Harmony House Health Care Center
Nursing home in Waterloo, IA
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
We send it to Harmony House Health Care Center 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) 234-4495.
Public-record details
- Address
- 2950 West Shaulis Road, Waterloo, IA 50701
- Phone
- (319) 234-4495
- Listed under
- For-profit
- Medicare CCN
- 165152
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 65
- Average residents per day
- 49
- Ownership
- For-profit, limited Liability company
- Legal business name
- Shaulis Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (96 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Mar 30, 1989
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 6, 2025. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 24, 2024 to Jun 30, 2026): 25 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 30, 2026 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| Jun 30, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Jun 30, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| Jun 30, 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. | E |
| Jun 30, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| May 18, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| May 18, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| May 18, 2026 | Provide and implement an infection prevention and control program. | D |
| Mar 25, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Mar 25, 2026 | Respond appropriately to all alleged violations. | D |
| Mar 25, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Mar 25, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
Fines and payment denials
CMS records 1 fine totalling $31,736 in the last three years.
| Mar 25, 2026 | Fine: $31,736 |
Staffing
- Total nurse staffing per resident per day
- 3.92 hours
- Registered nurse (RN) time per resident per day
- 0.67 hours
- Nurse aide time per resident per day
- 2.79 hours
- Total nurse staffing on weekends
- 3.60 hours
- Nursing staff turnover (yearly)
- 65%
- RN turnover (yearly)
- 33%
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
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