The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Harmony Waterloo
Waterloo, IA · Medicare-certified · 88 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Harmony Waterloo in Waterloo, IA has an overall 1-star rating, with a 1-star health inspection rating and a recent abuse citation. Staffing is 3 stars, but reported nurse staffing is 3.24 hours per resident per day versus the 4.1-hour federal benchmark, and the facility has had $95,440 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2368 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $95,440recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2368.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.04
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 30%
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
22.2%30%Worsening
Residents with a fall causing major injury
1.5%1.5%No change
Residents with pressure ulcers (bedsores)
5.6%3.3%Improving
Residents with a urinary tract infection
4.5%1.5%Improving
Residents who lost too much weight
6.7%6.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.1%6.9%Worsening
Residents whose ability to walk got worse
4.8%12.8%Worsening
Long-stay residents on antianxiety or sleep medication
20%19.7%No change
Short-stay residents newly given an antipsychotic
2.2%0%Improving
Residents with a long-term catheter
1.4%1.4%No change
Residents with new or worsening incontinence
30%34.6%Worsening
Residents with depressive symptoms
1.6%6.2%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
—92.2%—
Long-stay residents given the pneumonia vaccine
87.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—28.2%—
Short-stay residents given the pneumonia vaccine
80%84.3%Improving
What the inspectors found
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: E
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $95,440 was recorded.
- PENALTY
A federal fine of $146,830 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $95,440 in total fines.
- $95,440
Federal fine
Oct 30, 2025
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by Harmony Waterloo, previously Promedica Skilled Nursing and Rehabilitation (waterloo).
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 74.5 residents on an average day (85% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.