Nursing home
Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 88 certified beds
Harmony Waterloo is a Medicare-certified nursing home in Waterloo, Iowa. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jan 15, 2025 cited 7 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $146,830In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harmony Waterloo compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.51 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.26 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 44.4% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $146,830, 1 total penalty.
What inspectors found at Harmony Waterloo
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jan 14, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jan 14, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Quality of Life and Care Deficiencies · Jan 14, 2026 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 201 West Ridgeway Avenue
Waterloo, IA 50701 - CMS certification #
- 165034
- Ownership
- For profit - Limited Liability company
- Certified beds
- 88
- Avg residents/day
- 72.0
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-19
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Urban
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harmony Waterloo using Google Maps.
Other public records
- Website says Respite stays, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Harmony Waterloo says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Stays | Harmony Waterloo
(page, checked Oct 15, 2026) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Each Private or Semi-Private Room or Suite Features:
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercyone Waterloo Medical Center, Waterloo. 0.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Friendship Village Retirement, Waterloo. 0.5 miles away, straight line.
- Nearest home health agency office
- Mercyone Waterloo Home Health Care, Waterloo. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50701 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Black Hawk Dialysis, Waterloo, 0.7 miles away, straight line (CMS rating 4 of 5 stars)
Davita Cedar Valley Dialysis, Waterloo, 1.4 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 50701.
Cedar Valley Hospice, office in Waterloo, 1.2 miles away, straight line (CMS family survey rating 5 of 5 stars)
Unitypoint Hospice, office in Waterloo, 3.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Care Initiatives Hospice - Cedar Falls, office in Cedar Falls, 4.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 41.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding very low, wildfire very low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Harmony Waterloo a good nursing home?
CMS gives Harmony Waterloo an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harmony Waterloo staffed?
Harmony Waterloo reports 3.51 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Harmony Waterloo had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Harmony Waterloo have?
Harmony Waterloo is certified for 88 beds.