The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Nursing home report
Harmony House Healthcare Center
Registered name: Harmony House Health Care Center
Waterloo, IA · Medicare-certified · 65 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 out of 5 stars overall. Harmony House Healthcare Center is a special-focus facility candidate with a 1-star health inspection rating, 2-star staffing, and reported nurse staffing below the federal benchmark (3.84 vs 4.1 hours per resident per day); it also had $48,825 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8411 hrs/resident/day
Quality measures
Last inspection: May 18, 2026Penalties, last 24 months: $48,825special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8411.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.73
- Weekend nursing
- 3.58
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
34.1%31.6%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
4.4%5.2%Worsening
Residents with a urinary tract infection
6%0%Improving
Residents who lost too much weight
8.2%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%3%Improving
Residents whose ability to walk got worse
—13.1%—
Long-stay residents on antianxiety or sleep medication
22.4%21.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.2%23.8%Improving
Residents with depressive symptoms
0%2.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.9%—
Long-stay residents given the pneumonia vaccine
78%69.8%Worsening
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
—50.7%—
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $48,825 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $48,825 in total fines.
- $48,825
Federal fine
Mar 25, 2026
Operator & ownership
Recent ownership change · Aug 15, 2024
Now operated by Shaulis Ia Skilled Nursing Facility LLC, previously Abcm Corporation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 43 residents on an average day (66% of 65 beds)
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.