Harmony Marshalltown

CCN 165385 · MARSHALLTOWN SKILLED NURSING FACILITY LLC · For profit - Corporation · LEGACY HEALTHCARE chain · 72 certified beds · Marshall · IA


Harmony Marshalltown is a 72-bed nursing home in Marshalltown, Iowa. CMS has certified it for Medicare and Medicaid since 1998-02-01. It averages 51.3 residents a day.

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

CMS lists 46 health-inspection deficiencies for Harmony Marshalltown, 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 2026-05-20.

Survey dateTagDeficiencySeverity
2026-05-20F0880Provide and implement an infection prevention and control program.D
2026-01-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-01-14F0677, F0732, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Post nurse staffing information every day. / Provide and implement an infection prevention and control program.D
2025-08-05F0627, F0689Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-08-05F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-08-05F0725, F0926Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have policies on smoking.E
2025-08-05F0550, F0580, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-04-10F0684, F0689, F0726, F0842Provide 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-12-12F0583, F0644, F0657, F0690, F0695, F0727, F0880, F0883, F0887Keep residents' personal and medical records private and confidential. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2024-09-25F0584Honor 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.D
2024-09-12F0584Honor 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
2024-09-12F0658, F0725, F0803, F0804, F0812, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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
2024-02-01F0804, F0812Ensure 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.E
2024-02-01F0550, F0607, F0656, F0698, F0755, F0803Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D
2024-02-01F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.B
2023-09-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-09-18F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was Harmony Marshalltown fined?

DateTypeAmount
2025-08-05Fine$78,878

How is Harmony Marshalltown staffed?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day4.006933.81506
Total nursing staff turnover (%)50.744.0
Average number of residents per day51.352.4

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

Harmony Marshalltown is registered with CMS as For profit - Corporation, operates under the legal business name MARSHALLTOWN SKILLED NURSING FACILITY LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER INDIRECT OWNERSHIP INTERESTBURKEN, SHERIsince 08/15/2024
INDIRECT OWNERSHIP INTERESTGARDEN, DANIEL, NINIO, MORDECHAYsince 08/15/2024
CORPORATE OFFICERSHABAT, MENACHEMsince 08/15/2024
OPERATIONAL/MANAGERIAL CONTROLLEGACY HEALTHCARE FINANCIAL SERVICES LLC, BEASLEY, KARLA, BEHOUNEK, LINSEY, BORCHERDING, JENNY, DHONDT, JUSTINA, FRIEDENBERG, LAURA, HEDBERG, JENNIFER, HENNAGER, CHRISTINA, HEYING, LARINA, HOUSTON, MINDY, JAEGER, KRYSTLE, KNUTSON, MICHELE, LARSON, MELISSA, MAITLAND, GRACE, MCCLURE, DOROTHY, OTTERBECK, PATRICIA, RAJCHENBACH, CHAIM, SCOTT, KATHLEEN, SCURR, STEVEN, SEU, JOSHUA, SHABAT, MENACHEM, SHEAR, KILEY, STAUDT, SANDRA, VAN VEGHEL, ELIZABETH, WIERSCHEM, BOBBIE, WOOD, ROSEMARY, WRIGHT, AMYsince 01/17/2025
ADP OF THE SNFCASCADE 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, RAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 01/17/2025

Were you or a family member harmed at Harmony Marshalltown?