Harmony Waterloo

CMS abuse icon · CCN 165034 · WATERLOO SKILLED NURSING FACILITY LLC · For profit - Limited Liability company · LEGACY HEALTHCARE chain · 88 certified beds · Black Hawk · IA


Harmony Waterloo is a 88-bed nursing home in Waterloo, Iowa. CMS has certified it for Medicare and Medicaid since 1967-01-19. It averages 74.5 residents a day.

What harm was found in the violations cited at Harmony Waterloo?

CMS lists 22 health-inspection deficiencies for Harmony Waterloo, 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 2026-06-11.

Survey dateTagDeficiencySeverity
2026-06-11F0761Ensure 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
2026-01-14F0732, F0802, F0803, F0804Post nurse staffing information every day. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-01-14F0688, F0760Provide 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. / Ensure that residents are free from significant medication errors.D
2025-10-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2025-05-01F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2025-01-15F0550, F0584, F0641, F0645, F0658Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-11-21F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-08-08F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-08-08F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-05-22F0584, F0677, F0695, F0812Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2023-10-18F0584Honor 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

Why was Harmony Waterloo fined?

DateTypeAmount
2025-10-30Fine$95,440

How is Harmony Waterloo staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.236763.81506
Total nursing staff turnover (%)48.844.0
Average number of residents per day74.552.4

Who owns Harmony Waterloo, and what chain is it in?

Harmony Waterloo is registered with CMS as For profit - Limited Liability company, operates under the legal business name WATERLOO SKILLED NURSING FACILITY LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, OAKWAY OPERATIONS LLCsince 04/01/2023
W-2 MANAGING EMPLOYEEKNAPP, JUSTINsince 03/29/2023
CORPORATE OFFICERSHABAT, MENACHEMsince 04/01/2023
OPERATIONAL/MANAGERIAL CONTROLLEGACY HEALTHCARE FINANCIAL SERVICES LLCsince 04/01/2023

Were you or a family member harmed at Harmony Waterloo?