F

Harmony House Health Care Center

2950 West Shaulis Road, Waterloo, IA 50701
Score: 33 / 100

With a score of 33/100, Harmony House Health Care Center 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 House Health Care Center is near the national average, with 3.67 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 19 deficiencies at Harmony House Health Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.67 3.8 Average
Registered Nurses (RN) 0.61 0.7 Below Average
Licensed Practical Nurses (LPN) 0.46 0.7 Below Average
Certified Nursing Assistants (CNA) 2.60 2.4 Average
Weekend Total Nursing 3.20 3.8 Below Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Aug 5, 2025
Most Recent Inspection
🟠 17 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0609 Severity J
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Aug 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity J
    Respond appropriately to all alleged violations.
    Aug 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Aug 5, 2025 · Resident Rights Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Aug 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Aug 5, 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 4.2% 4.5% Average
Falls with major injury 0.5% 3.0% Better
On antipsychotic medication 32.4% 14.5% Worse
Urinary tract infections 3.7% 2.5% Worse
ADL decline (daily activities) 14.5% 14.0% Average
Excessive weight loss 4.4% 7.5% Better
New/worsened incontinence 25.1% 45.0% Better

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: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
65
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 5, 2025
Deficiencies (Cycle 1)
14

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