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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 Waterloo

Harmony Waterloo

201 West Ridgeway Avenue, Waterloo, IA 507013192347777
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
5/5
Beds
88
certified
This facility has been flagged for abuse.
1 fine(s) totaling $146,830

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 88 certified beds with an average of 72 residents per day (82% occupancy)

• Last health inspection found 7 deficiencies (inspected Jan 15, 2025)

• Has been fined a total of $146,830 across 1 fine(s)

• Total nursing staff: 3.51 hours per resident per day

• Staff turnover rate: 44.4%

• Part of the Legacy Healthcare chain (90 facilities)

Harmony Waterloo is a 3-star Medicare and Medicaid certified nursing home in Waterloo, Iowa with 88 certified beds. It has been operating since 1967. The facility scored at average compared to Iowa facilities.

Beds
88
Avg Residents/Day
72
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 15, 2025
Deficiencies (Cycle 1)
7
Weighted Score
86.3
Infection Citations
0

Deficiency Citations (23)

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: 1
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: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 15, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jan 15, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Jan 15, 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: Jan 15, 2025Corrected: NoCycle: 1
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
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: 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: 2
F0677Potential for Harm

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

Survey: May 22, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: May 22, 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: Oct 18, 2023Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Apr 13, 2023Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 16, 2023Corrected: NoCycle: 3
Total Fines
$146,830
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 30, 2025
$146,830

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

Nurse Aide2.26 hrs
National avg: 2.35 hrs
LPN0.62 hrs
National avg: 0.86 hrs
RN0.63 hrs
National avg: 0.68 hrs
Total Nursing3.51 hrs
National avg: 3.89 hrs
Weekend Total3.17 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
44.4%
RN Turnover
33.3%
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 FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization60%Apr 1, 2023
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Apr 1, 2023
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2023
SHABAT, MENACHEMCORPORATE OFFICERIndividualN/AApr 1, 2023
KNAPP, JUSTINW-2 MANAGING EMPLOYEEIndividualN/AMar 29, 2023

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Frequently Asked Questions

What is the CMS rating for Harmony Waterloo?▾
Harmony Waterloo has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated average.
Has Harmony Waterloo had any health inspection violations?▾
Harmony Waterloo had 7 deficiency citations in its most recent health inspection (Jan 15, 2025). The facility has been fined a total of $146,830 across 1 fine(s).
What are the staffing levels at Harmony Waterloo?▾
Harmony Waterloo provides 3.51 total nursing staff hours per resident per day, including 0.63 RN hours, 0.62 LPN hours, and 2.26 nurse aide hours. The total staff turnover rate is 44.4%.
How many beds does Harmony Waterloo have?▾
Harmony Waterloo has 88 certified beds with an average of 72 residents per day, resulting in approximately 82% 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, 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 →