Nursing homeActive
Harmony Cedar Rapids
1940 First Avenue NE, Cedar Rapids, IA 52402319364515196 certified beds · 78 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
27
● 1● 22● 4
Penalties · 3 yrs
$10,509
1 fine
Last survey
2026-04-21
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-03 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-12-23 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Complaint | 110 | CMS-2567 (Care Compare) | — |
| 2024-03-28 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-08-02 | Complaint | 003 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 165017-20260421-F880
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F698
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F725
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F759
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-24Record 165017-20260303-F791
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 165017-20251223-F689
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165017-20250115-F578
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165017-20250115-F640
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165017-20250115-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165017-20250115-F645
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165017-20250115-F725
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-01Record 165017-20241107-F550
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-01Record 165017-20241107-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-01Record 165017-20241107-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-01Record 165017-20241107-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-13Record 165017-20240612-F658
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-06-13Record 165017-20240612-F582
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 165017-20240328-F726
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 165017-20240328-F758
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-22Record 165017-20230802-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-08-22Record 165017-20230802-F697
F880Provide and implement an infection prevention and control program.Scope/severity JHarm
Infection control
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-08-22Record 165017-20230802-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-12-23 | Civil money penalty | $10,509 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.70
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.38
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover74%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover64%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.3% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.0% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.2% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 26% | — | — |
| Gpn Family Trust U/A/D 4/28/08 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60% | — | — |
| Oakway Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | — | — |
| Forbright Bank Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Knapp, Justin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stenberg, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Forbright Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Knapp, Justin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller Cooper & Co, Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stenberg, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Legacy Healthcare — 89 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Linn.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cottage Grove Place Cedar Rapids | 0.3 mi | 2026-04-14 | 0182 |
| Living Center West Cedar Rapids | 1.2 mi | 2026-06-08 | 0268 |
| St Luke's Helen G Nassif Transitional Care Center Cedar Rapids | 2.3 mi | 2026-03-05 | 150 |
| Linn Manor Care Center Marion | 2.7 mi | 2026-06-10 | 0162 |
| Northbrook Healthcare and Rehabilitation Center Cedar Rapids | 3.4 mi | 2026-04-29 | 3463 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |