Harmony House Health Care Center
Harmony House Health Care Center is a 65-bed nursing home in Waterloo, Iowa. CMS has certified it for Medicare and Medicaid since 1989-03-30. It averages 43.0 residents a day.
What harm was found in the violations cited at Harmony House Health Care Center?
CMS lists 38 health-inspection deficiencies for Harmony House Health Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-30 | F0688, F0695 | 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. / Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2026-06-30 | F0561, F0677, F0725 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2026-05-18 | F0804, F0812, F0880 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | D |
| 2026-03-25 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2026-03-25 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2026-03-25 | F0550, F0610, F0658, F0677, F0684, F0689, F0693, F0755, F0760 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | D |
| 2025-08-06 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | J |
| 2025-08-06 | F0550, F0558, F0582, F0600, F0644, F0656, F0657, F0684, F0686, F0689, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2025-04-16 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-09-12 | F0550, F0812, F0839, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Provide and implement an infection prevention and control program. | E |
| 2024-01-24 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G |
Why was Harmony House Health Care Center fined?
| Date | Type | Amount |
|---|---|---|
| 2026-03-25 | Fine | $48,825 |
How is Harmony House Health Care Center staffed?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.84107 | 3.81506 |
| Total nursing staff turnover (%) | 61.5 | 44.0 |
| Average number of residents per day | 43.0 | 52.4 |
Who owns Harmony House Health Care Center, and what chain is it in?
Harmony House Health Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name SHAULIS IA SKILLED NURSING FACILITY LLC and belongs to the LEGACY HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | RAJCHENBACH, CHAIM | since 08/15/2024 |
| CORPORATE OFFICER | SHABAT, MENACHEM | since 08/15/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | LEGACY HEALTHCARE FINANCIAL SERVICES LLC, BEASLEY, KARLA, BEHOUNEK, LINSEY, BORCHERDING, JENNY, BURKEN, SHERI, CUTLER, DARRON, ELWICK, LISA, FRIEDENBERG, LAURA, GEIGER, MARY, HEDBERG, JENNIFER, HENNAGER, CHRISTINA, HEYING, LARINA, HOUSTON, MINDY, JAEGER, KRYSTLE, KNUTSON, MICHELE, LARSON, MELISSA, MCCLURE, DOROTHY, OTTERBECK, PATRICIA, RAJCHENBACH, CHAIM, SCOTT, KATHLEEN, SEU, JOSHUA, SHABAT, MENACHEM, SHEAR, KILEY, STAUDT, SANDRA, VAN VEGHEL, ELIZABETH, WIERSCHEM, BOBBIE, WOOD, ROSEMARY, WRIGHT, AMY | since 08/15/2024 |
| TRUSTEE OF THE SNF | FRIEDMAN, BRIAN, RAJCHENBACH, AVRUM, RAJCHENBACH, RIVKA, SHABAT, AHUVA | since 01/03/2012 |
| ADP OF THE SNF | CASCADE CAPITAL HOLDINGS LLC, CASCADE CAPITAL PARTNERS LLC, CCG GORGONA LLC, GORGONA HOLDCO LLC, GORGONA PROPCO HOLDINGS LLC, GORGONA SUB HOLDCO LLC, MN8 RH HOLDCO LLC | since 08/15/2024 |
Were you or a family member harmed at Harmony House Health Care Center?