Harmony Waterloo
Waterloo, IA · Medicare and Medicaid-certified nursing home (CCN 165034) · 88 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 3
Federal fines: 1 totaling $95,440
Phone: (319) 234-7777 · Verify on Medicare Care Compare ↗
CMS gives Harmony Waterloo an overall rating of 1 out of 5 stars, below the Iowa state average of 3.07. Its health inspection rating is 1 star and its staffing rating is 3 stars.
Harmony Waterloo reports total nurse staffing of 3.24 hours per resident per day, including 0.67 RN hours per resident per day, with a staffing star rating of 3 out of 5. Nursing staff turnover is reported at 48.8%.
Harmony Waterloo has 1 federal fine on record totaling $95,440.00, with 0 payment denials. CMS also displays its abuse icon for this facility, so families should review the full inspection record on Care Compare.
About this facility
Harmony Waterloo is a Medicare and Medicaid-certified nursing home in Waterloo, Black Hawk County, Iowa, first approved for certification in 1967. The facility is certified for 88 beds and had an average of 74.5 residents, according to CMS Care Compare data.
The facility is organized as a for-profit limited liability company and is part of the Legacy Healthcare chain, which includes 89 facilities with a chain average rating of 2.9 stars.
CMS assigns Harmony Waterloo an overall star rating of 1 out of 5, below the Iowa state average of 3.07. Its component ratings are: health inspection 1 star, quality measures 4 stars, and staffing 3 stars.
Nurse staffing data show total nurse hours of 3.24 per resident per day, with 0.67 RN hours per resident per day, and a nursing staff turnover rate of 48.8%.
On penalties, CMS records 1 federal fine totaling $95,440.00 for this facility, with 0 payment denials on record.
CMS displays its abuse icon for Harmony Waterloo, indicating a citation related to abuse; families should review the facility's full inspection record on Care Compare for details before making decisions.
Ownership has not changed in the past 12 months, so the current ratings reflect the present operator. This profile is based on CMS Care Compare data.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Harmony Waterloo has an overall CMS rating of 1 out of 5 stars, which is below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, Harmony Waterloo is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.24 hours per resident per day, including 0.67 RN hours, with a staffing star rating of 3; nursing turnover is 48.8%.
Does this facility have federal fines or penalties on record?
Yes, CMS records 1 fine totaling $95,440.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse icon for this facility; there is no Special Focus designation noted in the data.
How large is this facility and how many residents live there?
Harmony Waterloo is certified for 88 beds with an average of 74.5 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit limited liability company and part of the Legacy Healthcare chain, which has 89 facilities 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 January 19, 1967.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; Harmony Waterloo scores 1, 1, 3, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This data does not specify service offerings; contact the facility at 3192347777 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data does not cover tour details; contact the facility at 3192347777 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest details at https://www.medicare.gov/care-compare/details/nursing-home/165034?state=IA.
Did this facility change ownership recently?
No, CMS data indicates ownership has not changed in the last 12 months.
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.