With a score of 21/100, Harmony Marshalltown 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 Marshalltown is near the national average, with 3.85 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 58 deficiencies at Harmony Marshalltown, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.85 | 3.8 | Average |
| Registered Nurses (RN) | 0.49 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.56 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.79 | 2.4 | Above Average |
| Weekend Total Nursing | 3.39 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0627 Severity JEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Aug 4, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Aug 4, 2025 · Nursing and Physician Services Deficiencies
- Tag 0926 Severity EHave policies on smoking.Aug 4, 2025 · Environmental 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 | 5.9% | 4.5% | Worse |
| Falls with major injury | 1.5% | 3.0% | Better |
| On antipsychotic medication | 23.1% | 14.5% | Worse |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 14.3% | 14.0% | Average |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 31.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $78,878
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 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)
- Penalty deductions: -5 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Iowa
- CIowa Jewish Senior Life CenterDes Moines
- FHarmony Cedar RapidsCedar Rapids
- AChautauqua Guest Home #2Charles City
- AOaknoll Retirement ResidenceIowa City
- DHarmony DavenportDavenport