Harmony House Health Care Cent
For profit - Limited Liability company · 2950 West Shaulis Road, Waterloo, IA 50701 · See home’s Medicare page
Ownership Change
            Facility changed ownership in last 12 months.
         Affiliated With Legacy Healthcare
             People or companies with an ownership interest in or managerial control of this home, according to  CMS data.
         3.91
             Nurse hours/resident/day
            
               Reported total nurse staffing hours per resident per day.
            
            State Average: 3.8
         38.1%
             Nurse turnover
            The percentage of nursing staff who stopped working at the home over a 12-month period.
            State Average: 45.6%
         65
             Certified beds
            Qualifying beds in the certified provider or supplier facility. 
         52
             Average residents/day
            Average number of residents based on daily census.
         Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
          Direct owners
                  
                     Iowa Portfolio Opco Holdings Llc 
Chaim Rajchenbach
                  
               
         Chaim Rajchenbach
 Indirect owners
                  
                     Gpn Family Trust U/A/D 04/28/08 (68%)
Oakway Operations Llc (23%)
Doros Generation Trust U/A/D 1/3/12 (5%)
                  
               
         Oakway Operations Llc (23%)
Doros Generation Trust U/A/D 1/3/12 (5%)
 Managerial control
               
                     Legacy Healthcare Financial Services Llc since Aug, 2024
Karla Beasley since Aug, 2024
Linsey Behounek since Aug, 2024
Jenny Borcherding since Aug, 2024
Sheri Burken since Aug, 2024
Darron Cutler since Aug, 2024
Lisa Elwick since Aug, 2024
Laura Friedenberg since Aug, 2024
Mary Geiger since Aug, 2024
Jennifer Hedberg since Aug, 2024
Christina Hennager since Aug, 2024
Larina Heying since Aug, 2024
Mindy Houston since Aug, 2024
Krystle Jaeger since Aug, 2024
Michele Knutson since Aug, 2024
Melissa Larson since Aug, 2024
Dorothy Mcclure since Aug, 2024
Patricia Otterbeck since Aug, 2024
Chaim Rajchenbach since Aug, 2024
Kathleen Scott since Aug, 2024
Joshua Seu since Aug, 2024
Menachem Shabat since Aug, 2024
Kiley Shear since Aug, 2024
Sandra Staudt since Aug, 2024
Elizabeth Van Veghel since Aug, 2024
Bobbie Wierschem since Aug, 2024
Rosemary Wood since Aug, 2024
Amy Wright since Aug, 2024
               
               
         Karla Beasley since Aug, 2024
Linsey Behounek since Aug, 2024
Jenny Borcherding since Aug, 2024
Sheri Burken since Aug, 2024
Darron Cutler since Aug, 2024
Lisa Elwick since Aug, 2024
Laura Friedenberg since Aug, 2024
Mary Geiger since Aug, 2024
Jennifer Hedberg since Aug, 2024
Christina Hennager since Aug, 2024
Larina Heying since Aug, 2024
Mindy Houston since Aug, 2024
Krystle Jaeger since Aug, 2024
Michele Knutson since Aug, 2024
Melissa Larson since Aug, 2024
Dorothy Mcclure since Aug, 2024
Patricia Otterbeck since Aug, 2024
Chaim Rajchenbach since Aug, 2024
Kathleen Scott since Aug, 2024
Joshua Seu since Aug, 2024
Menachem Shabat since Aug, 2024
Kiley Shear since Aug, 2024
Sandra Staudt since Aug, 2024
Elizabeth Van Veghel since Aug, 2024
Bobbie Wierschem since Aug, 2024
Rosemary Wood since Aug, 2024
Amy Wright since Aug, 2024
 Managing employee(s)
               
                  No information available
               
               
         Inspection Reports
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
   
         11 
         
      total deficiencies
         2 
         
               
                  
            
         
         
      
   infection-related deficiencies
This home violated federal standards protecting residents from the spread of infections.
               
               Apr 16, 2025
               
               
            
            
                  1 deficiency 
               
            Nursing and Physician Services Deficiency — F0725
                  
                     Failure to: 
                     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  
               
               Sep 12, 2024
               
               
            
            
                  4 deficiencies 
               
               
            Nutrition and Dietary Deficiency — F0812
                  
                     Failure to: 
                     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  Infection Control Deficiency — F0880
                  
                     Failure to: 
                     Provide and implement an infection prevention and control program.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  Resident Rights Deficiency — F0550
                  
                     Failure to: 
                     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  Administration Deficiency — F0839
                  
                     Failure to: 
                     Employ staff that are licensed, certified, or registered in accordance with state laws.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  
               
               Jan 24, 2024
               
               
            
            
                  1 deficiency 
               
            Resident Rights Deficiency — F0550
                  
                     Failure to: 
                     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
                  
               
                     Severity
                  
                  Actual harm that is not immediate jeopardy
                  
                     Scope
                  
                  Few people affected
                  
                     Seriousness
                  
                  
               
               Oct 6, 2022
               
               
            
            
                  1 deficiency 
               
            Quality of Life and Care Deficiency — F0689
                  
                     Failure to: 
                     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
                  
               
                     Severity
                  
                  Actual harm that is not immediate jeopardy
                  
                     Scope
                  
                  Few people affected
                  
                     Seriousness
                  
                  
               
               Mar 17, 2022
               
               
            
            
                  4 deficiencies 
               
               
            
               
                  
                  to
                  D
                  
               
            
            
            
         Resident Assessment and Care Planning Deficiency — F0656
                  
                     Failure to: 
                     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Few people affected
                  
                     Seriousness
                  
                  Infection Control Deficiency — F0887
                  
                     Failure to: 
                     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.
                  
               
                     Severity
                  
                  No actual harm, with a potential for more than minimal harm
                  
                     Scope
                  
                  Few people affected
                  
                     Seriousness
                  
                  Resident Rights Deficiency — F0582
                  
                     Failure to: 
                     Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
                  
               
                     Severity
                  
                  No actual harm, with potential for minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  Resident Rights Deficiency — F0625
                  
                     Failure to: 
                     Notify the resident or the resident's representative in writing how long the nursing home will hold the resident's bed in cases of transfer to a hospital or therapeutic leave.
                  
               
                     Severity
                  
                  No actual harm, with potential for minimal harm
                  
                     Scope
                  
                  Some people affected
                  
                     Seriousness
                  
                  Penalties
A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
   This home has no record of fines or payment suspensions for the past three years.