Harmony House Health Care Center
Waterloo, IA · Medicare and Medicaid-certified nursing home (CCN 165152) · 65 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 2
Federal fines: 1 totaling $48,825
Phone: (319) 234-4495 · Verify on Medicare Care Compare ↗
CMS gives Harmony House Health Care Center an overall rating of 1 out of 5 stars, below the Iowa state average of 3.07 stars. Its health inspection rating is 1 star and its staffing rating is 2 stars.
Harmony House Health Care Center reports 3.84 total nurse hours per resident per day, including 0.57 RN hours per resident per day, with a staffing rating of 2 stars. Nursing staff turnover is reported at 61.5 percent.
CMS records show Harmony House Health Care Center has 1 federal fine totaling $48,825.00, with no payment denials on record. CMS also designates this facility as an SFF Candidate, meaning it has a history of persistent poor quality of care and is subject to increased inspections.
About this facility
Harmony House Health Care Center is a for-profit, limited liability company-owned nursing home in Waterloo, Black Hawk County, Iowa, certified for both Medicare and Medicaid. First approved in 1989, the facility is certified for 65 beds with an average daily census of 43 residents.
According to CMS Care Compare, Harmony House holds an overall rating of 1 out of 5 stars, below the Iowa state average of 3.07 stars. Its component ratings are: health inspection 1 star, quality measures 3 stars, and staffing 2 stars.
Nurse staffing totals 3.84 hours per resident per day, including 0.57 RN hours per resident per day. Nursing staff turnover is reported at 61.5%.
On penalties, CMS records 1 federal fine totaling $48,825.00 for this facility, with 0 payment denials on record.
CMS designates Harmony House as an SFF (Special Focus Facility) Candidate. This CMS program designation identifies facilities with a history of persistent poor quality of care that are subject to increased oversight and more frequent inspections. Families should review the full inspection record on Medicare Care Compare.
Harmony House is part of the Legacy Healthcare chain, which operates 89 facilities nationally with an average chain rating of 2.9 stars. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
This profile is based on CMS Care Compare data; families should verify current details directly with the facility and on Care Compare before making a decision.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Harmony House Health Care Center has an overall CMS rating of 1 out of 5 stars, below the Iowa state average of 3.07 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, this facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.84 hours per resident per day, with 0.57 RN hours per resident per day and 61.5% nursing staff turnover; the staffing rating is 2 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records 1 fine totaling $48,825.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS has not flagged this facility with the abuse icon, but it is designated as an SFF (Special Focus Facility) Candidate, meaning it has a history of persistent poor quality of care under increased inspection.
How large is this facility and how many residents live there?
The facility is certified for 65 beds with an average of 43 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of the Legacy Healthcare chain, which operates 89 facilities nationally with an average rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for certification on March 30, 1989.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus separate ratings for health inspections, staffing, and quality measures; Harmony House scores 1, 1, 2, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This is not specified in the CMS data provided; contact the facility at 3192344495 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This is not specified in the CMS data provided; contact the facility at 3192344495 and verify on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the current record at https://www.medicare.gov/care-compare/details/nursing-home/165152?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.