Nursing homeActive
Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701319234777788 certified beds · 75 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
22
● 0● 21● 1
Penalties · 3 yrs
$95,440
1 fine
Last survey
2026-06-11
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
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 |
|---|---|---|---|---|
| 2026-06-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-14 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-10-30 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-05-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-11-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-22 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-10-18 | Complaint | 010 | 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.
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165034-20260611-F761
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F688
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F732
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F760
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F802
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 165034-20260114-F804
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-11-12Record 165034-20251030-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 165034-20250501-F602
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 2025-02-07Record 165034-20250115-F550
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 2025-02-07Record 165034-20250115-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 165034-20250115-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 165034-20250115-F645
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 2025-02-07Record 165034-20250115-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 165034-20241121-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165034-20240808-F550
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165034-20240808-F755
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 2024-06-12Record 165034-20240522-F584
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 165034-20240522-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 165034-20240522-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 165034-20240522-F812
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-09Record 165034-20231018-F584
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-10-30 | Civil money penalty | $95,440 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.24
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.93
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover49%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover30%
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 | 4.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.5% | 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 | 6.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.6% | 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% | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Knapp, Justin Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | CORPORATE OFFICER | 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 Black Hawk.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Friendship Village Retirement Waterloo | 0.5 mi | 2025-11-17 | 131 |
| Ravenwood Specialty Care Waterloo | 0.9 mi | 2026-06-18 | 0193 |
| Northcrest Specialty Care Waterloo | 3.7 mi | 2026-02-12 | 1271 |
| Harmony House Health Care Center Waterloo | 3.5 mi | 2026-06-30 | 0344 |
| Pinnacle Specialty Care Cedar Falls | 4.1 mi | 2026-06-09 | 0211 |
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 |