Skilled NursingCMS verified

Harmony Waterloo

201 West Ridgeway Avenue, Waterloo, IA 50701 · Black Hawk County

With a welcoming spirit and multi-disciplinary approach, the caring experts at Harmony Waterloo deliver personalized care. Learn more!

1.0CMS overall rating(319) 234-7777 Visit website ↗

Use Caution

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates use caution.

Photos via google places, facility website.

Availability outlookModerate availability

Typically 81% full — openings are usually available.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Harmony Waterloo is a for-profit skilled nursing facility in Waterloo, IA, with 88 certified beds and an average of about 72 residents per day. It operates as part of the Legacy Healthcare network.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 4/5 on quality measures.

Staff provide about 3.23 total nurse hours per resident each day (0.71 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 50.5%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 7 health deficiencies at its most recent standard survey, and 1 federal fine totaling $95,440 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 1-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.23 hrs/resident/day)
•$95,440 in federal fines
•CMS abuse-citation flag — review carefully

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Waterloo options — our advisors can help you compare.

At a glance

Certified beds: 88
Avg. residents/day: 72
Ownership: For profit - Limited Liability company
Part of a chain: Legacy Healthcare
Continuing care: No
CMS provider #: 165034

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$8,420–$10,540/mo (median $9,220)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Waterloo prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Harmony Waterloo →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.23; National avg ≈ 3.9
RN hrs / resident / day: 0.71; National avg ≈ 0.75
Nursing staff turnover: 50.5%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

⚠️ This community carries a serious CMS flag (abuse citation). We recommend reviewing the full inspection report and raising it directly on any tour.

Health deficiencies (last survey): 7
Federal fines: 1 ($95,440)
Total penalties: 1
Last standard survey: 2026-01-14
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (21 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-01-14Severity E — potential for harmNursing and Physician Services Deficiencies

Post nurse staffing information every day.

2026-01-14Severity E — potential for harmNutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2026-01-14Severity E — potential for harmNutrition and Dietary Deficiencies

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.

2026-01-14Severity E — potential for harmNutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2026-01-14Severity D — potential for harmQuality of Life and Care Deficiencies

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.

2026-01-14Severity D — potential for harmPharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

2025-10-30Severity J — immediate jeopardyFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-05-01Severity D — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2025-10-30	Fine	$95,440

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Occupational therapy
✓ Rehabilitation services
✓ Respite / short-term stays
✓ Wellness programs
✓ Daily activities & events

Location

201 West Ridgeway Avenue, Waterloo, IA

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

3.9

87 reviews →

Verified family reviews

No verified family reviews yet for Harmony Waterloo.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Harmony Waterloo

How much does Harmony Waterloo cost?

Harmony Waterloo does not publish exact rates. Comparable skilled nursing in the Waterloo, IA area typically runs $8,420–$10,540 per month (median $9,220, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Harmony Waterloo's Medicare rating?

Medicare (CMS) rates Harmony Waterloo 1 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Harmony Waterloo?

Staff provide about 3.23 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 50.5% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Harmony Waterloo?

Harmony Waterloo has 21 health citations on its recent federal inspection record (last standard survey: 2026-01-14). The full citation-by-citation detail, with severity levels, is published on this page.

Does Harmony Waterloo have availability?

Typically 81% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Harmony Waterloo offer?

Harmony Waterloo in Waterloo, IA offers skilled nursing and is licensed for 88 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Waterloo.
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Your next steps — this week

1
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Check the inspection record and staffing data on this page against your loved one's needs.
2
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Request current rates for Harmony Waterloo — takes one minute, answered same day.
3
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4
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