Nursing homes › Iowa › Harmony Marshalltown
910 East Olive, Marshalltown, IA 50158 · 6417524581 · 72 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 4.01 (Iowa median: 3.69). RN hours: 0.44. Weekend total: 3.65. Nursing staff turnover: 51%.
All-time on record: 46 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-06-01 |
| 2026-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-02-13 |
| 2026-01-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-02-13 |
| 2026-01-14 | Post nurse staffing information every day. | D | Health | corrected 2026-02-13 |
| 2026-01-14 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-02-13 |
| 2025-08-05 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | complaint | corrected 2025-09-05 |
| 2025-08-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-09-05 |
| 2025-08-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-09-05 |
| 2025-08-05 | 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 2025-09-05 |
| 2025-08-05 | Have policies on smoking. | E | complaint | corrected 2025-09-05 |
| 2025-08-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-09-05 |
| 2025-08-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-09-05 |
| 2025-08-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-09-05 |
| 2025-04-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-05-09 |
| 2025-04-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-09 |
| 2025-04-10 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2025-05-09 |
| 2025-04-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-05-09 |
| 2024-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-01-09 |
| 2024-12-12 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-01-09 |
| 2024-12-12 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-01-09 |
| 2024-12-12 | 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 2025-01-09 |
| 2024-12-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-01-09 |
| 2024-12-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-01-09 |
| 2024-12-12 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Health | corrected 2025-01-09 |
| 2024-12-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-01-09 |
| 2024-12-12 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-01-09 |
| 2024-12-12 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2025-01-09 |
| 2024-09-25 | Honor 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. | D | complaint | corrected 2024-10-25 |
| 2024-09-12 | Honor 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. | E | complaint | corrected 2024-10-25 |
| 2024-09-12 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-10-25 |
| 2024-09-12 | 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 | corrected 2024-10-25 |
| 2024-09-12 | Ensure 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. | D | complaint | corrected 2024-10-25 |
| 2024-09-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2024-10-25 |
| 2024-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2024-10-25 |
| 2024-09-12 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-10-25 |
| 2024-02-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-02-22 |
| 2024-02-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-22 |
| 2024-02-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-02-22 |
| 2024-02-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2024-02-22 |
| 2024-02-01 | 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 2024-02-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-05 | Fine | $78,878 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BURKEN, SHERI | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/15/2024 |
| GARDEN, DANIEL | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/15/2024 |
| NINIO, MORDECHAY | Indirect Ownership Interest | Individual | NOT APPLICABLE | 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 01/17/2025 |
| BEHOUNEK, LINSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| BORCHERDING, JENNY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| DHONDT, JUSTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| FRIEDENBERG, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| HEDBERG, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| HENNAGER, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| HEYING, LARINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| HOUSTON, MINDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| JAEGER, KRYSTLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| KNUTSON, MICHELE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| LARSON, MELISSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| MAITLAND, GRACE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| MCCLURE, DOROTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| OTTERBECK, PATRICIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| SCOTT, KATHLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| SCURR, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| SEU, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/17/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165385. Corrections: data@carerecords.org.