Harmony Marshalltown
Nursing home in Marshalltown, IA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 910 East Olive, Marshalltown, IA 50158
- Phone
- (641) 752-4581
- Listed under
- For-profit
- Medicare CCN
- 165385
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 72
- Average residents per day
- 51
- Ownership
- For-profit, corporation
- Legal business name
- Marshalltown Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Feb 1, 1998
- 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 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 18, 2023 to May 20, 2026): 27 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 20, 2026 | Provide and implement an infection prevention and control program. | D |
| Jan 14, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Jan 14, 2026 | Post nurse staffing information every day. | D |
| Jan 14, 2026 | Provide and implement an infection prevention and control program. | D |
| Jan 14, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Aug 5, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Aug 5, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Aug 5, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Aug 5, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| Aug 5, 2025 | Have policies on smoking. | E |
| Aug 5, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| Aug 5, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J |
Fines and payment denials
CMS records 1 fine totalling $78,878 in the last three years.
| Aug 5, 2025 | Fine: $78,878 |
Staffing
- Total nurse staffing per resident per day
- 4.01 hours
- Registered nurse (RN) time per resident per day
- 0.44 hours
- Nurse aide time per resident per day
- 2.97 hours
- Total nurse staffing on weekends
- 3.65 hours
- Nursing staff turnover (yearly)
- 51%
- RN turnover (yearly)
- 91%
- 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.