Waterloo · 50701
Harmony House Health Care Center
2950 West Shaulis Road
Waterloo, IA 50701
Harmony Waterloo
⌖ Waterloo, IA · Black Hawk County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds88
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Harmony Waterloo
Harmony Waterloo is a 88-bed for-profit nursing home in Waterloo, 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 8 problems, close to the Iowa average of 6.5. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 14 min a day with each resident, less than the Iowa average of 3 hr 49 min. About 49% of its nursing staff left in the past year. Medicare fined it $95,440 in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (4 of 5).
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 Waterloo
LocationBlack Hawk County, Iowa
Phone(319) 234-7777
Address201 West Ridgeway Avenue, Waterloo, IA 50701 · Black Hawk County
CMS provider number165034
Ownership typeFor-profit (limited liability company)
Operating companyLegacy Healthcare · 95 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 19, 1967 (59 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
4 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
About average
- Health citations at last inspection8 (Jan 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.About average
- Registered nurse time per resident40 min a dayIowa average: 45 minAbout average
- Nursing staff turnover49% a yearIowa average: 44%About average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Oct 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $95,440Federal penalties from the last three years, most recently in Oct 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Nurse staffing per resident3 hr 14 min a dayIowa average: 3 hr 49 minWorse 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.
- Sent back to the hospital15.3%State average: 20.9%Better than average
- Needed an emergency room visit24.3%State average: 13.2%Worse than average
- Newly given antipsychotic drugs1.3%State average: 2.1%Better than average
Physical therapist time: about 5 minutes per resident a day. That is more than 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 injury1.5%State average: 3.8%Better than average
- Pressure sores (bedsores)4.2%State average: 4.2%About average
- Given antipsychotic drugs26.3%State average: 19.5%Worse 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
Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 76% Medicaid
- 3% Medicare
- 21% Private pay, insurance and other
Beds in use, on average86%Iowa typical: 79%
Cost of care per resident day$314Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. 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, the same as 1 star in January 2019. It has ranged from 1 to 4 stars and changed 15 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.2
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 2 | 2 | 3.0 |
| Jan 2020 | 1 | 1 | 3 | 3 | 3.0 |
| Jan 2021 | 2 | 2 | 3 | 4 | 2.9 |
| Jan 2022 | 3 | 3 | 3 | 3 | 3.0 |
| Jan 2023 | 2 | 2 | 3 | 4 | 2.8 |
| Jan 2024 | 2 | 2 | 3 | 4 | 3.1 |
| Feb 2025 | 3 | 3 | 2 | 2 | 3.3 |
| Feb 2026 | 3 | 2 | 3 | 5 | 3.5 |
| Sep 2026 | 1 | 1 | 3 | 4 | 3.2 |
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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