Nursing homes › Iowa › Waterloo › Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701 · (319) 234-7777 · 88 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: 3.24 (Iowa median: 3.68). RN hours: 0.67. Weekend total: 2.93. Nursing staff turnover: 49%.
In the downloaded CMS dataset: 22 deficiency citations, including 1 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 |
|---|---|---|---|---|
| 2026-06-11 | Ensure 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. | E | complaint | corrected 2026-07-01 |
| 2026-01-14 | Post nurse staffing information every day. | E | Health | corrected 2026-02-13 |
| 2026-01-14 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2026-02-13 |
| 2026-01-14 | 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. | E | Health | corrected 2026-02-13 |
| 2026-01-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-02-13 |
| 2026-01-14 | 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. | D | Health | corrected 2026-02-13 |
| 2026-01-14 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2026-02-13 |
| 2025-10-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-11-12 |
| 2025-05-01 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-05-08 |
| 2025-01-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-02-07 |
| 2025-01-15 | 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 | Health | corrected 2025-02-07 |
| 2025-01-15 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-02-10 |
| 2025-01-15 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-02-07 |
| 2025-01-15 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-02-07 |
| 2024-11-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-11-22 |
| 2024-08-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-08-22 |
| 2024-08-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-08-22 |
| 2024-05-22 | 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 2024-06-12 |
| 2024-05-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-06-12 |
| 2024-05-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-06-12 |
| 2024-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-06-12 |
| 2023-10-18 | 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 2023-11-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-30 | Fine | $95,440 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Organization | 26% | since 04/01/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Organization | 60% | since 04/01/2023 |
| OAKWAY OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 15% | since 04/01/2023 |
| SHABAT, MENACHEM | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2023 |
How to cite this page: CareRecords, “Harmony Waterloo — compliance, penalty and ownership record” (CCN 165034), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/harmony-waterloo-waterloo-ia/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165034. Corrections: data@carerecords.org.