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
1 of 5 overall
Harmony Waterloo (Waterloo, IA) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and 3-star staffing rating; reported nurse staffing is 3.23 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $146,830 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.2333 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $146,830recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2333.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.03
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 27%
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
23.9%27.7%Worsening
Residents with a fall causing major injury
0%1.6%Worsening
Residents with pressure ulcers (bedsores)
5.7%4.2%Improving
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
18.5%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%8.8%Worsening
Residents whose ability to walk got worse
24.9%3.5%Improving
Long-stay residents on antianxiety or sleep medication
21.5%16.7%Improving
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
3.1%0%Improving
Residents with new or worsening incontinence
27.8%27.6%No change
Residents with depressive symptoms
7.6%8.2%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
91.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—28.2%—
Short-stay residents given the pneumonia vaccine
77.9%79.4%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 $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 · $146,830 in total fines.
- $146,830
Federal fine
Oct 30, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 71.7 residents on an average day (81% 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.