Accura Healthcare of Marshalltown
Cost data not yet available
Nursing Homes · Medicare certified
910 East Olive · Marshalltown, IA 50158 · 72 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1871372029. Look this up in the CMS NPPES registry (opens in a new tab)
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Harmony Marshalltown is a nursing home in Marshalltown, Iowa. Public records list 72 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Legacy Healthcare. We hold 46 inspection citations for this listing, the most recent dated 20 May 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 4.01 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.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
39
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
40
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
40
Records from September 2023 to May 2026.
December 12, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0812 (CMS scope/severity E: pattern, 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 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0727Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0727 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-12-12 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 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0883Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0583Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 12, 2024 · D
Citation F0887Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2025-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2024 · D
Citation F0584Federal surveyors cited this nursing home on 2024-09-25 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0804Federal surveyors cited this nursing home on 2024-09-12 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 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-09-12 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-09-12 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 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0803Federal surveyors cited this nursing home on 2024-09-12 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0725Federal surveyors cited this nursing home on 2024-09-12 under CMS tag F0725 (CMS scope/severity D: isolated, 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 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0812Federal surveyors cited this nursing home on 2024-09-12 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 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 12, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-09-12 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 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-02-01 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 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · D
Citation F0755Federal surveyors cited this nursing home on 2024-02-01 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 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · B
Citation F0801Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0801 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · D
Citation F0656Federal surveyors cited this nursing home on 2024-02-01 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 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $78,878
August 5, 2025 · Fine
Citation FINE-134670CMS recorded a civil money penalty of $78,878 against this nursing home on 2025-08-05 (Fine ID: 134670). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 4.01 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.11 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Legacy Healthcare
Chain ID 306 · 89 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Legacy Healthcare Financial Services LLC
parent · PAC 5799046132
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
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.
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/moIowa 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.
Other licensed providers in Marshalltown, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
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.
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