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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Harmony House Health Care Center

2950 West Shaulis Road · Waterloo, IA 50701 · 65 certified beds

3192344495

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1639945025. Look this up in the CMS NPPES registry (opens in a new tab)

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About Harmony House Health Care Center

Harmony House Health Care Center is a nursing home in Waterloo, Iowa. Its reported capacity is 65 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Legacy Healthcare. Our copy of the inspection record holds 33 citations, the newest dated 18 May 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 3.84 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

CMS designation

Special Focus Facility candidate (CMS)

CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.

Source: CMS Provider Information.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

38

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

33

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

30

Inspection history (33)

Records from January 2024 to May 2026.

  • May 18, 2026 · D

    Citation F0812

    Federal surveyors cited this nursing home on 2026-05-18 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-18.GOV

  • May 18, 2026 · D

    Citation F0804

    Federal surveyors cited this nursing home on 2026-05-18 under CMS tag F0804 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2026-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-18.GOV

  • May 18, 2026 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2026-05-18 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-18.GOV

  • March 25, 2026 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · G

    Citation F0692

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0692 (CMS scope/severity G: isolated, actual harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0693

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • March 25, 2026 · E

    Citation F0725

    Federal surveyors cited this nursing home on 2026-03-25 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

  • August 6, 2025 · D

    Citation F0582

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-08-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

  • August 6, 2025 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-09-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

  • August 6, 2025 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-09-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

  • August 6, 2025 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-09-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

  • August 6, 2025 · J

    Citation F0610

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0610 (CMS scope/severity J: isolated, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-09-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

  • August 6, 2025 · J

    Citation F0609

    Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0609 (CMS scope/severity J: isolated, immediate jeopardy) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-09-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

Penalties (1)

Total fines on file: $48,825

  • March 25, 2026 · Fine

    Citation FINE-139259

    CMS recorded a civil money penalty of $48,825 against this nursing home on 2026-03-25 (Fine ID: 139259). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-25.GOV

Staffing

Latest: 3.84 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.96 hrs/resident/day
  2. 2026-06-013.96 hrs/resident/day
  3. 2026-07-013.84 hrs/resident/day
  4. 2026-08-013.84 hrs/resident/day
  5. 2026Q13.84 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.12 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.5
  • Chain average quality measure rating: 3.3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Legacy Healthcare Financial Services LLC

    parent · PAC 5799046132

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · IA$9,277/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.

Median facility daily rate

$307.06per day

That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.

Source: IA Medicaid NF rate publication (opens in a new tab) · Updated 2026-01-01.GOV

Nearby alternatives

Other licensed providers in Waterloo, with their own public records.

Compare side by side
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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Harmony House Health Care Center

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Harmony House Health Care Center in Waterloo, IA · ElderCareCosts