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HomeIowaHarmony Waterloo

Harmony Waterloo

201 West Ridgeway Avenue, Waterloo, IA 507013192347777WebsiteGoogle Maps
3.8on Google(84 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
4/5
Beds
88
certified
This facility has been flagged for abuse.
1 fine(s) totaling $95,440

How Harmony Waterloo 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
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.24 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.67 hrs/day
IA average
0.74 hrs/day
Close to state average
Staff turnover
48.8%
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 nursing time is 3.24 hours per resident per day, below the state average of 3.81.

Health Inspection Trend

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

Previous cycle
13
deficiency citations
Inspected Jan 15, 2025
Most recent cycle
7
deficiency citations
Inspected Jan 14, 2026
The most recent cycle recorded 6 fewer 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 Waterloo is a 1-star Medicare and Medicaid certified nursing home in Waterloo, Iowa with 88 certified beds. It has been operating since 1967. Its overall CMS rating is 1 out of 5.

Beds
88
Avg Residents/Day
74.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 19, 1967
Sprinklers
Yes
Council
Resident
County
Black Hawk
Last Inspection
Jan 14, 2026
Deficiencies (Cycle 1)
7
Weighted Score
101.3
Infection Citations
0

Deficiency Citations (21)

F0732Potential for Harm

Post nurse staffing information every day.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0803Potential for Harm

Ensure 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.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0600Immediate Jeopardy

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

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: May 1, 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: Jan 15, 2025Corrected: NoCycle: 2
F0584Potential for Harm

Honor 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.

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Nov 21, 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: Aug 8, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor 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.

Survey: May 22, 2024Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: May 22, 2024Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 22, 2024Corrected: NoCycle: 3
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 22, 2024Corrected: NoCycle: 3
F0584Potential for Harm

Honor 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.

Survey: Oct 18, 2023Corrected: NoCycle: 3
Total Fines
$95,440
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 30, 2025
$95,440

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

Nurse Aide2.04 hrs
National avg: 2.32 hrs
LPN0.52 hrs
National avg: 0.86 hrs
RN0.67 hrs
National avg: 0.69 hrs
Total Nursing3.24 hrs
National avg: 3.86 hrs
Weekend Total2.93 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
48.8%
RN Turnover
30.0%
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 (6)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization26%Apr 1, 2023
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization60%Apr 1, 2023
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Apr 1, 2023
KNAPP, JUSTINW-2 MANAGING EMPLOYEEIndividualN/AMar 29, 2023
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AApr 1, 2023
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Harmony Waterloo and nearby alternatives.

All Iowa facilities
Harmony Waterloo
Waterloo, IACurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $95,440
Friendship Village Retirement
Waterloo, IA2,640 ft
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Ravenwood Specialty Care
Waterloo, IA4,752 ft
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Harmony House Health Care Center
Waterloo, IA3.5 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $48,825
Northcrest Specialty Care
Waterloo, IA3.7 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Pinnacle Specialty Care
Cedar Falls, IA4.1 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $8,362
The Suites at Western Home Communities
Cedar Falls, IA4.3 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Harmony Waterloo
Waterloo, IA · Current facility
—1/51/53/5$95,440
Friendship Village Retirement
Waterloo, IA
2,640 ft5/54/55/5None recorded
Ravenwood Specialty Care
Waterloo, IA
4,752 ft1/51/54/5None recorded
Harmony House Health Care Center
Waterloo, IA
3.5 mi1/51/52/5$48,825
Northcrest Specialty Care
Waterloo, IA
3.7 mi2/52/54/5None recorded
Pinnacle Specialty Care
Cedar Falls, IA
4.1 mi2/52/53/5$8,362
The Suites at Western Home Communities
Cedar Falls, IA
4.3 mi5/54/55/5None recorded

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 Waterloo?▾
Harmony Waterloo has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Harmony Waterloo 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 Waterloo participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Harmony Waterloo had any health inspection violations?▾
Harmony Waterloo had 7 deficiency citations in its most recent health inspection (Jan 14, 2026). The current CMS dataset records 1 fine(s) totaling $95,440.
What are the staffing levels at Harmony Waterloo?▾
Harmony Waterloo provides 3.24 total nursing staff hours per resident per day, including 0.67 RN hours, 0.52 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 48.8%.
How many beds does Harmony Waterloo have?▾
Harmony Waterloo has 88 certified beds with an average of 74.5 residents per day, resulting in approximately 85% 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 Waterloo?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 4 in Waterloo. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Harmony Waterloo?▾
On Google Maps, Harmony Waterloo has a rating of 3.8 out of 5 based on 84 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 →