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 Health Care Center
Waterloo, IA · Medicare-certified · 65 beds
Needs attention
For-profitChain member
1 of 5 overall
Harmony House Health Care Center in Waterloo, IA has a 1 out of 5 overall rating, with a 1-star health inspection rating and the lowest overall rating flag. Staffing is 3 stars, with reported nurse staffing at 3.96 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9575 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9575.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.44
- Nurse aides
- 2.88
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 22%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.4%Improving
Residents with a fall causing major injury
0.5%Improving
Residents with pressure ulcers (bedsores)
3.4%Improving
Residents with a urinary tract infection
3.6%Improving
Residents who lost too much weight
3.2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.4%Steady
Residents whose ability to walk got worse
13.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
24.6%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
22%Improving
Residents with depressive symptoms
0.6%Worsening
Long-stay residents given the seasonal flu vaccine
95.9%Steady
Long-stay residents given the pneumonia vaccine
76%Worsening
Short-stay residents given the seasonal flu vaccine
80%Steady
Short-stay residents given the pneumonia vaccine
63.3%Steady
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 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
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 45.9 residents on an average day (71% 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.