Nursing home report
Marshalltown, IA · Medicare-certified · 72 beds
Harmony Marshalltown has a 1-out-of-5 overall rating, with a 1-star health inspection rating, 3-star staffing, and 3-star quality measures. It also has a recent federal penalty and $78,878 in fines over the last 24 months; reported nurse staffing is 4.12 hours per resident per day, just above the federal benchmark of 4.1.
Health inspections
Staffing
4.115 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.115.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited August 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 627 — 42 CFR §483.15(c) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2025 — limited pattern, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 4 health deficiencies.
A federal fine of $78,878 was recorded.
Health inspection found 8 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 fine · $78,878 in total fines.
Federal fine
Aug 5, 2025
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.
