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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaHarmony House Health Care Center

Harmony House Health Care Center

2950 West Shaulis Road, Waterloo, IA 507013192344495
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
4/5
Beds
65
certified

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 65 certified beds with an average of 49.3 residents per day (76% occupancy)

• Last health inspection found 14 deficiencies (inspected Aug 6, 2025)

• No fines on record

• Total nursing staff: 3.67 hours per resident per day

• Staff turnover rate: 44.1%

• Part of the Legacy Healthcare chain (90 facilities)

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. The facility scored below average compared to Iowa facilities.

Beds
65
Avg Residents/Day
49.3
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)
14
Weighted Score
164.5
Infection Citations
0

Deficiency Citations (19)

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: 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
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
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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 12, 2024Corrected: 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
F0839Potential for Harm

Employ staff that are licensed, certified, or registered in accordance with state laws.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0550Actual Harm

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

Survey: Jan 24, 2024Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.60 hrs
National avg: 2.35 hrs
LPN0.46 hrs
National avg: 0.86 hrs
RN0.61 hrs
National avg: 0.68 hrs
Total Nursing3.67 hrs
National avg: 3.89 hrs
Weekend Total3.20 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
44.1%
RN Turnover
40.0%
Administrators Left
1

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (34)

NameRoleTypeOwnership %Since
IOWA PORTFOLIO OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AAug 15, 2024
RAJCHENBACH, CHAIM5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 15, 2024
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization5%Aug 15, 2024
GPN FAM TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization68%Aug 15, 2024
OAKWAY OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization23%Aug 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
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AAug 15, 2024

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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 4/5. This facility is rated below average.
Has Harmony House Health Care Center had any health inspection violations?▾
Harmony House Health Care Center had 14 deficiency citations in its most recent health inspection (Aug 6, 2025). The facility has no fines on record.
What are the staffing levels at Harmony House Health Care Center?▾
Harmony House Health Care Center provides 3.67 total nursing staff hours per resident per day, including 0.61 RN hours, 0.46 LPN hours, and 2.60 nurse aide hours. The total staff turnover rate is 44.1%.
How many beds does Harmony House Health Care Center have?▾
Harmony House Health Care Center has 65 certified beds with an average of 49.3 residents per day, resulting in approximately 76% 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, there are 5 other nursing homes in Waterloo, Iowa with an average rating of 2.7/5. You can compare all facilities on the Waterloo nursing homes page.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →