Harmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701319234449565 certified beds · 43 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
38
● 0● 34● 4
Penalties · 3 yrs
$48,825
1 fine
Last survey
2026-06-30
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 |
|---|---|---|---|---|
| 2026-06-30 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2026-05-18 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2026-03-25 | Complaint | 0101 | CMS-2567 (Care Compare) | — |
| 2025-08-06 | Standard | 0112 | CMS-2567 (Care Compare) | — |
| 2025-04-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-01-24 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 000 | 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.
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165152-20260630-F561
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.Correction not yet recordedRecord 165152-20260630-F677
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 EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165152-20260630-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165152-20260630-F695
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 DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165152-20260630-F725
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 165152-20260518-F804
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 2026-05-27Record 165152-20260518-F812
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 2026-05-27Record 165152-20260518-F880
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-16Record 165152-20260325-F692
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 2026-04-16Record 165152-20260325-F550
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165152-20260325-F610
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 2026-04-16Record 165152-20260325-F658
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 2026-04-16Record 165152-20260325-F677
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 2026-04-16Record 165152-20260325-F684
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 2026-04-16Record 165152-20260325-F689
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165152-20260325-F693
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 2026-04-16Record 165152-20260325-F725
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 2026-04-16Record 165152-20260325-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165152-20260325-F760
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-09Record 165152-20250806-F609
F610Respond appropriately to all alleged violations.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-09Record 165152-20250806-F610
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 2025-09-15Record 165152-20250806-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-15Record 165152-20250806-F558
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-07Record 165152-20250806-F582
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 165152-20250806-F600
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-15Record 165152-20250806-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-15Record 165152-20250806-F656
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 2025-09-15Record 165152-20250806-F657
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 2025-09-15Record 165152-20250806-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-15Record 165152-20250806-F686
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 2025-09-15Record 165152-20250806-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 2025-09-15Record 165152-20250806-F880
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 2025-05-16Record 165152-20250416-F725
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 2024-10-12Record 165152-20240912-F550
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 165152-20240912-F812
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 165152-20240912-F839
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 165152-20240912-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-30Record 165152-20240124-F550
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-25 | Civil money penalty | $48,825 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.84
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.58
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover62%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover33%
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 | 4.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 31.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 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 | 12.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.0% | 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 |
|---|---|---|---|---|
| Rajchenbach, Chaim Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Beasley, Karla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Behounek, Linsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Borcherding, Jenny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burken, Sheri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cutler, Darron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Elwick, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Friedenberg, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Geiger, Mary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hedberg, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hennager, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Heying, Larina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Houston, Mindy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jaeger, Krystle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Knutson, Michele Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Larson, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcclure, Dorothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Otterbeck, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Scott, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Seu, Joshua Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shear, Kiley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Staudt, Sandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Van Veghel, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wierschem, Bobbie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wood, Rosemary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wright, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascade Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascade Capital Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ccg Gorgona LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Brian Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Propco Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gorgona Sub Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mn8 Rh Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Avrum Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Rivka Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Ahuva Individual | TRUSTEE OF THE SNF | 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 |
|---|---|---|---|
| Pinnacle Specialty Care Cedar Falls | 3.4 mi | 2026-06-09 | 0211 |
| The Suites at Western Home Communities Cedar Falls | 3.5 mi | 2026-03-26 | 0110 |
| Harmony Waterloo Waterloo | 3.5 mi | 2026-06-11 | 0211 |
| Friendship Village Retirement Waterloo | 3.6 mi | 2025-11-17 | 131 |
| Ravenwood Specialty Care Waterloo | 3.9 mi | 2026-06-18 | 0193 |
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 |