Harmony Waterloo
Nursing home in Waterloo, IA
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
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
- 75
- Ownership
- For-profit, limited Liability company
- Legal business name
- Waterloo Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 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
- 3.24 hours
- Registered nurse (RN) time per resident per day
- 0.67 hours
- Nurse aide time per resident per day
- 2.04 hours
- Total nurse staffing on weekends
- 2.93 hours
- Nursing staff turnover (yearly)
- 49%
- RN turnover (yearly)
- 30%
- Administrators who left in the past year
- 1
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.
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