Harmony Waterloo
Nursing home in Waterloo, IA
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
We send it to Harmony Waterloo if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (319) 234-7777.
Public-record details
- Address
- 201 West Ridgeway Avenue, Waterloo, IA 50701
- Phone
- (319) 234-7777
- Listed under
- For-profit
- Medicare CCN
- 165034
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 88
- Average residents per day
- 72
- Ownership
- For-profit, limited Liability company
- Legal business name
- Waterloo Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (96 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 19, 1967
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jan 14, 2026. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 18, 2023 to Jun 11, 2026): 11 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 11, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in… | E |
| Jan 14, 2026 | 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. | D |
| Jan 14, 2026 | Ensure that residents are free from significant medication errors. | D |
| Jan 14, 2026 | Post nurse staffing information every day. | E |
| Jan 14, 2026 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E |
| Jan 14, 2026 | 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. | E |
| Jan 14, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| Oct 30, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| May 1, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| Jan 15, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jan 15, 2025 | 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. | D |
| Jan 15, 2025 | Ensure each resident receives an accurate assessment. | D |
Fines and payment denials
CMS records 1 fine totalling $95,440 in the last three years.
| Oct 30, 2025 | Fine: $95,440 |
Staffing
- Total nurse staffing per resident per day
- 3.32 hours
- Registered nurse (RN) time per resident per day
- 0.71 hours
- Nurse aide time per resident per day
- 2.09 hours
- Total nurse staffing on weekends
- 3.00 hours
- Nursing staff turnover (yearly)
- 48%
- RN turnover (yearly)
- 25%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
Other nursing homes in Waterloo
Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error