Waterloo, IA

Harmony House Health Care Center

1-star overall rating with 1-star inspections with 14 recent health deficiencies

2950 West Shaulis Road, Waterloo, IA

(319) 234-4495

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

65

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1989-03-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.46

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.07

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.17

CMS adjusted total nurse staffing hours

Case-mix index

1.58

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,024

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

61.01

Composite VBP score used to determine payment impact.

Payment multiplier

1.0161

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.57

Baseline 47.50% · Performance 32.76% · Measure score 7.57 · Achievement 7.57 · Improvement 6.01

Adjusted total nurse staffing

4.64

Baseline 5.02 hours · Performance 4.40 hours · Measure score 4.64 · Achievement 4.64 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.45%	8.2% 5.7 pts worse	Numerator 4 · Denominator 163
Staff flu vaccination coverage	57.52%	42% 15.5 pts better	Numerator 88 · Denominator 153
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	79.9%	94.0% 14.1 pts worse	93.4% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 85.4% · Q3 78.0% · Q4 65.4% · 4Q avg 79.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.9%	95.2% 0.7 pts better	95.5% 0.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9%
Percentage of long-stay residents experiencing one or more falls with major injury	0.5%	3.7% 3.2 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	4.4%	4.9% 0.5 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 8.2% · Q4 4.2% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.8%	20.6% 5.2 pts worse	19.6% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 28.3% · Q3 22.4% · Q4 24.5% · 4Q avg 25.8%
Percentage of long-stay residents who received an antipsychotic medication	32.4%	19.8% 12.6 pts worse	16.7% 15.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 31.4% · Q3 34.1% · Q4 30.0% · 4Q avg 32.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	14.4%	18.5% 4.1 pts better	16.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	18.3% 3.8 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 8.3% · Q3 22.2% · Q4 13.9% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	1.7% 1 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.7%	2.5% 1.2 pts worse	1.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.2% · Q3 6.0% · Q4 2.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	26.0% 0.9 pts better	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 19.4% · Q3 34.2% · Q4 22.3% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	4.2%	4.3% 0.1 pts better	5.1% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.6% · Q3 4.4% · Q4 6.1% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.3%	84.3% 12 pts worse	81.7% 9.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 82.8% · Q2 79.3% · 4Q avg 72.3%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	73.3% 6.7 pts better	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-06 · Fire 2025-08-06

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

4 health deficiencies

Top issue: Administration (1 deficiency)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-06-22 · Fire 2023-06-22

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-16

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-09-09

J · Immediate jeopardy 2025-08-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-08-06

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-08-07

D · Potential for more than minimal harm 2025-08-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-08-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-04-16

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-05-16

E · Potential for more than minimal harm 2024-09-12

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-12

E · Potential for more than minimal harm 2024-09-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-12

E · Potential for more than minimal harm 2024-09-12

F839 · Administration Deficiencies

Health

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

Corrected 2024-10-12

E · Potential for more than minimal harm 2024-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-12

G · Actual harm 2024-01-24

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-30

Penalties and ownership

What sits behind the stars

Ownership

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

68% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Doros Generation Trust U/A/D 1/3/12

5% Or Greater Indirect Ownership Interest · Organization

5% 78 facilities 2024-08-15

Beasley, Karla