Nursing homes › Iowa › Waterloo › Harmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701 · (319) 234-4495 · 65 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 385 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.84 (Iowa median: 3.68). RN hours: 0.57. Weekend total: 3.58. Nursing staff turnover: 62%.
In the downloaded CMS dataset: 38 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-30 | Provide 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. | E | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2026-05-27 |
| 2026-05-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2026-05-27 |
| 2026-05-18 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-27 |
| 2026-03-25 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2026-04-16 |
| 2026-03-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2026-04-16 |
| 2026-03-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Ensure 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. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-16 |
| 2026-03-25 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-04-16 |
| 2025-08-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Health | corrected 2025-09-09 |
| 2025-08-06 | Respond appropriately to all alleged violations. | J | Health | corrected 2025-09-09 |
| 2025-08-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-09-15 |
| 2025-08-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | complaint | corrected 2025-08-07 |
| 2025-08-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2025-09-09 |
| 2025-08-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-09-15 |
| 2025-08-06 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-15 |
| 2025-04-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-05-16 |
| 2024-09-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-10-12 |
| 2024-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-10-12 |
| 2024-09-12 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | complaint | corrected 2024-10-12 |
| 2024-09-12 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-10-12 |
| 2024-01-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | complaint | corrected 2024-01-30 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-25 | Fine | $48,825 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RAJCHENBACH, CHAIM | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/15/2024 |
| SHABAT, MENACHEM | Corporate Officer | Individual | NOT APPLICABLE | since 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/15/2024 |
| BEASLEY, KARLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEHOUNEK, LINSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BORCHERDING, JENNY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| BURKEN, SHERI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| CUTLER, DARRON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| ELWICK, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| FRIEDENBERG, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| GEIGER, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEDBERG, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HENNAGER, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEYING, LARINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| HOUSTON, MINDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| JAEGER, KRYSTLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| KNUTSON, MICHELE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| LARSON, MELISSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| MCCLURE, DOROTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| OTTERBECK, PATRICIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SCOTT, KATHLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SEU, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHEAR, KILEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
How to cite this page: CareRecords, “Harmony House Health Care Center — compliance, penalty and ownership record” (CCN 165152), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/harmony-house-health-care-center-waterloo-ia/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165152. Corrections: data@carerecords.org.