With a score of 33/100, Harmony Waterloo ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Harmony Waterloo is near the national average, with 3.51 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 23 deficiencies at Harmony Waterloo, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.51 | 3.8 | Average |
| Registered Nurses (RN) | 0.63 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.62 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.26 | 2.4 | Average |
| Weekend Total Nursing | 3.17 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Oct 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0602 Severity DProtect each resident from the wrongful use of the resident's belongings or money.Apr 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 14, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jan 14, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesJan 14, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.9% | 4.5% | Average |
| Falls with major injury | 0.7% | 3.0% | Better |
| On antipsychotic medication | 24.9% | 14.5% | Worse |
| Urinary tract infections | 6.0% | 2.5% | Worse |
| ADL decline (daily activities) | 10.1% | 14.0% | Better |
| Excessive weight loss | 9.8% | 7.5% | Worse |
| New/worsened incontinence | 35.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $146,830
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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