Nursing Homes · Marshalltown, IA
Nursing Homes · Medicare certified
Harmony Marshalltown
910 East Olive · Marshalltown, IA 50158 · 72 certified beds
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About Harmony Marshalltown
Harmony Marshalltown is a nursing home in Marshalltown, Iowa. Its capacity is 72 beds, below the Marshall County median of 82 for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 46 citations, the most recent on May 20, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 4.06 hours per resident per day. It is one of 5 nursing homes listed in Marshalltown. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (46)
Records from September 2023 to May 2026.
May 20, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 1, 2026.
January 14, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
January 14, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
January 14, 2026
Tag F0732Post nurse staffing information every day.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
January 14, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
August 5, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 5, 2025.
August 5, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2025.
August 5, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2025.
August 5, 2025
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity J: isolated, immediate jeopardy. Corrected September 5, 2025.
August 5, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected September 5, 2025.
August 5, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 5, 2025.
August 5, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected September 5, 2025.
August 5, 2025
Tag F0926Have policies on smoking.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 5, 2025.
April 10, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 10, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 10, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
April 10, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
December 12, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2025.
December 12, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2025.
December 12, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2025.
Penalties (1)
Total fines: $78,878
August 5, 2025 · Fine
CMS recorded a civil money penalty of $78,878 against this nursing home on August 5, 2025.
Staffing
4.06 nurse hours per resident per day in Q2 2026, down from 4.11 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Legacy Healthcare, a chain of 96 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.
- Parent company: Legacy Healthcare Financial Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
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