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Nursing Home Inspect > Iowa > Black Hawk County Data as of January 2026

    Harmony House Health Care Center

    For profit - Limited Liability company  ·  2950 West Shaulis Road, Waterloo, IA 50701  ·  See home’s Medicare page

    Affiliated With Legacy Healthcare
    People or companies with an ownership interest in or managerial control of this home, according to CMS data.
    3.67
    Nurse hours/resident/day
    Reported total nurse staffing hours per resident per day.
    State Average: 3.8
    44.1%
    Nurse turnover
    The percentage of nursing staff who stopped working at the home over a 12-month period.
    State Average: 44.0%
    65
    Certified beds
    Qualifying beds in the certified provider or supplier facility.
    49
    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
    Indirect owners
    Gpn Fam Tr Ua 04282008 (68%)
    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
    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.
    19

    total deficiencies

    2

    infection-related deficiencies

    This home violated federal standards protecting residents from the spread of infections.

    Aug 6, 2025
    Standard report
    13 deficiencies
    (1 infection)

    This report includes a citation for violating federal standards protecting residents from the spread of infections.
    $76,950 Fine
    D

     to J
    J
    Full report
    Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610
    Failure to: Respond appropriately to all alleged violations.
    Severity
    Immediate jeopardy to resident health or safety
    Scope
    Few people affected
    Seriousness
    J
    Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609
    Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Severity
    Immediate jeopardy to resident health or safety
    Scope
    Few people affected
    Seriousness
    J
    Resident Assessment and Care Planning Deficiency — F0644
    Failure to: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    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
    D
    Resident Assessment and Care Planning Deficiency — F0657
    Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0684
    Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0686
    Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    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
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    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
    Few people affected
    Seriousness
    D
    Resident Rights Deficiency — F0558
    Failure to: Reasonably accommodate the needs and preferences of each resident.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    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
    Few people affected
    Seriousness
    D
    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 a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Freedom from Abuse, Neglect, and Exploitation Deficiency — F0600
    Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Apr 16, 2025
    Complaint report
    1 deficiency
    E
    Full report
    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
    E
    Sep 12, 2024
    Standard report
    4 deficiencies
    (1 infection)

    This report includes a citation for violating federal standards protecting residents from the spread of infections.
    E
    Full report
    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
    E
    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
    E
    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
    E
    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
    E
    Jan 24, 2024
    Complaint report
    1 deficiency
    G
    Full report
    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
    G

    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.
    $77K

    total fines

    Aug 6, 2025
    $76,950 fine