6, 2025
Deficiencies (Cycle 1)
27
Weighted Score
217.5
Infection Citations
0

Deficiency Citations (33)

F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: May 18, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 18, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 18, 2026Corrected: NoCycle: 1
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Apr 16, 2025Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 12, 2024Corrected: NoCycle: 2

+ 3 more deficiencies

Total Fines
$48,825
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 25, 2026
$48,825

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.73 hrs
National avg: 2.32 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.69 hrs
Total Nursing3.84 hrs
National avg: 3.86 hrs
Weekend Total3.58 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
61.5%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (41)

NameRoleTypeOwnership %Since
RAJCHENBACH, CHAIM5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Aug 15, 2024
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AAug 15, 2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 15, 2024
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
CUTLER, DARRONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
ELWICK, LISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
GEIGER, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
KNUTSON, MICHELEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
STAUDT, SANDRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024
FRIEDMAN, BRIANTRUSTEE OF THE SNFIndividualN/AJan 3, 2012
RAJCHENBACH, AVRUMTRUSTEE OF THE SNFIndividualN/AApr 28, 2008
RAJCHENBACH, RIVKATRUSTEE OF THE SNFIndividualN/AApr 28, 2008
SHABAT, AHUVATRUSTEE OF THE SNFIndividualN/AJan 3, 2012
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CASCADE CAPITAL PARTNERS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
CCG GORGONA LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA PROPCO HOLDINGS LLCADP OF THE SNFOrganizationN/AAug 15, 2024
GORGONA SUB HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024
MN8 RH HOLDCO LLCADP OF THE SNFOrganizationN/AAug 15, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Harmony House Health Care Center and nearby alternatives.

All Iowa facilities
Harmony House Health Care Center
Waterloo, IACurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $48,825
Pinnacle Specialty Care
Cedar Falls, IA3.4 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $8,362
The Suites at Western Home Communities
Cedar Falls, IA3.5 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Harmony Waterloo
Waterloo, IA3.5 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $95,440
Friendship Village Retirement
Waterloo, IA3.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Ravenwood Specialty Care
Waterloo, IA3.9 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Newaldaya Lifescapes
Cedar Falls, IA5.1 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $132,074
FacilityDistanceCMSHealthStaffingRecorded fines
Harmony House Health Care Center
Waterloo, IA · Current facility
—1/51/52/5$48,825
Pinnacle Specialty Care
Cedar Falls, IA
3.4 mi2/52/53/5$8,362
The Suites at Western Home Communities
Cedar Falls, IA
3.5 mi5/54/55/5None recorded
Harmony Waterloo
Waterloo, IA
3.5 mi1/51/53/5$95,440
Friendship Village Retirement
Waterloo, IA
3.6 mi5/54/55/5None recorded
Ravenwood Specialty Care
Waterloo, IA
3.9 mi1/51/54/5None recorded
Newaldaya Lifescapes
Cedar Falls, IA
5.1 mi2/52/54/5$132,074

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Harmony House Health Care Center?▾
Harmony House Health Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Harmony House Health Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Harmony House Health Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Harmony House Health Care Center had any health inspection violations?▾
Harmony House Health Care Center had 27 deficiency citations in its most recent health inspection (Aug 6, 2025). The current CMS dataset records 1 fine(s) totaling $48,825.
What are the staffing levels at Harmony House Health Care Center?▾
Harmony House Health Care Center provides 3.84 total nursing staff hours per resident per day, including 0.57 RN hours, 0.54 LPN hours, and 2.73 nurse aide hours. The total staff turnover rate is 61.5%.
How many beds does Harmony House Health Care Center have?▾
Harmony House Health Care Center has 65 certified beds with an average of 43 residents per day, resulting in approximately 66% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Harmony House Health Care Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 3 in Waterloo. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Harmony House Health Care Center?▾
On Google Maps, Harmony House Health Care Center has a rating of 4.0 out of 5 based on 22 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →