Marshalltown · 50158
Iowa Veterans Home
1301 Summit
Marshalltown, IA 50158
Harmony Marshalltown
⌖ Marshalltown, IA · Marshall County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds72
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Harmony Marshalltown
Harmony Marshalltown is a 72-bed for-profit nursing home in Marshalltown, IA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Iowa is 3.1. At its last full inspection (Jan 2026), inspectors found 5 problems, close to the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 00 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 51% of its nursing staff left in the past year. Medicare fined it $78,878 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameHarmony Marshalltown
LocationMarshall County, Iowa
Phone(641) 752-4581
Address910 East Olive, Marshalltown, IA 50158 · Marshall County
CMS provider number165385
Ownership typeFor-profit (corporation)
Operating companyLegacy Healthcare · 95 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 1, 1998 (28 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jan 2026.Strength
About average
- Health citations at last inspection5 (Jan 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident4 hr 00 min a dayIowa average: 3 hr 49 minAbout average
Things to ask about
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- Fines and penalties1 fine totaling $78,878Federal penalties from the last three years, most recently in Aug 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident26 min a dayIowa average: 45 minWorse than state average
- Nursing staff turnover51% a yearIowa average: 44%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs3.7%State average: 2.1%Worse than average
Physical therapist time: about 3 minutes per resident a day. That is about the same as the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.6%State average: 3.8%Better than average
- Pressure sores (bedsores)9.8%State average: 4.2%Worse than average
- Given antipsychotic drugs25.4%State average: 19.5%Worse than average
- Hospital stays per 1,000 resident days0.7State average: 1.5Better than average
Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 45% Medicaid
- 9% Medicare
- 46% Private pay, insurance and other
Beds in use, on average54%Iowa typical: 79%
Cost of care per resident day$335Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 2 stars and changed 9 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care3★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 3 | 1 | 4 | – |
| Jan 2020 | 2 | 2 | 2 | 2 | 3.5 |
| Jan 2021 | 2 | 1 | 2 | 5 | 3.2 |
| Jan 2022 | 2 | 1 | 2 | 5 | 2.4 |
| Jan 2023 | 1 | 1 | 2 | 4 | 3.6 |
| Jan 2024 | 2 | 2 | 3 | 3 | 4.3 |
| Feb 2025 | 2 | 2 | 3 | 3 | 4.4 |
| Feb 2026 | 1 | 1 | 2 | 4 | 3.8 |
| Sep 2026 | 1 | 1 | 3 | 3 | 4.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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